Rental Application — Quail Creek 2007, LLC

1

Applicant & rental terms

Tell us who you are and the property you'd like to rent.

Full name

Address of the property you wish to rent

For a term of

Desired date of occupancy

Desired length of occupancy

Number of bedrooms

Reason for moving

Monthly rent

$

Security deposit

$

Total amount due at lease signing

$

2

Household

Who and what will be living in the home.

Number of adults

Number of children

Waterbed?

Yes No

Smokers?

Yes No

Pets?

Yes No

3

Residence history

Your current and previous homes.

Present address

Street address

How long have you lived here?

Home phone

Landlord's name

Landlord's phone

Current rent payment

$

Prior address

Street address

How long did you live there?

Landlord's name

Landlord's phone

Rent payment

$

Reason for moving

4

Identification & vehicles

Used for identity and credit verification only.

Social Security Number

Driver's license number

Vehicle 1

Make & model

Year

License plate number

Vehicle 2

Make & model

Year

License plate number

5

Source of income

Enter monthly amounts. Leave blank any that don't apply.

Wages

$

Salary

$

Commission

$

Tips

$

Government assistance

$

Child support / alimony

$

Other

$

6

Employment

Your current and most recent prior employer.

Current employer

Employer

Position

How long employed there?

Supervisor

Business phone

Annual income

$

Prior employer

Employer

Position

How long employed there?

Supervisor

Business phone

Annual income

$

7

Nearest relative not living with you

Name

Relationship

Address

Home phone

8

Background

If you answer Yes to any question, please explain.

Do you own real estate?

Yes No

Have you ever been evicted from any rental premises?

Yes No

Have you ever willfully and intentionally refused to pay rent when due?

Yes No

Are there any circumstances which may interrupt your income or ability to pay rent?

Yes No

Have you ever been convicted of a felony?

Yes No

9

Certification & signature

I represent that the information provided in this application is true and correct to the best of my knowledge. Quail Creek 2007, LLC is authorized to verify the references and employment information given in this application and to request a credit check.

Type your full name to sign

Date

It is against the law to discriminate against prospective tenants on the basis of race, religion, national origin, age, disability or family status. Local or state laws may include additional classes that are protected from discrimination in housing.

Your information is sent securely and reviewed only by Quail Creek 2007, LLC.

Apply to rent

Applicant & rental terms

Household

Residence history

Identification & vehicles

Source of income

Employment

Nearest relative not living with you

Background

Certification & signature

Application received