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BBBseal

fair_housing

Residency Application

All fields Required. If the field does not apply to you, please list ‘none’.


Property
Size of Apartment needed?
Applicant Name
Email Address
Home Phone
Work Phone
Co- Applicant
Home Phone
Work Phone
Others living with you and their relationship to you:
Current Address
Rent/Month
Present Landlord
Present Landlord Telephone
Previous Address (if current address is less than 5 years)
How Long?
Rent/Month
Do you have pets that will occupy the premises?

Description of pet (if checked yes)
How many vehicles will be kept at the property?
Are you interested in a carport?

Vehicle Owner
Vehicle Make
Vehicle Model
Vehicle Year
Plate #
State
In case of emergency, whom may we contact?
Emergency Contact Address & Phone #
Employer Name (Current)
Job Title/Position
Employer Telephone/Supervisor (Current)
Employer Address (Current)
From -To Dates (Current)
Monthly Gross Wages (Current)
Previous employer (if current employment is less than 5 years)
Employer Telephone/Supervisor (Previous)
Employer Address (Previous)
From -To Dates (Previous)
Monthly Gross Wages (Previous)
Social Security #
Birth Date
Driver's License #
Referral source:

Have you or any person intending to occupy the
premises, ever been evicted or asked to leave
any rental property?



Have you or any person intending to occupy
the premises, ever been convicted of a felony?



In the space provided, please describe any additional
information that you feel we should be aware of in
considering your application. This may include other
sources of income (however, you do not need to reveal
alimony, child support, or spouse's income)

Reason for leaving your present residence?
Upon approval of this application, a deposit of $100
is required. This deposit will be applied to your move
in expense once you are approved. The deposit will
need to be paid to the property selected Within 48 hours
of submitting this application. If for any reason you would
need to cancel this application, a charge of $50.00 will be
deducted from your deposit. A fee of $15.00 will be
deducted from your deposit if your application is rejected.

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In submitting this application I acknowledge that I am authorizing Simco Management to check my credit. Furthermore, I give Simco Management permission to contact and/or verify any of the information given, including employment and /or landlord information. I state that the above information is correct, and if in checking Simco Management finds false information, this application/lease will be subject to cancellation.

© 2009  Simco Management Corp.  All Rights Reserved.

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