Today's Date * MM DD YYYY Desired Date of Occupancy * MM DD YYYY Applicant's Full Name * First Name, Middle Initial, Last Name Date of Birth * MM DD YYYY SSN * Driver's License Number * Driver's License State * e-Mail * Phone * (###) ### #### Present Address Address 1 Address 2 City State/Province Zip/Postal Code Country How long at present address? * example: 4 Years or 4 Months Current Mo. Rent/Mortgage Most Recent Landlord's Name First Name Last Name Landlord's Phone (###) ### #### Reason for moving? Personal Reference Name First Name Last Name Personal Reference Phone (###) ### #### Co-Applicant (skip if not applicable) Co-Applicant's Full Name First Name, Middle Initial, Last Name Date of Birth MM DD YYYY SSN Driver's License Number Driver's License State Present Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email Phone (###) ### #### How long at present address? Current Mo. Rent/Mortgage Most Recent Landlord's Name First Name Last Name Landlord's Phone (###) ### #### Reason for moving? Personal Reference Name First Name Last Name Personal Reference Phone (###) ### #### Other Occupants Number of other occupants * Number of other occupants above 18? * If there are any adults over 18 years of age & NOT the partner/spouse of the applicant living at the premises, they will need to complete a separate rent application form. Number of occupants under 18? * Other occupants' Names, Dates of Birth, Relationship to Applicant example: Jane Doe, 8/12/2018, Daughter Vehicles Year, Make, Model (color) * example: 2020 Toyota Camry (black) (list all vehicles) Animals Animal Type, Breed, Size example: Dog, Golden Retriever, 60lbs (list all animals) Citizenship Do you have a legal right to be in the United States? Yes, I am a United States citizen Yes, I have valid documentation from the U.S. Citizenship & Immigration Service No If you answered "yes" because you are a non-United States citizen with valid visa documentation please provide the following information. 1) Reason for being in the U.S. 2) Visa Type 3) Visa Exp. Date Have you ever been evicted from any rental premises? Yes No If "Yes" explain: Have you ever been convicted of a crime? Yes No If "Yes" explain: Have you ever engaged in drug-related criminal activity and/or been involved in criminal activity that poses a threat to the health, safety or welfare of others? Yes No If "Yes" explain: Employer Applicant's Employer Employer's Phone (###) ### #### Annual Income * How long at current job? * Supervisor's Name First Name Last Name Supervisor's Phone (###) ### #### Co-Applicant's Employer Name Co-Applicant's Annual Income How long at current job? Co-Applicant Supervisor's Name First Name Last Name Co-Applicant Supervisor's Phone (###) ### #### Emergency Contact Emergency Contact Name First Name Last Name Emergency Contact Phone (###) ### #### Emergency Contact Relationship Signatures Applicant's Signature * By typing your name and submitting this form, you affirm you are the applicant and that all information provided is true and accurate. You authorize Flat Iron Property Management to check your background and credit history. First Name Last Name Co-Applicant's Signature (required if there is a co-applicant) By typing your name and submitting this form, you affirm you are the co-applicant and that all information provided is true and accurate. You authorize Flat Iron Property Management to check your background and credit history. First Name Last Name Thank you!