RENTAL APPLICATION(Note: Tenant's local monthly income must be at least three times the rent amount) PROPERTY ADDRESS:_____________________________________________________ ======================================================================== Applicant Name _____________________ Date of Birth _________ Home Phone __________ Co-App's Name _____________________ Date of Birth _________ Home Phone __________ Pets- No. ________ Kind ____________________ No. of Children Living With You __________ Name of Child __________________________________ Date of Birth __________________ Name of Child __________________________________ Date of Birth __________________ Name of Child __________________________________ Date of Birth __________________ Present Address _________________________ City ______________ Zip Code __________ Own/Rent $_________ Dates: From _________ to _________ Notice Given to Landlord?_____ Reason For Leaving _________________________________________________________ Owner, Agent, Manager_________________________________ Phone No.______________ Previous Address ___________________________ City ___________ Zip Code __________ Own/Rent $________ Dates: From _______ to _________ Notice Given to Landlord?________ Reason For Leaving _________________________________________________________ Owner, Agent, Manager_____________________________ Phone No. _________________ Have you ever been evicted, or unlawful detainer filed against you ? Yes ____ No ____ Have you ever filed for bankruptcy? Yes ___ No ___ . If you answered YES to any of the above questions, please explain on the back of this form. EMPLOYMENT - APPLICANT Social Security No. _______________ Driver's License No. ________________ State _______ Current Gainesville Employer ________________________________ Start Date _________ Address ___________________ City __________ Zip _______ Supervisor ______________ Position ________________ Gross Monthly Salary $ _________Work Phone No. ___________ Previous Employer ____________________________ Dates From _________ To _________ Address ___________________ City __________ Zip ________ Supervisor _____________ Position _________________ Gross Monthly Salary $ _________Work Phone No. __________ EMPLOYMENT - CO-APPLICANT Social Security No. _______________ Driver's License No. ________________ State _______ Present Gainesville Employer________________________________ Start Date _________ Address _________________ City __________ Zip ________ Supervisor _______________ Position ________________ Gross Monthly Salary $ _________Work Phone No. ___________ Previous Employer _____________________________ Dates From _________ To _________ Address ___________________ City __________ Zip ________ Supervisor _____________ Position ________________ Gross Monthly Salary $ _________ Work Phone No. ___________ OTHER INCOME - SOURCE ___________________ Amount $ _________ Per ________ Bank _______________ Branch _____________ Checking/Savings _____________________ Bank _______________ Branch _____________ Checking/Savings _____________________ Credit Cards/Charge Accounts ____________________________ Limit __________________ Credit Cards/Charge Accounts ____________________________ Limit __________________ Loan Type ___________________________________ Loan Amount ___________________ Loan Type ___________________________________ Loan Amount ___________________ Auto-Yr _______ Make __________ Model _________ Color _______ License No. __________ Auto-Yr _______ Make __________ Model _________ Color _______ License No. __________ IN CASE OF EMERGENCY Closest Relative________________________________ Relationship ___________________ Address __________________________________ City ________________ Zip _________ Home Phone ____________________ Work Phone _________________________________ Applicant represents that the above information is true and correct and authorizes investigation and verification thereof. The applicant hereby gives Moeller Realty Inc. and its authorized agents permission to utilize all of the above information to approve or disapprove this application for residency and accepts all conditions stated on this application for residency. Applicant's Signature: _____________________________________ Date: ___________ Co-Applicant's Signature: __________________________________ Date: ___________
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