Residential Lease Application

Property Address: ________________________________________________________________________

Anticipated: Move-in Date: __________________ Monthly Rent: _________ Security Deposit: ____________

Applicant was referred to Landlord by:

Real Estate agent: ___________________________ (name) ________________________ (phone)

Newspaper Sign Internet Other ________________________________________

Applicant’s name (first, middle, last) ___________________________________________________________

Is there a co-applicant? Yes No If yes, co-applicant must submit a separate application

Applicant’s former last name (maiden or married) ___________________________________________________

E-mail _________________________________________ Home Phone _____________________________

Work Phone _____________________________________Mobile/Pager _____________________________

Emergency Contact Name & No.: _____________________________________________________________

Soc. Sec. No. ___________________________ Driver License No. ____________________ in _________ (state)

Date of Birth ________________ Height _______________ Weight _____________ Eye Color _______________

Hair Color ______________ Marital Status ____________________ Citizenship _______________ (country)

Name all other persons who will occupy the Property:

Name:___________________________________________ Relationship_________________ Age________

Applicant’s Current Address: _______________________________________________ Apt. No. __________ __________________________________________________________ (city, state, zip)

Landlord’s Name: _______________________________________________________________________________

Landlord’s Phones: __________________ (day) ___________________(night) _______________ (mobile)

Date Moved-In ____________________________ Date Move-Out _______________________ Rent $ ____________

Reason for move: _________________________________________________________________________________

Applicant’s Previous Address: ____________________________________________________ Apt. No. __________ __________________________________________________________ (city, state, zip)

Landlord’s Name: _______________________________________________________________________________

Landlord’s Phones: ___________________ (day) ____________________ (night) _______________ (mobile)

Date Moved-In ____________________________ Date Move-Out _______________________ Rent $ ____________

Reason for move: _________________________________________________________________________________

Applicant’s Current Employer: ______________________________________________________________________

Address: ____________________________________________________________________(street, city, state, zip)

Supervisor’s Name: ________________________ Phone ________________________ Fax _____________________

Start Date: ________________________________ Gross Monthly Income: __________________________________

Position: _______________________________________ Rank: _________________________________________

Applicant’s Previous Employer: ______________________________________________________________________

Address: _______________________________________________________________________(street, city, state, zip)

Supervisor’s Name: ________________________ Phone ________________________ Fax _____________________

Start Date: ________________________________ Gross Monthly Income: __________________________________

Position: _______________________________________ Rank: _________________________________________

Describe other income Applicant wants considered: ______________________________________________________

Residential Lease Application concerning _______________________________________________________________

Bank’s Name and Phone at which Landlord may verify good funds for any rent, fee, or deposit: ____________________ _________________________________________________________________________________________________

List all vehicles to be parked on the Property: Type, Year, Make, Model, & License/State ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________

List all pets to be kept on the Property (dogs, cats, birds, reptiles, fish, and other pets):

Typed & Breed Name Color Weight Age

Gender Neutered? Declawed? Current Shots ________________________________________

Will any waterbeds or water-filled furniture be on the Property? ____________________________

Does anyone who will occupy the Property smoke? ____________________________

Will applicant is in the military, is Applicant serving under orders Limiting Applicant’s stay to one year or less? ____________________________

Has Applicant ever: Been evicted? ____________________________

Been asked to move out by a landlord? ____________________________

Breached a lease or rental agreement? ____________________________

Filed for bankruptcy? ____________________________

Lost property in a foreclosure? ____________________________

Had any credit problems? ____________________________

Been convicted of a crime? ____________________________

Is any occupant a registered sex offender? ____________________________

Are there any criminal matters pending against any occupant? ____________________________

Is there additional information Applicant wants to considered? ____________________________

Authorization & Representation: Applicant authorizes Landlord and Landlord’s agent, at any time before, during, or after any tenancy, to (1) obtain a copy of Applicant’s credit report; (2) obtain a criminal background check related to Applicant and any occupant; and (3) verify any rental, employment, or criminal history or verify any other information related to this application with persons knowledgeable of such information. Applicant represents that the statements in this application are true and complete. Applicant understands that providing false or inaccurate information is grounds for rejection and a breach of any lease.

Notice: Unless agreed otherwise in writing, the Property remains on the market until a lease is signed and Landlord may Continue to show the Property to other prospective tenants and accept another offer.

Fees: Applicant submits a non-refundable fee of $30.00 for processing and reviewing this application.

_____________________________________________________________________________________

Applicant’s Signature Date

Authorization to Release Information

I, _____________________________________________ (Applicant), have submitted an application to lease a Property located at______________________________________________________________________ (address, city, state, zip).

The landlord, broker, or landlord’s representative who will verify information in the application is:

____________________________________________________________ (name)

____________________________________________________________ (address)

____________________________________________________________ (city, state, zip)

_______________________________ (phone) ______________________ (fax)

____________________________________________________________ (e-mail)

I give my permission:

(1) to my current and former employers to release any information about my employment history and income history to the above-named person; (2) to my current and former landlords to release any information about my rental history to the above-named person; (3) to my current and former mortgage lenders on property that I own or have owned to release any information about my mortgage payment history to the above-named person; (4) to my bank, savings and loan, or credit union to provide a verification of funds that I have on deposit to the above-named person; and (5) to the above-named person to obtain a copy of my consumer report (credit report) from any consumer reporting agency and to obtain criminal background information about me.

___________________________________________________________

Applicant’s Signature Date

Please mail Application with a $30 non-refundable application fee to:

Cloud Real Estate - Rental Department

1703 South W.S. Young Drive

Killeen, TX 76543