Application For Apartment Leasing (Page 2 of 2) in pdf

PLEASE GIVE EMPLOYMENT INFORMATION

Place of Employment: ___________________________________________________________

Address_______________________________________________________________________

Supervisor_______________________Phone#______________Ext:______________________

Occupation/Title________________________Monthly Net Income

Length of Employment

(If employed less than 12 months-co-signers Mandatory)

Have you ever: 1)

Filed for bankruptcy?

________

Been evicted from tenancy? ________

3) Are there any judgments outstanding on your credit

_______?

4) Have you been convicted of a crime in the past ten years, excluding misdemeanors and

Summary offences, which have not been annulled, expunged or sealed by a court? ______

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Reason for leaving present location: ________________________________________________

_____________________________________________________________________________

Please give any additional information, which might help management evaluate this application:

_____________________________________________________________________________

The acceptance of this application and/or a deposit does not constitute approval of the application

or an agreement to lease on the part of the landlord. If the application is not approved the sum

deposited shall be returned to the applicant and his/hers rights hereunder shall thereupon cease.

If the application is approved, the security deposit will "hold" the apartment. The apartment will

not be advertised or shown to others during this time period.

If the applicant decides not to rent the apartment, after being approved, the deposit will not be

returned.

Authorization to Release Information:

I/We hereby authorize Flower City Management to obtain any information contained in my

application including rental history, employment history, student status and a credit report from a

consumer reporting agency. I/We hereby authorize the release of any information pertaining to

the above listed items.

Please provide us with a copy of your driver’s license. Thank you,

Applicant’s Signature

Date

Cash__________

Check__________

M.O._____________

Vehicle Make/Model

Year _______Plate #______________

Please complete application to avoid a delay in processing. Thank you

Application For Apartment Leasing Page 2