APPLICATION FOR LEASE
DATE
If more than 1 person applying, please fill out both A & B.
A. NAME DOB SOC. SEC. # DRIVER'S LICENSE #
B. NAME DOB SOC. SEC. # DRIVER'S LICENSE #
A. PRESENT ADDRESS
PHONE # EMAIL LENGTH OF RESIDENCE
PRESENT LANDLORD PHONE #
PLACE OF EMPLOYMENT LENGTH OF EMPLOYMENT
SUPERVISOR NAME
EMPLOYER ADDRESS & PHONE #
YEARLY GROSS INCOME [ ] $10,000 - $15,000 [ ] $15,001 - $20,000 [ ] Over $20,000
B. PRESENT ADDRESS
PHONE # EMAIL LENGTH OF RESIDENCE
PRESENT LANDLORD PHONE #
PLACE OF EMPLOYMENT LENGTH OF EMPLOYMENT
EMPLOYER ADDRESS & PHONE #
SUPERVISOR NAME
YEARLY GROSS INCOME [ ] $10,000 - $15,000 [ ] $15,001 - $20,000 [ ] Over $20,000
NUMBER OF PERSONS TO OCCUPY APT.
A. AUTOMOBILES MAKE MODEL
COLOR LICENSE PLATE #
B. AUTOMOBILES MAKE MODEL
COLOR LICENSE PLATE #
REFERENCES: Please list landlord, employer or someone other than a family member.
A. NAME PHONE #
A. NAME PHONE #
B. NAME PHONE #
B. NAME PHONE #
A. NAME OF FINANCIAL INSTITUTION PHONE #
Please include the account numbers where appropriate.
CHECKING SAVINGS OTHER
B. NAME OF FINANCIAL INSTITUTION PHONE #
Please include the account numbers where appropriate.
CHECKING SAVINGS OTHER
A. IN CASE OF EMERGENCY NOTIFY
ADDRESS & PHONE #
NEAREST RELATIVE
ADDRESS & PHONE #
Why are you leaving your current residence?
Have you ever filed a petition for bankruptcy? Have you ever been evicted from any
tenancy? Have you ever willfully and intentionally refused to pay any rent when due?
Will you allow a credit check? Will you allow a police records check? How will your
rent be paid? Personal check Money Order
B. IN CASE OF EMERGENCY NOTIFY
ADDRESS & PHONE #
NEAREST RELATIVE
ADDRESS & PHONE #
Why are you leaving your current residence?
Have you ever filed a petition for bankruptcy? Have you ever been evicted from any
tenancy? Have you ever willfully and intentionally refused to pay any rent when due?
Will you allow a credit check? Will you allow a police records check? How will your
rent be paid? Personal check Money Order
DATE OF OCCUPANCY DESIRED:
I DECLARE THE FOLLOWING TO BE TRUE UNDER PENALTY OF PERJURY, I agree that landlord may terminate any agreement entered into in reliance on any misstatement made above.
A. APPLICANT DATE
B. APPLICANT DATE
There is a $35 application fee. Thorstenson Management will not process the application without receiving the fee.