<p>RENTAL APPLICATION: (Updated 7/2016)</p><p>ROOMMATE SITUATION, EACH PERSON NEEDS TO FILL OUT A SEPARATE APPLICATION. </p><p>Owner(s) of Property: Jeffrey W. Allen Cell 617-312-0096 (Application should be emailed to me at (jwallen@bu.edu) (Application needs to be signed by Applicant and Co-Applicant) JWALLEN@BU.EDU </p><p>RESIDENTIAL PROPERTY ADDRESS: 362 16th Street, Atlanta, Georgia 30363</p><p>Date you desire to Move-in: ______</p><p>Applicant Information: (Only Non-Smokers)</p><p>Applicant Name (Full Name) ______</p><p>First Middle Last </p><p>Occupation: ______</p><p>Social Security #: ______</p><p>Smoker or Non-Smoker: ______</p><p>State of Drivers License: ______</p><p>License Number & Expiration Date: ______</p><p>Drivers license must also be provided. Best to scan driver’s license or use cell phone to take a picture and send via email along with Application. Must be readable and clear picture of face and information</p><p>Birth Date (MM/DD/YYYY): ______</p><p>Email address: ______Phone #: (H): ______, (W): ______</p><p>(C): ______</p><p>Page 1 of 7 Co-Applicant Information: (Only Non-Smokers)</p><p>=====Any Roommates situations need to complete the Entire Separate application======</p><p>Co-Applicant Name: ______</p><p>First Middle Last </p><p>Occupation: ______</p><p>Smoker or Non-Smoker: ______</p><p>Relationship to Applicant: ______</p><p>Social Security #: ______</p><p>State of Drivers License: ______</p><p>Drivers License Number & Expiration Date: ______</p><p>Drivers license must also be provided. Best to scan driver’s license or use cell phone to take a picture and send via email along with Application. Must be readable and clear picture of face and information</p><p>Birth Date (MM/DD/YYYY): ______</p><p>Email address: ______Phone #: (H): ______, (W): ______</p><p>(C): ______</p><p>Page 2 of 7 List others who plan to occupy the Home: (Please include all information)</p><p>Name Social Security # (If over age 15) Birthdate Relationship to You </p><p>______</p><p>______</p><p>______</p><p>RESIDENCE HISTORY (To be completed by each Applicant)</p><p>Present Address Information: Full Information needed including names of contact person and phone numbers: </p><p>Present Address: ______City: ______</p><p>St:______Zip:______</p><p>Present Landlord Name: ______</p><p>Address of Present Landlord: ______</p><p>Area Code/Phone of Landlord: ______</p><p>Monthly Payment$ ______Dates Property Occupied: ______</p><p>Reason for moving:______</p><p>Page 3 of 7 Previous Address Information</p><p>Previous Address: ______Address , City, State, Zip code</p><p>Length of time at previous address: ______</p><p>Previous Landlord/Mortgage: ______</p><p>Previous Area Code/Phone: ______</p><p>Monthly Rental Payment ______Dates Property Occupied: ______</p><p>Reason for moving:______</p><p>INCOME AND EMPLOYMENT VERIFICATION:</p><p>Applicant’s Employment (Might be asked to provide a copy of most recent pay stub)</p><p>Full Company Name:______(No Abbreviations)</p><p>How Long Employed: ______</p><p>Employer’s Full address:______</p><p>City:______St:______Zip: ______Phone:______</p><p>Phone number for Human Resources/Personnel for the company employed with:</p><p>______</p><p>Current Position held:______</p><p>Current Base Salary per Month: $______</p><p>Current Estimated Commission per month if any $______</p><p>Supervisor’s name & Phone number:______</p><p>Page 4 of 7 </p><p>Co-applicant’s Employment: (You might also be asked to provide a copy of your most recent pay stub)</p><p>Full Company Name: ______(No abbreviations) </p><p>How Long Employed: ______</p><p>Employer’s address:______</p><p>City:______St:______Phone:______</p><p>Phone number for Human Resources/Personnel for the company your employed: ______</p><p>Position held:______</p><p>Current Salary per Month: $______</p><p>Current Estimated Commission per month if any $______</p><p>Supervisor’s name:______</p><p>Supervisor’s Phone #: ______</p><p>Provide two References with Full contact Information (Can NOT be family members):</p><p>Reference Name Phone number(s) Relationship</p><p>1) ______</p><p>2) ______</p><p>Page 5 of 7 Bank and Credit Information </p><p>Bank Name/Branch: ______(Necessary)</p><p>Full Bank Address:______(Necessary)</p><p>Phone Number: ______(Necessary)</p><p>Checking Account Number: ______(May leave blank) </p><p>Other Information: (Number of Vehicles you intend to have at the property (including cars, boats, RVs, etc)</p><p>Vehicle 1:</p><p>Make: ______Model/Year:______Color:______</p><p>Tag Number: ______Tag State: ______</p><p>Vehicle ID #: ______(Located by looking through Windshield on Drivers Side) Located on the top of the dashboard)</p><p>Vehicle 2:</p><p>Make: ______Model/Year:______Color:______</p><p>Tag Number: ______Tag State: ______</p><p>Vehicle ID #: ______</p><p>Pet Information:</p><p>Pet Information: Dog or Cat (Circle one or both): </p><p>Breed of Animal______Weight of Animal______</p><p>Page 6 of 7 General Information: </p><p>1) Have you ever been served a late rent notice? ______</p><p>2) Have you ever been served an eviction notice? If so, when? ______</p><p>3) Ever filed for bankruptcy or foreclosed on a home? If so, when? ______</p><p>4) Have you ever been convicted of a felony? If so, when? ______</p><p>5) Presently filing for bankruptcy or being foreclosed on a home? </p><p>In case of emergency notify: ______Phone: ______</p><p>Relationship to you: ______</p><p>Statement of Authorization to Run Credit, inquire of employers, etc</p><p>I/We hereby authorize landlord to contact Credit services, personal and credit references given herein, plus my/our employers to verify the information I have given. In addition, if necessary, I understand that landlord might if they desire to run a background check and history of possible past evictions and criminal check as well as a credit check. I understand that any discrepancy or lack of information may result in the rejection of this application. I also understand that this is an application for rental and does not constitute a rental or lease agreement in whole or part. . </p><p>If after the acceptance of this application, and the receiving of the agreed upon security deposit between I and the landlord, I fail or refuse to execute a lease, the security deposit may be retained by the landlord as liquidated damages in payment for time, effort and possible loss of rent in processing my inquiry and this application, including making necessary investigation of my character and reputation. </p><p>I acknowledge the above facts to be true to the best of my knowledge. I further realize that the landlord is leasing the home predicated on the above facts supplied by me being true, and should any fact not be true, the landlord may cancel said lease at his option by giving me notice in writing. </p><p>X Applicant’s Signature: ______Date: ______</p><p>X Co-Applicant’s Signature: ______Date: ______</p><p>Page 7 of 7 </p><p>No Application Fee Security deposit $: ______</p><p>Page 8 of 7 </p>
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