Unit 201 – Crossroadlofts

Rental Application Unit 201

Legal Name (First Middle Last)

Date of Birth

Social Security Number

Driver's License Number

U.S. Citizen

Yes

Email Address

Home Phone

Work Phone

Cell Phone

RENTAL/HOME OWNERSHIP HISTORY: 10 year history is required. Current and previous two (2) Addresses required. If you do not have rental history, you are still required to list your current address.

Landlord or Management Company

1. Present Address

Apt, suite, etc.

Country

City

State

Zip code

Phone

Current Rent $

Residency From - To

2. Previous Address

Apt, suite, etc.

Country

City

State

Zip code

Phone

Previous Rent $

Residency From - To

3. Previous Address

Apt, suite, etc.

Country

City

State

Zip code

Phone

Previous Rent $

Residency From - To

EMPLOYMENT INFORMATION:

Future/Present Employer

Position

Address

Country

City

State

Zip code

Phone

Salary

Length of Employment From - To

Previous Employer

Position

Address

Country

City

State

Zip code

Phone

Salary

Length of Employment From - To

ADDITIONAL SOURCES OF INCOME

Source

Amount

Phone

BANKING INFORMATION

Bank Name

Saving

Checkin

Loan

Amount

Personal References (no relatives)

1. Name

Phone

Address

Country

City

State

Zip code

2. Name

Phone

Address

Country

City

State

Zip code

Emergency Contact

Name

Phone

Address

Country

City

State

Zip code

OCCUPANT INFORMATION (List all who will live in the unit, including minors)

Name of Occupant

Date of Birth

Relationship

Name of Occupant

Date of Birth

Relationship

Name of Occupant

Date of Birth

Relationship

VEHICLE INFORMATION

Make

Model

Color

Year

Licene Number

ADDITIONAL INFORMATION

Have you ever:

1. Been sued for non-payment of ‘Rent?

YES

2. Been evicted or had an unlawful detainer served against you?

YES

3. Been asked to voluntarily move out?

YES

4. Broken a Rental Agreement or Lease?

YES

5. Been sued for damage to rental property?

YES

6. Declared bankruptcy?

YES

7. Been convicted of a felony?

YES

The foregoing information is supplied to Crossroads Lofts and I hereby certify that the information above is accurate and complete to the best of my knowledge. I authorizer Screening Reports or other background reporting agency to verify this application on behalf of Riverview Lofts. This investigation may include the exchange of information from current and previous landlords, a report from a credit reporting agency, criminal background reporting agency and federal and state records of employment and income history, any misrepresentation may disqualify this application.
Applicant understands and agrees that he/she has only applied for a tenancy. This form is not a lease, but an application and offer to lease which may be accepted or rejected by Management. If Management does not accept this application, the deposit will be refunded within seven (7) days. Application fee is non-refundable. If Management notifies the applicant that the application has been accepted, applicant must enter into tenancy applied for or the deposit will be forfeited.
Management is a Fair Housing provider and will grant equal opportunity to all persons under the law. The processing fee for the renal application is $45.00.

Name

Date

Text