|Have you ever been served a late rent notice?
||Do any of the people
who would be living in the residence smoke?
do you think you would be renting from us?
| Yes No
|Have you ever filed for bankruptcy? If so, when?
||When would you be able to move in?
||Have you ever been convicted of a felony?
|Have you ever been served an eviction notice? If so, when?
||How many pets do you have (list Type, Breed, approx Weight & Age)?
|Yes No |
|Have you had any reoccurring problems with your current residence or landlord? If yes, please explain:|
|Why are you moving from your current address?|
|List any verifiable sources and amounts of income you wish to have considered (optional):|
|If you were to run into financial difficulty in the future and couldn’t come up with the money to pay the rent, do you know someone that would loan you the money? If so, provide the person’s name, address, & phone # so that we can use them as a reference for you.|
|Have you been a party to a lawsuit in the past? If yes, please explain why:|
|We may run a credit check and a criminal background check. Is there anything negative we will find that you want to comment on?|
|How did you hear about this residence?||Do you have an e-mail address we can reach you at?
|Do you know of anybody else looking for an residence? Please provide their name and number. If you refer a friend and you each end up renting
separate residences from us then we will pay you a referral reward.|