Please complete the form below. If applying as a joint leaseholder, each applicant must complete their own application form.

Property/unit applying for:

PERSONAL INFORMATION

Name

First Name

Last Name

Phone

(###)

###

####

Alternate phone

(###)

###

####

Desired move-in date

YYYY

Date of Birth

YYYY

Drivers License Number

Drivers License State

RESIDENTIAL HISTORY

Last three years

Current Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Month/Year moved in

Reason for moving

Monthly rent or mortgage payment

Owner name

Owner phone #

(###)

###

####

Previous Address #1

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Month/Year moved in

Reason for moving

Monthly rent or mortgage payment

Owner name

Owner phone #

(###)

###

####

Previous Address #2

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Month/Year moved in

Reason for moving

Monthly rent or mortgage payment

Owner name

Owner phone #

(###)

###

####

CREDIT HISTORY

Have you declared bankruptcy in the past seven (7) years?

Yes

Have you ever been evicted from a rental property?

Yes

Have you had two or more late rental payments in the last year?

Yes

Have you ever willfully or intentionally refused to pay rent when due?

Yes

EMPLOYMENT INFORMATION

Your employment status:

Employer

Date employed

YYYY

Job title

Gross Annual Income

Supervisor name

Supervisor phone number

(###)

###

####

If employed by the above for fewer than twelve (12) months, please provide previous employer name and contact phone:

If you have other sources of income that you would like us to consider, please list income, source, and person (banker, employer, etc.) whom we may contact for confirmation. You do not have to reveal alimony, child support, or spouse's annual income unless you want us to consider it in this application. Amount:

Souce/Contact name

REFERENCES

Reference name

First Name

Last Name

Relationship

Reference email

Reference phone

(###)

###

####

Reference #2 name

First Name

Last Name

Reference #2 relationship

Reference #2 email

Reference #2 phone

(###)

###

####

ADDITIONAL INFORMATION

Please provide any additional information that may help owner/management evaluate this application

The above information, to the best of my knowledge, is true and correct. Please type name as signature:

Date of application

YYYY

Residential Application

Residential Rental Application

Teagen Development

Address

Phone