Residential Lease Application

Middle Name

Application to Lease Property Located at

Full Name

APPLICANT

Date of Birth

APPLICANT

Social Security

APPLICANT

Message

APPLICANT

Driver’s License #

Cell #

APPLICANT

Current Home Address

CURRENT HOME ADDRESS

City

CURRENT HOME ADDRESS

Zip

CURRENT HOME ADDRESS

Date of Stay

CURRENT HOME ADDRESS

Rent Paid

CURRENT HOME ADDRESS

Manager’s Name

CURRENT HOME ADDRESS

Phone

CURRENT HOME ADDRESS

Reason for Leaving

CURRENT HOME ADDRESS

Previous Address

PREVIOUS ADDRESS

City

PREVIOUS ADDRESS

Zip

PREVIOUS ADDRESS

Date of Stay

PREVIOUS ADDRESS

Rent Paid

PREVIOUS ADDRESS

Manager’s Name

PREVIOUS ADDRESS

Phone

PREVIOUS ADDRESS

Reason for Leaving

PREVIOUS ADDRESS

Full Name

ADDITIONAL OCCUPANTS

Date of Birth

ADDITIONAL OCCUPANTS

Relationship

ADDITIONAL OCCUPANTS

Monthly Salary

CURRENT EMPLOYMENT

Occupation

CURRENT EMPLOYMENT

Employer Name

CURRENT EMPLOYMENT

Work Address

CURRENT EMPLOYMENT

Phone Number

CURRENT EMPLOYMENT

Monthly Salary

PREVIOUS EMPLOYMENT

Occupation

PREVIOUS EMPLOYMENT

Employer Name

PREVIOUS EMPLOYMENT

Work Address

PREVIOUS EMPLOYMENT

Phone Number

PREVIOUS EMPLOYMENT

Make

VEHICLES

Model

VEHICLES

Color

VEHICLES

Year

VEHICLES

License #

VEHICLES

State

VEHICLES

Name

IN CASE OF EMERGENCY, NOTIFY:

Address

IN CASE OF EMERGENCY, NOTIFY:

Phone

IN CASE OF EMERGENCY, NOTIFY:

Relationship

IN CASE OF EMERGENCY, NOTIFY:

Do You Smoke?

GENERAL INFORMATION

Do You Have Any Pets?

GENERAL INFORMATION

Have You Ever Filed for Bankruptcy?

GENERAL INFORMATION

Do You Have Musical Instruments?

GENERAL INFORMATION

Do You Have Water-Filled Furniture?

GENERAL INFORMATION

Have You Ever Been Convicted of Selling, Possessing, Distributing or Manufacturing Illegal Drugs or Any Other Crime?

GENERAL INFORMATION

Have You Ever Been Evicted or Named as a Defendant in an Eviction for Nonpayment of Rent or Any Other Reason?

GENERAL INFORMATION

Do You Have Credit Problems?

GENERAL INFORMATION

Please Explain Any “Yes” Answer to Above Questions:

GENERAL INFORMATION

Why Are You Leaving Current Residence?

GENERAL INFORMATION

Applicant’s Signature

GENERAL INFORMATION

Date

GENERAL INFORMATION

Consent

I/we hereby authorize Pinnacle Elite Investment Property Associates to verify all information on this application by contacting sources listed here or any other source available. I/we also understand that the information disclosed on this application is true, complete and accurate to the best of our knowledge and is material to the potential Lessor’s decision with respect to granting and denying the application to enter into a lease. I release anyone verifying such information or providing information from liability.

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Residential Lease Application

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Contact Details

Pinnacle Elite Investment Property Associates, Inc.

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