Rental Application Form

Date of Birth*

What address are you applying for?*

Name*

First Last

Primary Phone Number*

Work / Secondary Phone Number

Email*

Current Address*

Street Address Address Line 2 City State ZIP Code

Drivers License State License #*

Vehicle Make and Model License Plate #*

Emergency Contact(s)*

First Name	Last Name	Relation	Phone Number

Click on + / - icons (on right) to add or remove lines.

List of Tentants

Tentants*

First Name	Last Name	Relation	Age

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Pets*

Yes
No

Pet Details*

Type / Breed	# lbs

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Residence History

Previous Address*

Owner/Agency Name*

Owner/Agency Phone Number*

Reason For Leaving*

Employment Status

Select all that apply*

Full-time
Part-time
Student
Retired
Unemployed

Employer*

Address*

Supervisor Name*

Supervisor Phone Number*

Employed from date to Present*

Monthly Net Income $*

Other Monthly Income $*

Student Info

Select One*

Freshman
Sophomore
Junior
Senior
Doctoral

Monthly Net Income $*

Parent/Guardian Monthly Contribution $*

Parent/Guardian Name*

Address*

Parent/Guardian Phone*

Parent/Guardian Email*

Have You Ever ...

Been sued for nonpayment of rent?*

Yes
No

Been evicted from an apartment?*

Yes
No

Declared bankruptcy?*

Yes
No

Been sued for damages to rental property?*

Yes
No

Been convicted of any felony or drug-related misdemeanor?*

Yes
No

NOTICE: Landlord/Management will not house any tenants who are dealing or using illicit drugs or similarly allowing others to aid and abet in the use of sale of illicit drugs and any other such unlawful acts or illegal commerce. Tenant(s) will have three days to vacate premises if Tenant(s) and/or their invitees condone such activity.

I agree to all the above.

I DECLARE that the foregoing information is true and correct and authorize its verification through a background check and the obtaining of consumer credit report. I AGREE that Landlord/Management may terminate any agreement entered into on reliance of any false statement or misrepresentation made above. I AGREE that any information reported to Landlord/Management substantiated to be false will result in automatic forfeiture of any deposit. I FURTHER AGREE that should my application be approved by Landlord/Management and I decide not to take the rental unit, any deposit or binder made to secure or reserve the rental unit in my name will be forfeited to Landlord/Management as compensation for the inconvenience and delay associated with re-marketing.

I agree to all the above.

Today's Date*

Online Signature*

To all Prospective Tenants

Our policy regarding application fee, security deposit, and Lease Agreement execution:

Our non-refundable Credit Check Fee of $20.00 is payable by check, money order, (made out to Sall Associates) or credit card online at sallassociates.com. The Credit Check fee covers the cost of a credit check, employment check, and prior landlord verification.
Anyone 18 years of age and older must complete an application and submit a copy of the following: picture ID , social security card, and proof of income, (4 most current pay stubs or 2 pay stubs if paid bi-weekly), with proof the $20.00 credit check fee was paid. All this can be emailed to leasingagent@sallassociates.com.
Upon approval of your application, you will be contacted by our leasing agent and asked to remit the full security deposit which holds the apartment for two (2) weeks. Within these 2 weeks, the Lease Agreement must be signed! If this is not done we will assume you no longer want the apartment and it will be placed back on the market and your paid security deposit will be forfeited.
Utilities NOT included in the rent must be put in your name and provide proof this has been done.
All required documents must be turned in prior to the Lease Agreement signing.
SECURITY DEPOSIT AND FIRST MONTHS RENT MUST BE PAID IN FULL BEFORE YOU RECEIVE THE KEYS TO THE RENTED APARTMENT.

Your signature below acknowledges that you have read and understand our policy with regard to the application fee, deposit, required documents, and lease signing. No application will be considered until you have signed and dated below.

Today's Date*

Online Signature*