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Rental Application

PLEASE TELL US ABOUT YOURSELF (Co-Applicant Must Complete a Separate Rental Application Form)

Name is required

Phone is required

Cell # is required

D/O/B is required

Age is required

Social Security # is required
Names of All Other Occupants: (Residents 18 years of age and older must complete their own application

Name is required

Age required

Name is required

Age required

Name is required

Age required

Name is required

Age required
PLEASE GIVE YOUR RESIDENCE HISTORY FOR THE PAST 3 YEARS (Beginning With Most Current)

Current Address is required

Zip Code is required

Month & Year Moved In is required

Monthly Payment $ is required

Phone is required

Owner/Agent is required

Reason for Leaving $ is required

Previous Address (if within 3 years) is required

Month & Year Moved In is required

Month & Year Moved Out is required

Phone is required

Owner/Agent is required

Reason for Leaving is required
PLEASE GIVE YOUR EMPLOYMENT / INCOME INFORMATION
YOUR STATUS:
Job Status is required

Current Employer is required

Job Title is required

Address is required

Phone is required

Date(s) Employed From is required

To is required

Supervisor is required

Your Salary $ is required
Salary Frequency is required

Previous Employer is required

Job Title is required

Address is required

Phone is required

Date(s) Employed From is required

To is required

Supervisor is required

Your Previous Salary $ is required
Salary Frequency is required
Salary Frequency is required
Additional Income Source

Amount $ is required

Source is required

Contact for Confirmation is required
PERSONAL REFERENCES

Name is required

Relationship is required

Phone is required

Name is required

Relationship is required

Phone is required

Name is required

Relationship is required

Phone is required
IN CASE OF EMERGENCY (not one of the above references or a co-applicant)

In Case of Emergency, Notify is required

Relationship is required

Home Phone is required

Cell Phone is required
CRIMINAL BACKGROUND INFORMATION
Have you or any occupants of the apartment been convicted of a criminal offense; entered a plea of "Guilty" or "No Contest" to a criminal offense; or had any criminal matter disposed of in a manner other than an acquittal or finding of "Not Guilty"?
Been convicted of a Felony is required
Have you or any occupants been convicted for illegal use, possession, manufacturing or distribution of a controlled substance?
Controlled Substance response is required
Are you or any potential applicants of the apartment facing pending charges for any criminal offense?
Criminal Offense response is required

If yes to any above questions, Explain is required
VEHICLE INFORMATION

Make/Model is required

Year is required

Color is required

Plate #/State is required

Make/Model is required

Year is required

Color is required

Plate #/State is required
PET INFORMATION (Restrictions Apply - ALL PETS MUST BE APPROVED BY MANAGEMENT**)
Type of pet is required
Type of pet is required

Breed is required

Color is required

Age is required

Weight is required

Pet name is required
Type of pet is required
Type of pet is required

Breed is required

Color is required

Age is required

Weight is required

Pet name is required
** Should you decide to get a pet after the application is approved, please refer to section 25, page 5 of the lease.
ALL Pets must be approved by Management. NO EXCEPTIONS, failure to report a pet is a violation of the lease agreement.
CERTIFICATION
By signing below, I certify that the information provided herein, is true and complete. I understand this application will be declined if any information provided is misrepresented. I authorize Gough Holding Corporation or its affiliates to obtain a consumer report, employment verification, and any other information deemed necessary during the evaluation of my application throughout the duration of my lease and any subsequent renewals. This may include, but is not limited to, credit history, civil and criminal information, arrest records, employment / salary details, previous rental history, vehicle records, and licensing records. I hereby release Gough Holding Corporation, and any procurer or furnisher of information, from any liability whatsoever in the use, procurement or furnishing of such information, and understand that my application information may be provided to government and law enforcement agencies.

Signature of Applicant is required

Date Signed is required
******Photo ID is required******
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