Application for Apartment Lease

Application for Apartment Lease

Property Name

Applicant Name

Co-Applicant Name

Current Address

Landlord Name

How long have you resided at this address?

Household Composition

List all persons who will be living in the unit including head of household. Be sure to include names, relationship, birthdate, sex & social security numbers

Previous Address

Landlord Name

Previous Address

Landlord Name

HOUSEHOLD INCOME INFORMATION


Include overtime, tips, bonuses, commissions, self-employment etc.

AFDC, SSI, GA

Inheritance, Insurance Settlement, Lottery, Capital Gains

EMPLOYER INFORMATION


BANKING INFORMATION


MISCELLANEOUS


Have you or any member of your household ever been convicted of a felony or a misdemeanor other than a traffic violation?

Have you or any member of your household ever been convicted of the illegal distribution or manufacture of an illegal substance?

Have you or any member of your household ever used a different social security number or name other than the one listed on this application?

MISCELLANEOUS

I/WE CERTIFY THAT ALL OF THE INFORMATION GIVEN HERE TO HOMESTEAD APARTMENTS IS TRUE, COMPLETE AND ACCURATE. I/WE UNDERSTAND THAT IF ANY OF THIS INFORMATION IS DEEMED FALSE, MISLEADING OR INCOMPLETE, MANAGEMENT MAY DECLIINE OUR APPLICATION OR, IF MOVE IN HAS OCCURRED, TERMINATE OUR LEASE AGREEMENT IMMEDIATELY. IFMY/OUR APPLICATION IS APPROVED AND MOVE IN OCCURS, I/WE CERTIFY THAT ONLY THOSE LISTED IN THIS APPLICATION WILL OCCUPY THE UNIT, THAT IT WILL BE MY/OUR ONLY RESIDENCE, AND THAT THERE ARE NO OTHER PERSONS FOR WHOM I/WE HAVE OR EXPECT TO HAVE RESPONSIBILITY TO PROVIDE HOUSING. I/WE AGREE TO NOTIFY THE MANAGEMENT IN WRITING REGARDING ANY CHANGES IN THE HOUSEHOLD’S ADDRESS, TELEPHONE NUMBERS, INCOME OR HOUSEHOLD COMPOSITION.

MISCELLANEOUS


Have you or any member of your household ever been convicted of a felony or a misdemeanor other than a traffic violation?

ALL HOUSEHOLD MEMBERS AGE 18 AND OLDER MUST ELECTRONICALLY SIGN BELOW


INFORMED CONSENT

THE FOLLOWING NAMED INDIVIDUAL HAS MADE APPLICATION FOR HOUSING. THIS FORM IS A REQUEST TO THE ROSEAU COUNTY LAW ENFORCEMENT TO DISCLOSE ALL CRIMINAL HISTORY RECORD INFORMATION TO THE APARTMENT MANAGER FOR THE PURPOSE OF AN APPLICATION APPROVAL. ONE FORM NEEDS TO BE FILLED OUT FOR EACH RESIDENT OF THE LEASED UNIT

Name

Maiden-Alias or Former Name

Current Address

Previous Address

Sex

THE EXPIRATION OF THIS AUTHORIZATION SHALL BE FOR A PERIOD OF NO LONGER THAN ONE YEAR FROM THE DATE OF MY SIGNATURE.