Signature:
Date:
Landlord’s Name, Address and Phone Number:
Applicant’s Name:
Current or Former Address:
Date
I hereby authorize the release of my rental history information to Autumn Oaks Apartments for the sole use of the rental approval process only.
Applicant signature
The above mentioned has applied for an apartment with Autumn Oaks Apartments. Before we can accept this application, we must verify current and/or former residence. Please complete, sign and return this form as soon as possible with the following information via fax to: 636-225-0222 or email to info@autumnoaksapt.com
Lease Dates: Date to:
Monthly Rental Amount:
Number of late payments: Over 5 days:
Over 30 days:
Any NSF Checks? YesNo
Balance Due on account? YesNo
Has this account ever been turned over to Collections? YesNo
Was proper notice given to vacate? YesNo
Was lease fulfilled or terminated properly? YesNo
Any lease violations, complaints, or disturbances? YesNo
The above information verified by: Title:
Employer Name:
Employer’s Contact Information:
Company Name:
HR/Supervisor Name:
Phone:
Applicant’s Signature:
Please respond via fax to 636-225-0222 or email at info@autumnoaksapt.com as soon as possible. Thank you for your prompt response.
Regards, Autumn Oaks Apartments
I hereby authorize the release of my employment information to Autumn Oaks Apartments for the sole use of the rental approval process only.
To Whom It May Concern:
The above applicant states to be employed with your company. We would greatly appreciate your prompt verification of the following information:
Date of Hire:
Position Held:
Monthly Salary or Hourly Rate:
Hours Worked per Week:
Full or Part-time Position:
Prospects for Continued Employment:
Position:
Print Name:
First Name:
Middle Name:
Last Name:
Social Security #:
Birth Date:
Current Address*:
City*:
State*:
Zip*:
From:
To:
Landlord Name:
Address:
Previous Address:
City:
State:
Zip:
Landlord Address:
Name of Company:
Supervisor Name:
Phone #:
Your Title:
Salary:
Address*:
Primary Vehicle Information (make)*:
License Plate #:
Color:
Model*:
Applicant’s Daytime Phone:
Applicant’s Daytime Email Address:
Applicant’s Work Phone #:
Names of Additional Occupants (other than self):
Any pets? YesNo
Pet #1:
Pet #2:
Name:
Relationship:
I hereby consent to allow Credit Retriever/Trans Union, through its designated agent (Autumn Oaks Apartments and its employees), to obtain and verify my credit information, criminal information, and/or eviction information for the purpose of determining whether or not to lease an apartment to me. I understand that should I lease an apartment, Autumn Oaks Apartments, and its agents, shall have the continuing right to review my credit information, employment income, criminal information, rental history, payment history and occupancy history for account review purposes and for improving application review methods. YesNo
Acceptance of this application, and any monies deposited herewith, is not binding upon Landlord until approved by Landlord. If approved, all monies deposited with this application will be held as a reservation deposit to be either returned to Applicant, or credited towards any deposit which may be required at the time a rental agreement is executed. If applicant withdraws the application, a fee of $65.00 per adult 21 years of age or older shall be retained by Landlord. If the apartment is held for applicant for more than 72 hours, the minimum security deposit monies ($250.00) shall be forfeited to Landlord. YesNo
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