Have
you ever been evicted from an apartment/house?
Have
you ever been convicted of a felony? If
yes, date?
Present Address:
Present
Address:
City, State, Zip:
Current
Landlord
Mortgager:
From
(Date):
Current
Rent - $/Month:
Previous
Address:
City, State, Zip
Employment:
Present
Employer:
Employer
Address:
Work
Phone:
Position:
Start
Date:
Gross
Monthly Income:
Supervisor:
Other Source
of Income:
References:
Closest
Relative:
Relationship:
Address:
Phone:
What
you are looking for...
#
of Bedrooms?
Move
in Date?
Total
Number of Occupants: Adults:Children:
Children's
name and ages:
Additional
Comments:
Subject to
management’s approval, the undersigned applicant
hereby makes application to lease an apartment. The
relationship that Maxima Investments, Inc. has with the
applicant below is that of Owner’s Agent. The form was
provided to applicant prior to disclosure of any
confidential information.
The information provided in this application is
submitted as an inducement to management to approve this
application. The undersigned applicant warrants that all
of the representations and statements provided on this
application are true and complete and it is understood
that, if this application is approved, the information
provided here will be incorporated into and made a part
of any lease I sign. False or incomplete information on
this application shall be cause for rejection of this
application or for termination of such a lease at
management’s discretion. I hereby give my permission
to have any of the statements made or information
provided on this application verified by a credit
reporting agency or to other similar entity or by any of
the landlords, mortgages, employers, or other sources
identified on this application. I further understand
that management’s review and assessment of this
application may include acquisition of my criminal
history record, if any. I hereby give Maxima
Investments, Inc. permission to acquire such information,
solely for the purpose of reviewing and assessing this
application.
