Rental application

For Address: _________________________________________    Rent: $___________   

Please tell us how you heard about our apartments? ______________________________________________

Name: __________________________________________ Social Security No.: ____________________

Phone Numbers: (home) ____________________________ (cell) _______________________________

(work) _____________________________ (fax) _______________________________

E-mail address: ____________________________________ Driverís License # ____________________

Current Address: _________________________________________________ Rent:$___________/mo.

City: ______________________ State: __________ Zip: ______________

How long at this address? _________________ Reason for moving: _________________________________

Landlordís Name: ________________________________ Phone Number: _______________________

Previous Address: _______________________________________________ Rent: $___________/mo.

City: ______________________ State: __________ Zip: ______________

How long at this address? _________________ Reason for moving: ____________________________________

Landlordís Name: __________________________________ Phone Number: ___________________________

Personal Reference: _________________________ Relationship: ______________ Phone: _________________

Emergency contact: _________________________ Relationship: ______________ Phone: _________________

Name and relationship of all persons who will live with you.

Name: ____________________Relation: ___________ Name: _____________________Relation: ___________

Name: ____________________Relation: ___________ Name: _____________________Relation: ___________

Do you have: Pets? YES □/NO □ Describe: ________________ Do you have a Waterbed? YES □/NO

 EMPLOYMENT

 

Present Occupation: _______________________ Employer: ______________________ Phone: _____________

How long with this employer? ______________Supervisor: __________________ Gross Income:____________

Other sources of income: ____________________________ Additional monthly income: __________________

Previous Occupation: ______________________ Employer: ______________________ Phone: _____________

How long with this employer? ______________ Supervisor: __________________ Gross Income:____________

FINANCIAL INFORMATION

 

Checking account Bank:_______________________________ Branch: _________________________________

Savings Account Bank: ________________________________ Branch: ________________________________

Credit Card: _________________________ Balance Owed: $_____________ Monthly Payment: $____________

Credit Card: _________________________ Balance Owed: $_____________ Monthly Payment: $____________

Have you ever filed for Bankruptcy? NO □/YES □ Have you ever been evicted? NOYES □

Vehicle- Make: ________________ Model: _________________ Year: __________ Plate #: _______________

I declare that the statements above are true and correct, I hereby authorize verification of references given and a credit check.

Name: __________________________ Signature: __________________________________ Date: _________

*Include: $25.00 application & credit check fee ( non-refundable ) - check payable to Cronin Properties

606 North & South, Suite 218, St. Louis, MO 63130

Ph: 314-862-5119

info@croninproperties.com    *    www.cronincompany.net

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