Port Apartments/ Rental Application

 How did you find out about us? ( ) Newspaper( ) Friend ( ) Other ( )

Full name_______________________ Phone:  (  )____________  Work Phone (  )___________

Social Security Number____- ___ - ___ -____ Driverís License #___________ State _________

Co-Applicant____________________ Phone:  (  )____________   Work Phone (  )___________

Social Security Number____-____ - ___ -____ Driverís License #___________ State_________

Present Address________________________ City_____________ State_______ Zip________

How Long? ____ If renting, Apt. Name/location___________________ Phone: (  ) __________

Landlord/Manager name_________________________ Alternative Phone: ( ) ______________

Why are you leaving?____________________________________________________________

Current Rent: $____________

Previous Address: _______________________City ____________ State_______ Zip________

How Long? ____  If renting, Apt. Name/location _________________ Phone: ( ) ___________

Landlord/Manager name________________________ Alternative Phone: ( ) _______________

Why did you leave?_____________________________________________________________

Rent Payment: $ ___________

Present Employer_____________________________ Position_____________ How long?_____

Address____________________________ Phone ( ) _____________ Supervisor ____________

Gross Monthly Income (before deductions) $ _______Other Income $ ______Source________≠≠≠≠≠

Have you ever been evicted? Yes (  ) No (  )

Have you ever had a foreclosure/repossession? Yes (  ) No (  )

Date___________ If yes, explain ____________

Have you ever been convicted of a crime, other than a traffic violation? Yes (  )  No (  )

 


                                                          
                                                        
                                                         Emergency Contact

Name___________________________ Relationship_______________ Phone (   ) __________

Address__________________________ City______________ State________ Zip___________

                                                           Other Information

(Other persons, including children who will live in the dwelling unit)
Name_____________________________________ Age____________

Name_____________________________________ Age____________

                                                                      Pets

Name ___________ Type_________ Weight ______Name____________ Type________ Weight__________

*Note:  No pets are allowed at any time on the premises without prior Management consent and payment of fees.
No Exemptions

Date of desired occupancy ____________________ Anticipated length of stay______________
(* we do not lease for less than a year)
Do you own:  Vacuum cleaner (  )  Waterbed ( ) Musical Instrument ( ) Smoker Yes (  )  No (  )

List All Motor Vehicles, to be kept at the property
NAME                         COLOR       MODEL        YEAR   LICENSE PLATE     STATE

________________      _______   ____________   _____     _____________     ___________             
________________      _______   ____________   _____     _____________     ___________      

 A copy of my drivers license or picture ID card, social security card, are attached to the application (or will
be provided) This application is true and correct and I herewith give my permission to anyone contacted to release
the credit or personal information of the undersigned applicant to Management or their authorized agents, at any time,
for the purpose of entering into and continuing to offer or collect on any information including but not limited to
obtaining criminal records, contacting present or former landlords, employers and personal references.  Any false
information will constitute ground for rejection of the application, or Management may at any time terminate any
agreement entered into in reliance upon misinformation given on this application.

________________________________                      Date_________________
             Applicant Authorization