(To be completed by each ADULT APPLICANT) Verified Drivers License or State I.D. Yes No Management Company: W.I.G Community Name: Woodley Plaza Contact Telephone Move-in-date Unit # Monthly Rent Lease Referred By APPLICANT INFORMATION Name Home Phone # Cell Phone # Work Phone # Email Marital Status Social Security # Date of Birth Driver's License # State Have you or any person who will occupy the unit ever been convicted, plead guilty, or no contest to any felony or misdemeanor? Yes No Describe Offense When CURRENT RESIDENCE Check All That Apply Have been evicted Have been sued for rent Have been sued for property damage Have broken a lease Landlord Rent or Own Rent Own Address Monthly Rent Move in Date Landlord Name Landlord Phone Landlord Email Reason for vacating List Any Roommates you have HAVE YOU GIVEN LEGAL NOTICE AT YOUR CURRENT RESIDENCE? Yes NO Current Employment Employer Name Supervisor's Name Telephone Address Supervisor's Email Job Type Title Date of hire Annual Salary Miles to Work Additional Sources of Income per Month (list any income to be included for qualifications): Previous Employment Employer Name Supervisor's Name Telephone Address Supervisor's Email Job Type Title Date of hire Date left Annual Salary Reason Left EMERGENCY CONTACT Name Address Phone Email Work Phone In the event of serious illness, death, or other circumstances that would make you unavailable the emergency contact can remove your property from your unit or the common area. Yes No VEHICLE INFORMATION Vehicle 1:- Owner Name Type Model Model Yr Color License Plate State Vehicle 2:- Owner Name Type Model Model Yr Color License Plate State Vehicle 3:- Owner Name Type Model Model Yr Color License Plate State PET INFORMATION Pet 1 Pet Name Breed Color Weight Age Pet 2 Pet Name Breed Color Weight Age ADDITIONAL INFORMATION Applicant Bank Name Branch Telephone Checking Account # Savings Account # APPLICANT SCREENING CHARGE $50.00 I certify that the above information is correct and complete and hereby authorize you to do a credit check and make any inquiries you feel necessary to evaluate my tenancy and credit standing. I understand that giving incomplete or false information is grounds for rejection of this application. If any information supplied on this application is later found to be false, this is grounds for termination of tenancy. Owner/Agent has charged a screening charge as set forth above. Applicant screening entails the checking of information provided to the owner/agent by the screening service or credit reporting agency. Applicant’s copy of this signed application shall be the receipt for the screening charge. If the applicant is approved, applicants will have 24 hours from the forfeiture of the deposit if applicants fail to execute the rental agreement. If Applicants fail to timely take the steps required above, they will be deemed to have refused the unit and the next application for the unit will be processed Owner/Agent shall have no liability to applicant until such time as a rental agreements’ signed by both parties. Applicant acknowledges receipt of a copy of the Applicant Qualification Standards. The information contained in this application is true and complete. Signature(Full Name in Capital) Today's Date
