APPLICATION TO RENT IN-ORDER TO ENSURE PROMPT COMPLETION OF YOUR APPLICATION, PLEASE FILL OUT COMPLETELY
VISUAL PROOF AND COPY OF IDENTIFICATION
Drivers License or State ID -
Social Security Card -
Other -
Yes
No
Yes
No
Yes
No
SECTION 1
APPLICANT INFORMATION
(All applicants must complete separate applications)
APPLICANTS Last Name, First, Middle
Date of Birth
Drivers License # and State
Social Security #
Number of Total Occupants
Names of Additional Occupants
Dates of birth of Additional Occupants
Do you have pets?
Type and size of Pet(s)
May Require Deposits
Yes -
No -
SECTION 2
CURRENT RESIDENCE HISTORY
APPLICANTS Current Address, City, State, Zip
How Long?
Rent -
Phone Number
Monthly Payment
.
.
Own -
.
.
Name of Present Landlord
Mortgage Co.
Apartment Community
Other
.
.
.
.
.
.
City, State, Zip
Landlord Day Phone
Landlord Night Phone
.
.
.
.
.
.
.
SECTION 3
PREVIOUS RESIDENCE HISTORY
APPLICANTS Previous Address, City, State, Zip
How Long?
Rent -
Phone Number
Monthly Payment
.
.
Own -
.
.
Name of Previous Landlord
Mortgage Co.
Apartment Community
Other
.
.
.
.
.
.
City, State, Zip
Landlord Day Phone
Landlord Night Phone
.
.
.
.
.
.
.
APPLICANTS Previous Address 2, City, State, Zip
How Long?
Rent -
Phone Number
Monthly Payment
.
.
Own -
.
.
Name of Previous Landlord
Mortgage Co.
Apartment Community
Other
.
.
.
.
.
.
City, State, Zip
Landlord Day Phone
Landlord Night Phone
.
.
.
.
.
.
.
SECTION 4
EMPLOYMENT HISTORY
APPLICANT Employed by
Department
Supervisor's Name/C.O.
How Long?
Address - City, State, Zip
Phone
Position Held/ Occupation
Monthly Income (Gross)
APPLICANT Previous Employment
Department
Supervisor's Name/C.O.
How Long?
Address - City, State, Zip
Phone
Position Held/ Occupation
Monthly Income (Gross)
SECTION 5
ADDITIONAL INCOME
Amount $ -
Per -
Source -
Amount $ -
Per -
Source -
SECTION 6
CREDIT
Do you have any consumer credit? (Credit cards, Loans, etc)
Yes -
No -
SECTION 7
VEHICLES
Auto #1
License Plate
State
Auto #2
License Plate
State
Other Vehicles (Boats, Vans, Motorcycles, RV's, etc) Make Model, Licence Plate
SECTION 8
ADDITIONAL INFORMATION
Name of APPLICANT'S Nearest Relative
Relationship
Address - City, State, Zip
Phone
Emergency Contact
Relationship
Address - City, State, Zip
Phone
Personal Reference
Relationship
Address - City, State, Zip
Phone
Personal Reference
Relationship
Address - City, State, Zip
Phone
ANSWER THE FOLLOWING QUESTIONS
Why are you vacating your present address?
How did you hear about us?
Have you given legal notice to vacate? Yes -
No -
If no please explain.
Have you ever been evicted? Yes -
No -
If yes when and where.
Have you ever been convicted of a crime? Yes -
No -
If yes when and where.
NON-REFUNDABLE APPLICATION FEE, EARNED ON RECEIPT $
I certify that the above information is complete and correct and hereby authorize you to do a credit check, obtain an investigative consumer report and make any other inquires you feel necessary to evaluate my tenancy and credit standing. I/WE understand that giving incomplete or false information is grounds for rejection of the application. If any information supplied on this is later found to be false, this is grounds for termination of tenancy.
Owner/Agent has charged a screening fee as set forth above. Landlord may obtain an investigative Consumer Report which includes the checking of the applicant's credit, income, employment, rental history and may include informaton as to his/her character, general reputation, personal characteristics and mode of living. You have the right to request additional disclosures provided for under Section 605 1681d(b) of the federal Fair Credit Reporting Act, and a written summary of your rights pursuant to Section 609(c). You have the right to dispute to accuracy of the information provided to the owner/agent by the screening company or the credit bureau as well as a complete and accurate disclosure of the nature and scope of the investigation. The name and address of the screening service is Background Investigations, Inc. 1800 Blankenship Rd. West Linn, OR. 97068.
If the application is approved, applicant(s) will have 24 hours from the time of notification to either execute a rental agreement and make all deposits requires thereunder or make a deposit to hold the unit and execute a deposit receipt which will provide for the forfeiture of the deposit if applicant(s) fail to occupy the unit. If applicant(s) fail to timely take the steps required above, they will be deemed to have refused the unit and the next applicant for the unit will be processed.
I have read and understand the Dalton Management Rental Criteria - Yes
No
Applicant (Print and sign after submited) ___________________________________________
