Application – Atlas Management Group

Property Selection:

For the rental property located at:

The unit of interest:

Desired move-in date:

Application Type:

Applicant:

(Each Applicant over the age of 18 must complete their own application form and be approced for tenancy)

*Last Name:

*First Name:

Middle Name:

*Cell Phone:

Work Phone:

Home Phone:

*Date of Birth:

*Social Security # or ITIN:

Driver's License #:

Driver's License Exp. Date:

Other Government Id No.:

*Email:

Other Names Used In the Last 10 Years:

Current Income:

*Income

*Frequency:

*Source:

*Proof of Income:

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Other Income Sources:

Employment Information:

Current Employment

*Employer:

*Address:

*Phone:

*Supervisor's Name:

*Current Title:

*Current Pay Rate:

*Pay Rate Frequency

*Employed From:

To:

*Are you currently employed with the above company?

We will be contacting current employer to verify the accuracy of all of the above-stated information.

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Additional Occupants

(All persons 18 or over must fill-out their own application, unless otherwise allowed by law.)

First Name:

Middle Name:

Last Name:

Date of Birth:

Relationship To Applicant:

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Residence Information

Current Residence

Please list for the last five (5) years

*Current Street:

*Current City:

*Current State:

*Current Zip:

*Tenancy From:

Tenancy To:

*Last Rent Paid (amount and month):

*Owner/Manager's Name:

*Owner/Manager's Phone #:

*Are you currently residing here?

*Did you ever pay your rent late or fail to pay your rent, while you were residing here?

*Were you ever given a notcie stating that you are violating the rental agreement or rules while you were residing here?

*What is your reason for leaving?

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Credit Information

Please list all of your financial obligations and assets

Bank Account Type (Checking or Savings):

Name of Bank:

Branch or Address of Bank:

Balance:

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Credit Accounts (Name of Creditor):

Address:

Phone Number:

Monthly Payment:

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Car Payment

Monthly Amount Owed:

Lienholder/Bank:

Creditor's Phone Number:

Total Amount Owed:

Child Support

Monthly Amount Owed:

Lienholder/Bank:

Creditor's Phone Number:

Total Amount Owed:

Alimony

Monthly Amount Owed:

Lienholder/Bank:

Creditor's Phone Number:

Total Amount Owed:

Other

Other Payment Obligation:

Monthly Amount Owed:

Lienholder/Bank:

Creditor's Phone Number:

Total Amount Owed:

Vehicle Information

Number of vehicles parked at the Premises.

Vehicle Description

Make:

Model:

Year:

License No.:

Color:

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Other Vehicles (motorcycle, etc) Please describe:

Make:

Model:

Year:

License No.:

Color:

Personal References

*Name:

*Address:

*Phone Number:

*Relationship:

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Pet Information

Name:

Type/Breed:

Height/Weight:

License No.:

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Emergency Contact Information

(In case of Emergency, notify:)

*Name:

*Address:

*Phone Number:

*Relationship:

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General Information

(Select the answer that applies)

*Do you smoke?

*Have you ever been a party to a lawsuit? (If so, describe below)

*Have you ever filed for bankruptcy? (If so, describe below)

*Do you have any liquid-filled furniture or do you intend to use liquid-filled furniture in the Premises? (If so, describe below)

*Have you ever been convicted for a crime against persons or property?

*Have you ever been evicted for non-payment of rent or any other reason or asked to leave a prior residence?

*Proof of Income:

If you answered "YES" to any of the above questions, please explain below:

Applicant represents that all information given and statements made on this application are true and correct. Applicant hereby authorizes Owner/Agent to verify and investigate by whatever means possible all facts and references stated herein, including but not limited to, current and previous landlords and employers, and personal references. Applicant hereby authorizes Owner/Agent to obtain Unlawful Detainer, Credit Reports, Telechecks, and/or criminal background reports. Applicant agrees to furnish additional credit and/or personal references upon request. Applicant understands that incomplete or incorrect information provided in the application may cause a delay in processing and/or may result in denial of tenancy. Applicant acknowledges that Owner/Agent will rely on the information provided herein, and that any material misstatement(s) will, at Owner/Agent's option, be a material and non-curable breach of any subsequent rental agreement and grounds for immediate eviction.

*Signature of Applicant

*Date: