Open House Properties Online Application

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*Property address
Have you viewed the inside of the property? Yes/No
Personal Information
Full Name:
Social Security Number
Date of Birth:
Drivers License Number
Current Address
City:
State:
Zip Code:
Home Phone:
Cell Phone:
*E-Mail:
Co-Tenant Full Name:
Social Security Number
Date of Birth:
Drivers License Number
Current Address
City:
State:
Zip Code:
Phone #:
E-Mail:
Occupants
Number of Occupants:
Occupant Name ,DOB, Relationship:
Occupant Name ,DOB, Relationship:
Occupant Name ,DOB, Relationship:
Occupant Name ,DOB, Relationship:
Occupant Name ,DOB, Relationship:
Occupant Name ,DOB, Relationship:
Pets
Number of Pets:
Type, Breed, Weight, Age:
Type, Breed, Weight, Age:
Residence History
How long at current address?
Landlord Name:
Landlord Phone:
Current Rent:		Numerals only please
Rent Paid Through:		Date only
Lease Expiration Date:		Date only
Notice to Vacate Given? Yes or No:
Reason for moving:
Previous Address:
How long at previous address?
Landlord Name:
Landlord Phone:
Previous Rent:		Numerals only please
Employment
Employer or Business Name:
Business Address:
Type of Business:
Position Held:
Supervisor Name & Title:
Supervisor Phone:
Monthly Income:		Numerals only please
Start Date:		Date only
Co Applicant Employer or Business Name:
Business Address:
Type of Business:
Position Held:
Supervisor Name & Title:
Supervisor Phone:
Monthly Income:		Numerals only please
Start Date:		Date only
Other Liabilities
Car payment
Credit Cards		Numerals only please
Student Loans
Child Support
Garnishment		Numerals only please
Other		Numerals only please
Credit Reference
Bank Name:
Balance:		Numerals only please
Credit Reference:
Balance:		Numerals only please
Other Income
Total Gross Income:		Numerals only please
Child Support Income:		Numerals only please
Other Assistance:		Numerals only please
Question & Answer
Smoker?	Yes No
Rate Your Neatness:	Compulsively Neat Very Neat Moderately Neat Not Very Neat Slob
Ever Filed for Bankruptcy?	Yes No
Ever been evicted?	Yes No
Ever refused to pay rent?	Yes No
Requested Move In Date:		Date only
When Will You Have Deposit?		Date only
I DECLARE THAT THE FOREGOING INFORMATION 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 misstatements made above.
*Dated:		Date only
By entering my first & last below, I stipulate that I agree to all of the terms and conditions stipulated on this application.
Signature:
Signature:		Enter first & last name
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