Port Apartments/ Rental Application
How did you find
out about us? ( ) Newspaper( ) Friend ( ) Other ( )
Full name_______________________ Phone: ( )____________ Work Phone (
)___________
Social Security Number____- ___ - ___ -____ Driver’s License #___________ State
_________
Co-Applicant____________________ Phone: ( )____________ Work Phone ( )___________
Social Security Number____-____ - ___ -____ Driver’s 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