Homes By Luster, LLC Rental Application Form

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Personal Information

First Name:

Middle:

Last Name:

S.S. #:

Date of Birth:

Marital Status:

Single Married Divorced

Drivers License #:

State:

Phone :

CELL HOME

Phone :

HOME WORK

Present Home Address :

City/State/Zip :

Length of time :

Present Landlord :

Landlord Phone :

Reason for leaving :

Amount of rent :

Is your present rent upto date? :

Yes No

Previous Home Address :

City/State/Zip :

Length of time :

Previous Landlord :

Landlord Phone :

Reason for leaving :

Amount of rent :

Was your rent upto date? :

Yes No

Next Home Address :

City/State/Zip :

Length of time :

Previous Landlord :

Landlord Phone :

Reason for leaving :

Amount of rent :

Was your rent upto date? :

Yes No

Proposed Occupant(s)

Name :

Relationship :

Occupation :

Age :

Name :

Relationship :

Occupation :

Age :

Name :

Relationship :

Occupation :

Age :

Name :

Relationship :

Occupation :

Age :

Name :

Relationship :

Occupation :

Age :

Proposed Pet(s)

Name :

Type/Breed :

Indoor Outdoor

Age :

Name :

Type/Breed :

Indoor Outdoor

Age :

Name :

Type/Breed :

Indoor Outdoor

Age :

Vehicle(s) Information

Year :

Make :

Model :

Color :

Plate # :

State # :

Year :

Make :

Model :

Color :

Plate # :

State # :

Employment

Current Employer :

Occupation :

Hours/Weeek :

Supervisor :

Phone :

Years Employed :

Address :

City/State/Zip :

Current Employer :

Occupation :

Hours/Weeek :

Supervisor :

Phone :

Years Employed :

Address :

City/State/Zip :

Income

Current Income :

Weekly Bi-weekly Monthly Yearly

Source :

Proof of Income :

Yes No

Current Income :

Weekly Bi-weekly Monthly Yearly

Source :

Proof of Income :

Yes No

Current Income :

Weekly Bi-weekly Monthly Yearly

Source :

Proof of Income :

Yes No

Credit card / Financial Information

Car Loan
Lian Holder :

Balance
Owed :

Monthly
Payment :

Creditor's
Phone :

Creditcard
Company :

Balance
Owed :

Monthly
Payment :

Creditor's
Phone :

Creditcard
Company :

Balance
Owed :

Monthly
Payment :

Creditor's
Phone :

Creditcard
Company :

Balance
Owed :

Monthly
Payment :

Creditor's
Phone :

Child Support/
Other Credit Owed :

Balance
Owed :

Monthly
Payment :

Creditor's
Phone :

Bank Account /
Name of Bank :

Balance
Owed :

Monthly
Payment :

Creditor's
Phone :

Emergency / Personal Reference Information

Emergency Conact :

Phone :

Cell Home

Phone :

Home Work

Relation :

Address :

City/State/Zip :

Emergency Conact :

Phone :

Cell Home

Phone :

Home Work

Relation :

Address :

City/State/Zip :

Emergency Conact :

Phone :

Cell Home

Phone :

Home Work

Relation :

Address :

City/State/Zip :

Emergency Conact :

Phone :

Cell Home

Phone :

Home Work

Relation :

Address :

City/State/Zip :

Application Questionnaire / Authorization

Has applicant ever been used for bills? :

Yes No

Has applicant ever been locked out of their apartment by the sheriff? :

Yes No

Has applicant ever been bankrupt? :

Yes No

Has applicant ever been brought to court by another landlord? :

Yes No

Has applicant ever been guilty of a felony? :

Yes No

Has applicant ever moved owing rent or damaged an apartment? :

Yes No

Has applicant ever broken a Lease? :

Yes No

Is the total move-in amount available now (rent and deposit)? :

Yes No

Applicant authorizes the landlord to contact past and present landlords, employers, creditors, credit bureaus, neighbors and any other sources deemed necessary to investigate applicant. All information is true, accurate and complete to the best of applicant's knowledge. Landlord reserves the right to disqualify tenant if information is not as represented.
ANY PERSON OR FIRM IS AUTHORIZED TO RELEASE INFORMATION ABOUT THE UNDERSIGNED UPON PRESENTATION OF THIS FORM OR A PHOTOCOPY OF THIS FORM AT ANY TIME.

If you have any questions about the interpretation or legality of this form, please consult an attorney or other qualified person.