form test

Please fill in the form below:

Address you are applying for:

Applicant's Info:

Applicant's Full Name *

Applicant's Date of Birth *

Applicant's DL# *

Applicant's Social Security # *

Applicant's Email *

Applicant's Phone *

Applicant's Current Address *

Rent Amount $

Ever Receive a 72 hour notice? *

Yes

If Yes, Please explain.

Current Landlord's Contact *

Applicant's Previous Landlord Contact

Applicant's Reason for Moving?

Co-applicant's Info:

Co-applicant Full Name *

Co-applicant Date of Birth *

Co-applicant DL# *

Co-applicant Social Security # *

Co-applicant Email *

Co-applicant Current Address *

Co-applicant Ever Receive a 72 hour notice? *

Yes

If yes, please explain.

Co-applicant Current Landlord Contact Info *

Co-applicant's Previous Landlord Contact

Co-applicant's Reason for Moving?

Additional Tenants:

Additional Tennant's Info 1

Additional Tennant's Info 2

Additional Tennant's Info 3

Additional Info:

Any Children? *

Any Pets, please explain: *

Do you have a Service/Companion animal?

NOTE: Service animal documentation will need to be provided.

Does anyone that's applying smoke?

Applicant's Employment:

Applicant's Employer Info: (Name, Address, Contact) *

Applicant's Position or Title

Gross Monthly Income *

Applicant Employed for (In years)

Applicant's Supervisor's Name

Co-applicant's Employment:

Co-applicant's Employer Info: (Name, Address, Contact)

Co-applicant's Position or Title

Co-applicant's Gross Monthly Income

Co-applicant Employed for (In years)

Co-applicant's Supervisor's Name

Applicant & Co-applicant Vehicle Info:

Number of automobiles (Including Company Cars):

Vehicle info (Model/Color/State/ Plate #):

Additional Background:

Have you ever or plan on filing bankruptcy?

Do you currently have any outstanding judgments?

Have you been convicted of a misdemeanor or felony in the past 7 years?

Have you ever been evicted with the last 5 years?

Personal References:

REFERENCE #1 (name, address, phone #)

REFERENCE #2 (name, address, phone #)

Emergency Contact:

In Case of an emergency, Notify: (Name & Relationship)

Emergency Contact Information

CREDIT INVESTIGATION DISCLOSURE:

I understand that any false or incomplete information can disqualify me for the rental that I am applying to rent.

Michelle Rogers w/ New Foundations PM has the right to investigate my credit, employment & income records. Has the right to verify my credit, character references & Co-Applicant to report the way I pay this account to any consumer reporting agency. My credit report can be pulled before, during, or after tenancy.

I understand: *

Yes

The agent charges $40.00 as an applicant screening charge per applicant.

AFTER SUBMITTING THE APPLICATION ABOVE YOU BE REDIRECTED TO THE APPLICATION PAYMENT FORM. PLEASE FOLLOW THE STEPS LOCATED THERE.

The agent has adopted the following screening criteria: Credit Check, Criminal Background, May contact employers, landlords or other references.