Application for OccupancyDownload Application for Occupancy

Application Fee: FREE  
Property to Occupy:
Desired date of Occupancy:
How you heard about us:

Your Information

First Name:
Middle Name:
Last Name:
Social Security #:
Date of Birth:
Drivers License #:
State:
Home Phone:
Cell Phone:
Email Address:
Do you have a criminal record?:
If yes, please explain...  

Co-Applicant's Information (if applicable)

First Name:
Middle Name:
Last Name:
Social Security #:
Date of Birth:
Drivers License #:
State:
Home Phone:
Cell Phone:
Email Address:
Do you have a criminal record?:
If yes, please explain...  

Number of People to Occupy

Adults (over the age of 18):
Children (under the age of 18):

*No Pets Allowed

Residence History

Present Address:
Apt:
City:
State:
Zip Code:
How long at this address?
Rent/Mortgage Payment $:
Landlord Name / Mortgage Company:
Phone Number:

Employment History

Employed by:
Phone Number:
How Long:
Dept. or Position:
Approx Gross Monthly Income:
Address:
City:
State:
Zip Code:

 

Co-Applicant's Employment:
Phone Number:
How Long:
Dept. or Position:
Approx Gross Monthly Income:
Address:
City:
State:
Zip Code:


Other Income (indicate source and amount):

The undersigned hereby makes application to rent real estate property from Lakewood Estates Property Management.  By signing, Applicant(s) hereby grants permission to verify any information in this application and to obtain a credit report.  Applicant(s) agree that the above information is true and correct.

By typing your name below it is the same as an electronic signature and you are verifying that all information provided is true and correct.

Type Your Name:
Date:

 

Co-Applicant's Name:
Date:


By submitting this application, I hereby state and represent that all information provided in this application is complete and accurate.