Apply

(To be completed by each ADULT APPLICANT)
Verified Drivers License or State I.D. YesNo

Community Name: Midcity Court Homes

Name
Telephone
Move-in-date
APARTMENT # YOU ARE APPLYING FOR #
Monthly Rent
LEASE PERIOD

APPLICANT INFORMATION

Name
Home Phone #
Cell Phone #
Work Phone #
Email
Marital Status
Social Security #
Date of Birth
Driver's License #
State
Have you or any person who will occupy the unit ever been convicted, plead guilty, or no contest to any felony or misdemeanor?
YesNo
Describe Offense
When

CURRENT RESIDENCE

Check All That Apply Have been evictedHave been sued for rentHave been sued for property damageHave broken a lease
Rent or Own RentOwn
Address
Monthly Rent
Move in Date
Landlord Name
Landlord Phone
Landlord Email
Reason for moving
List any Roommates you have
HAVE YOU GIVEN LEGAL NOTICE AT YOUR CURRENT RESIDENCE? YesNO

Current Employment

Employer Name
Supervisor's Name
Telephone
Address
Supervisor's Email
Job Type
Title
Date of hire
Annual Salary
Miles to Work
Additional Sources of Income per Month (list any income to be included for qualifications):

Previous Employment if Less than One Year

Employer Name
Supervisor's Name
Telephone
Address
Supervisor's Email
Job Type
Title
Date of hire
Date left
Annual Salary
Reason Left

EMERGENCY CONTACT

Name
Address
Phone
Email
Work Phone
In the event of serious illness, death, or other circumstances that would make you unavailable the emergency contact can remove your property from your unit or the common area. YesNo

VEHICLE INFORMATION

Vehicle 1:-

Owner Name
Type / Model / Model Yr / Color
License Plate
State

Vehicle 2:-

Owner Name
Type / Model / Model Yr / Color
License Plate
State

PET INFORMATION

Pet 1

Pet Name
Breed / Color / Weight / Age

Pet 2

Pet Name
Breed / Color / Weight / Age

ADDITIONAL INFORMATION

Applicant Bank Name
Branch
Telephone
Checking Account #
Savings Account #

APPLICANT SCREENING CHARGE $50.00

I certify that the above information is correct and complete and hereby authorize you to do a credit check and make any inquiries you feel necessary to evaluate my tenancy and credit standing. I understand that giving incomplete or false information is grounds for rejection of this application. If any information supplied on this application is later found to be false, this is grounds for termination of tenancy. Owner/Agent has charged a screening charge as set forth above. Applicant screening entails the checking of information provided to the owner/agent by the screening service or credit reporting agency. Applicant’s copy of this signed application shall be the receipt for the screening charge. If the applicant is approved, applicants will have 24 hours from the forfeiture of the deposit if applicants fail to execute the rental agreement. If Applicants fail to timely take the steps required above, they will be deemed to have refused the unit and the next application for the unit will be processed Owner/Agent shall have no liability to applicant until such time as a rental agreements’ signed by both parties. Applicant acknowledges receipt of a copy of the Applicant Qualification Standards. The information contained in this application is true and complete.

Signature(Full Name in Capital)
Today's Date