Life isn't about getting and having, it's about giving and being. Kevin Kruse
Idea Transcript
Tenant’s Personal & Credit Information (In the event of co-tenants, other than spouses, please use a separate sheet for each tenant.)
Name __________________________________
Social Security No. _____-____-_____ Driver’s License No. ______________ Co-tenant _______________________________ Social Security No. _____-____-_____ Driver’s License No. ______________ Present Address ___________________________________________________________ City _________________ State ______ Zip ________ Res. Phone No. ___________________ Bus. Phone No. ___________________________ Length at residence? _______ Landlord ________________ Phone No. _______________ Previous Address __________________________________________________________ City _________________ State ______ Zip ________ Res. Phone No. ___________________ Bus. Phone No. ___________________________ Length at residence? _______ Landlord ________________ Phone No. _______________ Occupants _____________________________________ Animals? __________________ Car Make __________ Year ______ Model ______ Color ______ License No. __________ Car Make __________ Year ______ Model ______ Color ______ License No. __________ Occupation Present Occupation
Prior Occupation*
Occupation Employer Self-employed, d.b.a Business Address Business Phone Type of Business Position Held Name & Title of Supervisor Length of Employment Monthly Gross Income * If employed for less than two years, please fill out the Prior Occupation fields.
Co-tenant’s Occupation
Tenant’s Personal & Credit Information (In the event of co-tenants, other than spouses, please use a separate sheet for each tenant.)
References Bank Reference ____________________ Branch _______________ Phone No. __________ Credit Reference 1 _____________________ Account No. ___________________________ Address ___________________________________ Highest Amount Owed _____________ Purpose of Credit _____________________ Open/Closed Date _______________________ Credit Reference 2 _____________________ Account No. ___________________________ Address ___________________________________ Highest Amount Owed _____________ Purpose of Credit _____________________ Open/Closed Date _______________________ Personal Reference 1 ___________________ Address ______________________________ Phone No. _________________ Length of Acquaintance ______ Occupation ____________ Personal Reference 2 ___________________ Address ______________________________ Phone No. _________________ Length of Acquaintance ______ Occupation ____________ Nearest Relative 1 _____________________ Address _______________________________ Phone No. _________________ City ________________ Relationship _________________ Nearest Relative 2 _____________________ Address _______________________________ Phone No. _________________ City ________________ Relationship _________________ Have you ever filled a petition for bankruptcy? _________ Have you ever been evicted from any tenancy or had an eviction notice served on you? ______ Have you ever willfully and intentionally refused to pay any rent when due? _________ I DECLARE THAT THE FOREGOING IS TRUE AND CORRECT, AUTHORIZE ITS VERIFICATION AND THE OBTAINING OF A CREDIT REPORT. I agree that the Landlord may terminate any agreement entered into in reliance on any misstatement made above. Tenant _______________________ Co-tenant ______________________ Date ____________ We at Perchak Properties are pledged to the letter and spirit of U.S. policy for the achievement of equal housing opportunity throughout the nation. We encourage and support an affirmative advertising and marketing programs in which there are no barriers to obtaining housing because of race, color, religion, sex, disabilities, familial status, or national origin. Please initial as having read this affirmative action statement. Tenant _____ Co-tenant _____ Date ____________