Property Address: 

 
 

The undersigned hereby submits the following information as an application to lease/rent the following described property commonly known as:  (NOTE: This application is not a lease.)

 

A. Information About the Applicant
Name of Applicant:
Social Security #
Name of Co-Applicant:
Social Security #
Current Address:
City: State: Zip: 

Current Phone #

- -

Leased

Owned

Monthly Payment$

Name of Prior Landlord

       
References    

Name: Phone:

--

Name: Phone: --
   
B.  Financial Information

Occupation of Applicant: 

Name of Employer: 
Address of Employer:
City: State: Zip: 

Contact Name:
Employer Phone #
How Long Employed:
Annual Income:  
Last Year:  2 Years Ago: 3 Years Ago:

Debt or Obligations (List creditor and amount)
 
C.  Applicant(s) Agrees and Consents To:

1.  Provide Landlord with employment letter, if necessary.
2.  The Landlord securing a credit and background check.

Applicant represents and warrants that the preceding is a complete and accurate representation of all the facts.  By clicking on the Accept button below, you give permission for Atlas Property Associates to run a credit report and background check.