January Lane Rentals — Rental Application

Property & Application Details

Property Address *

Unit / Apt #

Desired Move-In Date *

Requested Lease Term

Monthly Rent

Application Date

Real Estate Agent Information

Listing Agent

Tenant's Agent (if applicable)

Applicant Information

Full Legal Name *

Date of Birth *

Social Security No. *

Driver's License / State ID No.

State

Phone Number *

Email Address *

Current Street Address *

City

State

ZIP

Length at Address

Do you rent or own your current residence?

Rent Own Other

Current Landlord / Property Mgr. Name

Landlord Phone

Monthly Rent / Mortgage Paid

Reason for Moving

Other Occupants (to reside at the property)

List all additional persons, including minors, who will live at the property.

Occupant 1

Full Name

Relationship to Applicant

Date of Birth

Occupant 2

Full Name

Relationship to Applicant

Date of Birth

Occupant 3

Full Name

Relationship to Applicant

Date of Birth

Current Employment

Employer Name *

Position / Title

Employer Address

Supervisor Name

Work Phone

Length of Employment

Gross Monthly Income *

Additional Income Source (if any)

Additional Monthly Amount

Previous Employment (if less than 2 years at current job)

Employer Name

Position / Title

Work Phone

Length of Employment

Gross Monthly Income

Previous Rental History

Previous Address

Length of Residency

Previous Landlord Name

Landlord Phone

Monthly Rent Paid

Have you ever been evicted, broken a lease, or been sued for unpaid rent? *

Yes No

If yes, please explain

Vehicles

Vehicle 1

Make / Model

Year

Color

License Plate / State

Vehicle 2

Make / Model

Year

Color

License Plate / State

Pets

Do you have any pets? *

Yes No

Type / Breed

Weight (lbs)

Age

Spayed / Neutered

Emergency Contact

Full Name *

Relationship

Phone Number *

Address

Personal References

Reference 1

Full Name

Relationship

Phone Number

Reference 2

Full Name

Relationship

Phone Number

Application Fee

Application Fee Amount

Payment Method

Date Paid

Application fees are non-refundable and required to process this application, unless otherwise required by law.

Authorization & Certification

By checking this box, I certify that all information provided in this application is true, complete, and correct to the best of my knowledge. I understand that any false, misleading, or incomplete information may result in denial of this application or, if discovered after move-in, termination of my lease. I authorize Agape Property Management and its agents to verify the information provided in this application, including but not limited to employment, income, and rental history, and to obtain a consumer credit report, criminal background check, and eviction history report from a consumer reporting agency for the purpose of evaluating this rental application. I understand that if an adverse decision results, in whole or in part, from information in a consumer report, I will be provided with the name and contact information of the reporting agency as required by the Fair Credit Reporting Act.

Applicant Signature (type full name) *

Date *

Trouble submitting? Email your information directly to danielle@agapepropertymanagement.com.

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Application Received