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Resident Information Form
Property address
*
Move-in date (Lease start date)
*
First name
*
Middle name
Last name
*
Phone
Email
*
Date of birth
*
SSN (Social Security Number)
*
Current address
*
Will any other adults live in the property besides you?
*
Yes
No
For joint applications, each person 18 and older must fill out a separate application.
Underage Dependents
List all additional occupants below, not including yourself.
Dependent 1: First name
Dependent 1: Last name
Dependent 1: Date of birth
Dependent 2: First name
Dependent 2: Last name
Dependent 2: Date of birth
Dependent 3: First name
Dependent 3: Last name
Dependent 3: Date of birth
Dependent 4: First name
Dependent 4: Last name
Dependent 4: Date of birth
Emergency Contact
Designated contact for urgent issues.
Emergency contact: First name
*
Emergency contact: Last name
*
Emergency contact: Phone
Emergency contact: Relationship
Pets
Please list all animals below. All pets require Landlord approval and
$300/pet fee
. Breeds which are prohibited include, but are not limited to: German Shepherds, Pit Bulls, American Pit Bull Terrier, American Staffordshire Terrier, Staffordshire Bull Terrier, Doberman Pinschers, Rottweilers, Chow Chow, Akita, Siberian Huskies and Malamutes. The property applying for must be marketed as allowing pets. The application may and will be revoked for failure to comply. (The only exception to this will be if proper documentation is provided for a service animal or emotional support companion)
Pet Breed
Pet Weight
Privacy Policy
I/We do hereby consent to and authorize the landlord and/or any representative to obtain, verify and exchange information on any reports concerning me as are maintained by, but not limited to: City, County, State, Federal Law Enforcement Agencies, Section 8 housing authorities, Credit/Reporting Agencies, collection agencies, collection attorneys or eviction attorneys, including but not limited to The Cromwell Group, Planet Synergy, Inc., Evernest, present and/or past employers, including but not limited to, present and/or past salary verification, present and/or past residences.
I/We understand that any information obtained may be considered by the landlord in accordance with the established screening criteria, as a factor in decisions they make with respect to the property for which I am applying. Deposits vary depending on quali¦cations. I hereby release and hold harmless any agencies, owners and affiliates, that shall provide information to the landlord or representative upon request, from any and all claims, demands, suits, or expenses arising from or related to the content, validity, or handling of said reports. I/We understand that Evernest does not automatically exclude rental applicants based on criminal history. Any criminal history will be evaluated in consideration of when the crime occurred, what the underlying conduct entailed, and/or what the rental applicant has done since the conviction. I am accepting the property in its “as is” condition unless otherwise stated in the “Notes” section below.
I/We hereby certify that I/We have read and reviewed the information contained in this application for lease, and that the information is accurate, full and complete. I/We understand that this is an application and does not constitute a lease agreement in whole or part.
Consent
*
I agree to the privacy policy.
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