Name

First Name

Last Name

Social Security Number:

Driver's License Number:

Birth Date:

YYYY

Email Address

Phone

(###)

###

####

How many people will be living here?

What are the Names and Ages of all additional occupants?

Building

Apartment #

How did you hear about us?

Applicant Current Residence

Address:

City:

State:

Zip Code:

Landlord/Mortgage Company:

Rent

Own

Other

City:

State:

Zip Code:

Rent/Mortgage Payment:

Reason for Leaving:

Landlord Name:

Landlord Contact Number:

(###)

###

####

Applicant Previous Residence

Address:

City:

State:

Zip Code:

Landlord/Mortgage Company:

Rent

Own

Other

Rent/Mortgage Payment:

Reason for Leaving:

Landlord Name:

Landlord Contact Number:

(###)

###

####

Applicant Employment History

Present Employer:

Name of Supervisor:

Occupation:

Telephone:

(###)

###

####

City:

State:

Zip Code:

Annual Income:

Position:

Date Started:

Additional Income

Any additional income not reported

Source of additional income:

Do you receive Child Support

Yes

If Yes, what amount (Monthly)?

Applicant Vehicle

Model:

Year:

Color:

License Plate Number:

Applicant Credit History

Account Type:

Banking/Institution Name:

Balance/Balance Owed/Monthly Payments:

Account Type:

Banking/Institution Name:

Balance/Balance Owed/Monthly Payments:

Account Type:

Banking/Institution Name:

Balance/Balance Owed/Monthly Payments:

Account Type:

Banking/Institution Name:

Balance/Balance Owed/Monthly Payments:

Do any of the people who would be living in the apartment smoke?

Yes

Have you ever leased from Nexus Properties?

Yes

If Yes, Which property?

Have you ever filed for bankruptcy?

Yes

If Yes, when?

Have you ever been evicted from a rental residence?

Yes

If Yes, when?

Have you been in breach of a rental or mortgage agreement?

Yes

Have you had two or more late rental payments in the past year?

Yes

Do you pay child support?

Yes

If Yes, what amount?

Will you be bringing a pet to reside with you?

Yes

If Yes, how many? (Limit 2)

If Yes, what is the breed and weight of each pet? (Limit 30 lbs)

Applicant Emergency Contact

Emergency Contact Name

Relationship:

Email Address:

Phone Number:

(###)

###

####

Proposed Additional Occupants (Additional Lease Signers Must Apply within the same Business Day.)

Name (Additional Occupant / Lease signer)

Is this individual an additional occupant or leasing signer?

Additional Occupant

Lease Signer (must complete an application within the same business day)

Relationship:

Birth Date

YYYY

This is an application form. The APPLICANT(S) understands that all information will be verified and credit bureau reports completed, of which the contents will be shared with the landlord. The applicant certifies and represents that all information on this application is correct; that he/she is not breaking his/her lease, that he/she has paid his/her rent/mortgage payments in a timely fashion; that he/she has received no notices of Lease Termination or Eviction; that no adverse credit information is on record. APPLICANT(S) hereby understands that the discovery of any negative rental/mortgage, credit or financial information or providing any false information is reason for denial. A non-refundable charge of $85.00 per additional applicant will be retained for credit/rental check purposes. APPLICANT(S) authorizes LESSOR and/or its representatives (MRI) to verify the accuracy of all information in this application, and also authorizes all employers, present and previous landlords, and creditors to release all information concerning applicant or applicant’s account(s) for the purpose of verifying this application and determining applicant’s ability to afford the contractual obligations of the lease. Applicant releases all persons delivering this information from any inadvertent error.

Applicant Signature:

Date

YYYY

Application is currently pending upon receipt of Required Application Fee.

one tenant: rental application