Rental Application

General Information

Name*

First Last

Relationship to Tenant*

Date of Desired Occupancy*

Social Security Number*

Date of Birth*

Cell Phone*

Email*

Enter Email Confirm Email

Martial Status*

Single
Married
Divorced
Separated

Name of Spouse (Former Spouse if Divorced)

First Last

Spouse's Date of Birth

Spouse's Cell Phone

Spouse's Social Security Number*

Names & Ages of children who will occupy:

Number of People Who Will Occupy:*

Description of Pets (If applicable)

Part 1 - Residence History

Present Address*

Street Address Address Line 2 City State ZIP Code

Name of Present Landlord*

First Last

Resident of Address Since:*

Former Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name of Former Landlord

First Last

Dates of Occupancy

Part 2 - Employment & Bank References

Employed By:*

Employment Address*

Street Address Address Line 2 City State ZIP Code

Dates of Employment*

Phone*

Approx. Monthly Income*

Spouse Employed By:

Spouse's Employment Address

Street Address Address Line 2 City State ZIP Code

Spouse's Dates of Employment

Spouse's Phone

Spouse's Approx. Monthly Income

Bank Reference:*

Bank Address*

Street Address Address Line 2 City State ZIP Code

Other Income:

Car Info (Make, Year License Tag)*

Signatures

By signing, the applicant recognizes that an investigative report will be prepared whereby information is obtained through interview. This inquiry includes information as to your character, general reputation, credit history, mode of living and a criminal record check. This application may be disapproved as a result of any misrepresentation or insufficient information as a result of an incomplete application. You have the right to make a written request within one week of application to receive additional information about the nature and scope of the investigation. Additionally, any security deposit(s) included with this application are non-refundable and will be retained by the landlord after a period of 10 (ten) days from the date of the application. However, if the application is not approved, for any reason, the security deposit(s) will be returned to the applicant in full.

Signature*

PARENT'S SIGNATURE

Guarantee of Lease

A certain lease has been, or will be, executed by and between Gelbach Properties, LLC and/or A&G Investments and/or Agents or Assigns (Hereinafter referred to as "Lessor")

(Renter's Name) Name of Tenant*

First Last

The Lessor requires as a condition of said Lease that the undersigned guarantee the full and timely performance of the obligations of the Lessee under said Lease. Therefore, in consideration of the executive of said Lease by Lessor, the undersigned hereby unconditionally executes this Guarantee and guarantees the full and timely performance of each and all the Lease terms and conditionals, including the timely payment of all rental and other charges to accrue under said Lease and all leases including and not limited to renewals. The undersigned has caused this Guarantee of Lease to be executed as of this date:

Date*

Signatures

By signing, the applicant recognizes that an investigative report will be prepared whereby information is obtained through interview. This inquiry includes information as to your character, general reputation, credit history, mode of living and a criminal record check. This application may be disapproved as a result of any misrepresentation or insufficient information as a result of an incomplete application. You have the right to make a written request within one week of application to receive additional information about the nature and scope of the investigation. Additionally, any security deposit(s) included with this application are non-refundable and will be retained by the landlord after a period of 10 (ten) days from the date of the application. However, if the application is not approved, for any reason, the security deposit(s) will be returned to the applicant in full.

Signature*

PARENT'S SIGNATURE

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Parent Application

General Information

Part 1 - Residence History

Part 2 - Employment & Bank References

Signatures

Guarantee of Lease

Signatures