Application For Residency
1) Basic information
Date
Lot applying for
Buying Home
Adding Applicant to existing lease
2) Applicant Information
1. Applicant information
Name: First
Middle Init
Last
Present Address
City
State
Zip Code
Home Phone
Cell Phone
D.L
D.O.B
SS
Email Address
2. Landlord
Current Landlord
Address
City
State
Zip
Landlord Phone
Yrs. Rented
Monthly Rent
3. Employer
Current Employer
Phone
Supervisor
Address of Employer
City
State
Zip
Gross Pay per Month
Yrs. Employed
Position
4. Additional income
Additional Income
3) Co-Applicant Information
1. Applicant information
Name: First
Middle Init
Last
Present Address
Zip Code
Home Phone
Cell Phone
D.L
D.O.B
SS
Email Address
CO_City
CO_State
2. Landlord
Current Landlord
Address
Landlord Phone
Yrs. Rented
Monthly Rent
CO_Zip2
CO_Zip3
3. Employer
Current Employer
Phone
Supervisor
Address of Employer
Gross Pay per Month
Yrs. Employed
Position
4. Additional income
Additional Income
4) Other Adult Occupant(s) - RESPONSIBLE FOR RENT
1.
Name
Relationship to Applicant
D.O.B
SS
Contact Email
Contact Phone
Monthly Income
2.
Name
Relationship to Applicant
D.O.B
SS
Contact Email
Contact Phone
Monthly Income
5) Minor Occupants of Home
1.
Name
D.O.B
Relationship
2.
Name
D.O.B
Relationship
3.
Name
D.OB
Relationship
6) Persons to notify in Case of Emergency
1.
Name
Relationship
Phone
2.
Name
Relationship
Phone
7) Banking And Credit References
1.
Bank Name
Approx Balance
Type of Account
2.
Bank Name
Type of Account
Approx. Balance
8) Vehicle Registry
1.
Year
Lic
Make/Model
Monthly Pmt
Balance Owed
Creditor (Auto loan)
2.
Year
Lic
Make/Model
Monthly Pmt
Balance Owed
Creditor (Auto loan)
9) Pet(s) (NO DOGS)
1.
Pet type
Age
2.
Pet type
Age
10) Other Information
1. Have you or any other proposed occupant of the home site ever been convicted of the illegal manufacture or distribution of a controlled substance?
Yes
No
If yes, list which, who, when, and where:
2. Are you or any other proposed occupant of the home site a current illegal abuser or addict of a controlled substance?
Yes
No
If yes, which person(s):
3. Has any proposed resident of this home site ever been convicted of a felony?
Yes
No
If yes, who, where, and when:
4. Have you or any proposed occupant of the home site ever been known by any other name(s)?
Yes
No
If so, list below:
5. Have you or any other proposed occupant of the home site been served with a notice of breach of your lease or been evicted?
Yes
No
If yes, list who, what, when, and where:
6. Have you or any proposed occupant of the home site ever filed for Chapter 7 or Chapter 13 Bankruptcy?
Yes
No
If yes, list who, which type of Bankruptcy and when:
7. Are you or any proposed occupant of the home site required to pay child support or alimony?
Yes
No
If yes, list who and for how much:
11) Certification and Agreement
Applicant
Date
CO-Applicant
Date
Other Adult Occupant
Date
Other Adult Occupant
Date
Would you like a writen explanation in the case of a denial?
YES
NO
Submit Application
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