Daniel & Maria Milsted
 "Professional Property Management & Rentals"

APPLICATION
(Each applicant must submit their own application)

[FrontPage Save Results Component]
NAMES
Applicant Name:

Social Security #

 
CURRENT ADDRESS

Street:
Apartment #:
City, State, Zip:

Phone:
Length Of Residence:

 e-mail

 
EMERGENCY CONTACT

Name:
Address:
Apartment Number:
City, State, Zip:

Relationship to You:
Phone:
E-mail


CURRENT LANDLORD

Name:
Phone:

Address:
City, State, Zip:
E-mail
 


PREVIOUS LANDLORD, One

Name:
Phone:

Address:
City, State, Zip:
E-mail
 


PREVIOUS LANDLORD, Two

Name:
Phone:

Address:
City, State, Zip:
E-mail
 


INCOME (List all income that you would like us to consider by source)
Source: 1.
2 .
3 .
4 .		 Amount: 1.
2.
3.
4.


VERIFICATION OF INCOME
Name & Title: 1.
2.
3.
4. 		Phone: 1.
2.
3.
4.


FINANCIAL INSTITUTION, One

Name:

Address of Bank:

Checking Account #:

Savings Account #:


FINANCIAL INSTITUTION, Two:

Name:

Address of Bank:

Checking Account #:

Savings Account #:


LOAN & CREDIT PAYMENTS: (Include all auto, student, and personal loans and credit card (s)

Type Of Loan 1:

Amount Paid Each Month:

Type Of Loan 2:

 Amount Paid Each Month:

Type Of Credit 1:

 Amount Paid Each Month:

Type Of Credit 2:

 Amount Paid Each Month:


Eviction, Part I Have you been evicted during the past two years for non-payment of rent?  YES  NO


Eviction, Part II Have you been evicted during the past two years for damaging an apartment, for behavior that disturbs or threatens other persons, or for any other reason? YES  NO


NO PETS Do You Understand that PETS ARE NOT allowed in the apartment or building.  YES  NO
NO SMOKING Do You Understand that SMOKING IS NOT allowed in the apartment or building.  YES  NO

 
BANKRUPTCY Have you filed for bankruptcy in the past seven years?  YES  NO

 
Please Check:
 Yes: I certify that the information on this application is correct to the best of my knowledge.
 Yes: I give the landlord permission to verify all information on this application.
 Yes: I understand that any misrepresentation made on this application is reason for the application to be rejected.
 Yes: Upon submitting this application, I have paid an earnest money deposit of $
 
Signature 1:  Date:

© Copyright 2007 / Milsted Enterprises / Milsted Properties