APPLY ONLINE

Address of unit you are applying for: *

Have you driven by the property yet (to verify that you are familiar with the neighborhood/street/yard/etc? *

Yes

No

Anticipated Move-In Date *

Preferred Tour Date and Time *

HEAD OF HOUSEHOLD: First, MI and Last Name *

Phone #(s): *

Email *

Age *

Date of Birth: *

Social Security #: *

Gender *

Male

Female

# of all persons to reside in unit: *

Information on all other persons to reside in unit; Last Name, First Name, MI, Date of Birth, Social Security #, Gender

List any alternate names (alias, maiden name, etc): (if applicable) *

Is applicant or co-applicant a full-time student? *

Yes

No

If yes, name of school:

Total Monthly Income from all Sources (wages, bonuses, tips, child support, SSI, etc) for all household members *

HEAD OF HOUSEHOLD: Current Employer *

HEAD OF HOUSEHOLD: Current Employer Address: *

HEAD OF HOUSEHOLD: Current Employer Phone: *

HEAD OF HOUSEHOLD: Current Job Title: *

HEAD OF HOUSEHOLD: Current Hourly Rate: *

HEAD OF HOUSEHOLD: Current Average Weekly Hours: *

HEAD OF HOUSEHOLD: Current Employment Start Date of Employment: *

HEAD OF HOUSEHOLD: End Date of Employment or "Active" if still employed *

HEAD OF HOUSEHOLD: Supervisor's Name

HEAD OF HOUSEHOLD: Supervisor's Phone

Additional Current Employment (Employer Name, Phone, Hourly Rate, Weekly Hours, Start Date or Active) (if applicable)

Previous Employer #1 Address:

Previous Employer #1 Phone: *

Previous Employer #1 Hourly Rate: *

Previous Employer #1 Job Title: *

Previous Employer #1 Average Weekly Hours: *

Previous Employer #1 First Date of Employment: *

Previous Employment #1 End Date:

Previous Employer #1 Reason for Leaving

Previous Employer #2:

Previous Employer #2 Address:

Previous Employer #2 Phone:

Previous Employer #2 Employment Date From:

Previous Employment #2 End Date:

Previous Employer #2 Reason for Leaving:

Co-Applicant: : Employer (Current) *

Co-Applicant: Current Employer Address:

Co-Applicant: Current Employer Phone:

Co-Applicant: Current Job Title

Co-Applicant: Current Hourly Rate:

Co-Applicant: Current Average Weekly Hours

Co-Applicant: Current Employment Start Date of Employment

Co-Applicant: End Date of Employment or "Active" if still employed

Other Income: (Sources for all income must be listed & marked appropriately)

Child Support: Names of Recipient, Start Date & Monthly Amount (if applicable)

Social Security/ SSI/ Disability: Names of Recipient, Start Date & Monthly Amount (if applicable)

VA Benefits: Names of Recipient, Start Date & Monthly Amount (if applicable)

AFDC/TANF Gen Assistance: Names of Recipient, Start Date & Monthly Amount (if applicable)

Alimony: Names of Recipient, Start Date & Monthly Amount (if applicable)

Grants or Scholarships: Names of Recipient, Start Date & Monthly Amount (if applicable)

Workers Compensation: Names of Recipient, Start Date & Monthly Amount (if applicable)

Interest (Bank, CD’s etc.): Names of Recipient, Start Date & Monthly Amount (if applicable)

Pension: Names of Recipient, Start Date & Monthly Amount (if applicable)

Are you or any adult members of your household claiming zero income? *

Yes

No

If Yes, who and why?

Bank Name and type of account (checking, savings, etc) *

Account # & Balance

Assets Owned: Select all that applies *

Value of Each Asset Owned (if applicable)

Vested value in retirement fund: (if applicable)

Net worth of business owned: (if applicable)

Other Assets (please provide details)

Liabilities: (List all Monthly Payments, Account #, Months left to pay, Balance) (i.e., cell phone, credit cards, etc.)

Do you pay any of the following:

List all Payment, Name of Recipient & Monthly Amount

What is your current address? *

When does your Current Lease end? *

Current Rental Address: *

Current Landlord’s Name: *

Current Landlord's Phone: *

Current Rental Monthly Rent *

Current Average Utilities *

Current Rental Dates of Occupancy *

Reason for moving: *

Previous Rental Address or Residence #1: *

Previous Landlord’s Name #1: *

Previous Landlord #1 Phone: *

Previous Rental #1 Monthly Rent *

Previous Rental #1 Average Utilities *

Previous Rental #1 Dates of Occupancy *

Reason for moving: *

Previous Rental Address #2: *

Previous Landlord’s Name #2: *

Previous Rental #2 Monthly Rent *

Previous Rental #2 Average Utilities *

Previous Rental #2 Dates of Occupancy *

Reason for moving: *

How many pets will be living at the property? *

List breed, age & weight of each pet. *

Make/model/year for each vehicle that will be at the property

Number of Vehicles *

How many convictions or rent & possession motions have been filed against you? *

How many felonies have you been convicted of/plead guilty to: *

Details of evictions or felonies: *

Do any of the household members use controlled substances, including medical marijuana? *

Yes

No

Are you currently on probation/parole? *

Yes

No

If Yes, list probation officer’s name and number:

Personal Reference #1: *

Reference #1 Phone: *

Reference #1 Relationship: *

Reference #1 Years Acquainted: *

Personal Reference #2: *

Personal Reference #2 Phone: *

Personal Reference #2 Relationship: *

Personal Reference #2 Years Acquainted: *

Personal Reference #3: *

Personal Reference #3 Phone: *

Personal Reference #3 Relationship: *

Personal Reference #3 Years Acquainted: *

Person to notify in case of emergency: (including non-payment of rent) *

Phone: *

Address: *

Relationship: *

Years Acquainted: *

Ethnicity (check only one) *

Hispanic or Latino

Non-Hispanic or Latino

Race (check only one) *

I/we hereby certify that the information stated above is true, correct and complete to the best of my/our knowledge. I/we further understand and agree that if any of the information I/we have provided in this application is found to be incomplete, incorrect, or false it will be ground for disqualification or denial of this application or termination of my/our lease. I/we also authorize the owner and/or owner’s agent to verify application. This includes, but is not limited to, my/our present and/or prior employer(s), bank(s) or depositor(s), landlord(s), mortgage companies, creditor(s), credit bureau, and/or law enforcement agencies. I/we also certify that the income listed above is all that I/we have. Foxtrot Properties, LLC retains that right to obtain a credit report for the purpose of screening and collections. *

Yes

Please type in your Full Name to certify and confirm: *

Driver's License State & Number *

FOXTROT PROPERTIES, LLC

FOXTROT PROPERTIES, LLC