Application For Residency

What Property Are You Applying For

Your Information

First Name M.I. Last Name Date of Birth Race Marital Status Phone (H) Phone (C) E-Mail Driver's License # State SS#

Spouse Information

First Name M.I. Last Name Date of Birth SS#

Other Occupants

Name Age Relationship Name Age Relationship Name Age Relationship Name Age Relationship

Resident History

Present Address (landlord may be contacted for verification)

Street Apt.# City State Zip Since (date) Monthly Payment Present Landlord/Property Manager Complex/Apt. Name/Leasing Company Landlord/Lessor Phone Landlord/Lessor Fax Reason for Moving

Previous Address

Street Apt.# City State Zip From (date) To (date) Monthly Payment Previous Landlord/Property Manager Complex/Apt. Name/Leasing Company Landlord/Lessor Phone Landlord/Lessor Fax Reason for Moving

Have you ever been evicted? If Yes, Explain:

Employment History

Present Employer (employer may be contacted for verification)

Business Name Position Street City State Zip Supervisor Business Phone Fax Number Employed Since Gross Monthly Salary

Spouse's Employer

Business Name Position Street City State Zip Supervisor Business Phone Fax Number Employed Since Gross Monthly Salary

Previous Employer

Business Name Position Street City State Zip Supervisor Business Phone Fax Number Employed Dates Gross Monthly Salary

Additional Income

Additional Monthly Income (if any) Source

Other Information

Vehicles

Year Make Color License No. State Year Make Color License No. State Year Make Color License No. State Year Make Color License No. State

No recreational vehicles (boats, campers, rv vehicles, etc.) are allowed to be stored on the property.

Pets

Do you own any pets? If so, how many?
Kind Weight Color
Kind Weight Color
Kind Weight Color
Kind Weight Color

Criminal History

Have You Ever Been Convicted of a Crime? If Yes, Explain:

Emergency Contact Information

Name Relationship Street City State Zip Home Phone Cell Phone

Applicant will need to submit the sum of $25.00 which is a non-refundable payment for a credit check and processing charge of this application. Such sum is not a rental payment or security deposit. This amount will be retained by management to cover the cost of processing application as furnished by the applicant; any false information will constitute grounds for rejection of application.

Applicant will need to deposit $500.00 with Management as a good faith deposit in connection with this application for residency. If your application is accepted, you understand this amount will be applied toward payment of my security deposit. If, for any reason, Management decides to decline this application, then Management will refund this good faith deposit to you in full. You understand you will be charged $25.00 for the processing of this application. If this application is approved, and you fail to occupy the premises on the agreed upon date, except for delay caused by construction or the holding over of a prior resident, you understand that Management will retain the deposit to defer costs associated with lost rents and other expenses incurred due to your cancellation.

The undersigned warrants and represents the information on this rental application to be true and correct. All persons or firms named may freely give any requested information concerning and you hereby waive all right of action for any consequence resulting from such information.

I voluntarily consent to and authorize Garry Lewis Properties, herein referred to as company, and or their assigned agents or consumer reporting agencies to request and receive any consumer reports, investigating reports, or information concerning me. Reports requested may include any of the following: Law Enforcement Records, Criminal Records, D.M.V Records, Civil Records, Employment/Rental Verifications, Evictions Searches, Education Verification and Consumer Credit Reports. I authorize any person, companies, corporations, consumer-reporting agencies, courts of law, current or past employer to furnish company and or their assigned agents, associates or consumer reporting agencies with any or all information concerning me. I further agree to release Company and or their assigned agents, associates or consumer reporting agencies and all persons and organizations providing information from any and all claims, liability, and responsibility arising out of the release of such information in connection with this research. I understand that I have specific prescribed rights as a consumer under The Federal Fair Credit Reporting Act (FCRA) and may have additional right under relevant specific state laws.

By entering your name on the blank provided below you agree to allow Garry Lewis Properties to process a Criminal Background Check.

Online Applicant First NameMiddleLast Name

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