Rental House Address: Today's Date:

New Resident Application

Separate application required from each applicant age 18 or older.

Personal Information: First: Middle: Last:
Any other names you've used in the past:
Driver's license/ID number/state: Date of Birth:
Social Security #: Contact Phone:
Email Address:
Present street address: City: Zip:
Dates lives at this address: through: Own: Rent: Occupy:
Name of present landlord/manager: Monthly Rent:
Landlord's Phone #: Are you paid in full?: Reason for moving:
Number of late payments in past year: Security deposit held:$ Notice given?

What home(s) are your interested in:

First Choice Address:


Second Choice Address:


Third Choice Address:

Applicant's Current Employment Status
 Part-time Student Retired Self-employed Unemployed Other
Employer Supervisor Name
How Long at this place of Employment Address: City:
Phone: Job Title: Monthly Income:

If there is an additional, verifiable source of income you'd like considered for qualification, please list income source and information below regarding each source (e.g.,child support, Section 8 voucher, SSI, etc.)
Additional Source Amount: $ per Contact Person:
Phone: How long have you been receiving income from this source?

What would you like to tell us that will be important for us to know as we consider your application?

Have you ever:

Broken a lease? Yes No

Refused to pay rent for any reason? Yes No

Been evicted or asked to leave a rental unit? Yes No

Filed for bankruptcy? Yes No

Been convicted of a crime? Yes No

Will you give us permission to do a criminal background check? Yes No

The statements that I have made are true and correct. By signing this document, I hereby authorize Springfield Property Management, Inc. to contact my past rental references, check my credit, verify my employment history, and perform a criminal background check. I understand that this does not constitute a rental lease or agreement in whole or part.

Rental Application Criteria Notice: All applications for residency are processed in accordance with specific criteria. In reviewing your application, the following items will be taken into consideration:

  • Your credit history will be checked through the appropriate credit-reporting agencies and applicable governmental agencies. Discharged bankruptcies are acceptable.
  • Information pertaining to the last three years of your resident/rental history must be provided on your application. Information must include following: 1) The complete address of each residence 2) The names, addresses & phone numbers of each landlord 3) The dates of residence at each address.
  • (If you owned any places of residence, then information regarding your mortgage lender should be substituted for landlord information, along with the loan number.) A negative rental reference, unpaid balance to another property company, and unpaid balances to a utility company will be grounds for denial of your application.
  • Your local employer and/or other source(s) of income will be verified. You must include phone numbers of your current & past employers for the prior 2 years. Your gross monthly income must exceed three times the monthly rent of the residence for which you are applying. If you are unable to verify your income or if you have a marginal status regarding any of the categories above, either a guarantor or an additional deposit may be required. In addition, if you are marginal in two or more categories or if you have high risk status (such as previous evictions), you may not be approved.
  • Your name and identity will be verified against records of law enforcement agencies. We reserve the right to refuse rental of our properties to persons who have been convicted of a felony or any drug related activity.

A fee of $20 for checking checking credit and work history and
processing of application will be due at time of lease signing.
Applicant #1: Signature Date Printed Name



SPRINGFIELD PROPERTY MANAGEMENT, INC 2847 S INGRAM MILL B-102 SPRINGFIELD, MO 65804
PHONE 417-889-5678 / 417-693-9501 FAX 866-778-2694 www.SpringfieldRentalFinder.com
 

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