1. Property Address applying for:

2. Have you visited this property?
-- Choose One -- -- Yes -- -- No --

3. (Applicant 1) Primary Applicant Full Name:

4. (Applicant 1) Primary Applicant Social Security #:

5. (Applicant 1) Primary Applicant Address:

6. (Applicant 1) Primary Applicant City, State, Zip Code:

7. (Applicant 1) Primary Applicant Job Title:

8. (Applicant 1) Primary Applicant Current Monthly Gross Income:

9. (Applicant 1) Primary Applicant Employed From:
to

10. (Applicant 1) Primary Applicant Contact Phone #:

11. (Applicant 1) Primary Applicant Contact Email (optional):

12. (Applicant 1) Current Landlord Full Name:

13. (Applicant 1) Current Landlord Contact Phone#:

14. (Applicant 1) Current Monthly Rent:

15. (Applicant 1) Have you ever declared bankruptcy or suffered foreclosure?
-- Choose One -- -- Yes -- -- No --

16. (Applicant 1) Have you been evicted or sued for unpaid rent or damages to leased property?
-- Choose One -- -- Yes -- -- No --

17. (Applicant 1) Have you ever refused to pay rent for any reason?
-- Choose One -- -- Yes -- -- No --

18. (Applicant 1) Have you ever been convicted of a felony or misdemeanor?
-- Choose One -- -- Yes -- -- No --

19. (Applicant 1) If you answered "yes" to any of the above questions, please explain:

20. Does any Applicant or Occupant own any pets?
-- Choose One -- -- Yes -- -- No -- If yes, describe:

21. Full Name and Age of other Occupants:

>>>>> Start Applicant 2 - OPTIONAL <<<<<

22. (Applicant 2) Secondary Applicant Full Name:

23. (Applicant 2) Secondary Applicant Social Security #:

24. (Applicant 2) Secondary Applicant Address:

25. (Applicant 2) Secondary Applicant City, State, Zip Code:

26. (Applicant 2) Secondary Applicant Job Title:

27. (Applicant 2) Secondary Applicant Current Monthly Gross Income:

28. (Applicant 2) Secondary Applicant Employed From:
to

29. (Applicant 2) Have you ever declared bankruptcy or suffered foreclosure?
-- Choose One -- -- Yes -- -- No --

30. (Applicant 2) Have you been evicted or sued for unpaid rent or damages to leased property?
-- Choose One -- -- Yes -- -- No --

31. (Applicant 2) Have you ever refused to pay rent for any reason?
-- Choose One -- -- Yes -- -- No --

32. (Applicant 2) Have you ever been convicted of a felony or misdemeanor?
-- Choose One -- -- Yes -- -- No --

33. (Applicant 2) If you answered "yes" to any of the above questions, please explain:

>>>>> End Applicant 2 - OPTIONAL <<<<<

34. Additional Information:

AUTHORIZATION: Applicants authorize Landlord or Broker to obtain any information deemed necessary to evaluate this Application. This information may include, but is not limited to, credit reports, criminal history, judgments of record, rental history, verification of employment and salary, employment history, vehicle records, and licensing records. Broker may report to Landlord any information obtained by Broker for evaluation of the Application. Applicants acknowledge that all information in the Application is true and correct. Applicants acknowledge that if they present false or incomplete information Landlord may reject this Application. Applicants understand that giving false or incomplete information may result in forfeiture of any payments made in connection with this Rental Application.

By submitting this application, you are agreeing to the provisions as stated above.