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Blank Form
Selection Criteria
Tenant Selection Criteria
I have read, and agree to the tenant selection criteria above.
*
Property
Street
*
City
*
State
*
Zip Code
*
Anticipated Move-in Date
Monthly Rent
Where did you hear about the landlord?
Name
Phone
Real Estate Agent
Phone
Newspaper
Sign
Internet
Other
If other
Applicant Information
First
*
Middle
Last
*
Applicant's former last names
Is there a co-applicant
Yes
No
If yes, co-applicant must submit a seperate application
E-mail address
Home Phone
Work Phone:
Mobile/Pager
Soc. Sec No.
*
Drivers License No.
*
Drivers License State
*
Height
Weight
Eye Color
Hair Color
Date of Birth
*
Marital Status
Country of Citizenship
Emergency Contact: (Do not use name of an occupant of co-applicant)
First Name
Last Name
Street
City
State
Zip Code
Phone
E-mail
Name all other persons who will occupy the property
Name
Relationship
Age
Name
Relationship
Age
Name
Relationship
Age
Name
Relationship
Age
Applicant Current Address
Street
Apt No.
City
State
Zip
Landlord's Name
Email
Day Phone
Night Phone
Cell Phone
Fax
Date Moved-In
Date Moved-Out
Rent
Reason for Move
Applicant Previous Address
Street
Apt No.
City
State
Zip
Landlord's Name
Email
Day Phone
Night Phone
Cell Phone
Fax
Date Moved-In
Date Moved-Out
Rent
Reason for Move
Applicant's Current Employer
Employer
Street
City
State
Zip Code
Supervisor's Name
Phone
Fax
Email
Start Date
Gross Monthly Income
Position
Note: If applicant is self-employed, Landlord may require one or more previous year's tax return attested by a CPA, attorney, or other tax professional.
Applicant's Previous Employer
Employer
Street
City
State
Zip Code
Supervisor's Name
Phone
Fax
Email
Start Date
Gross Monthly Income
Position
Note: If applicant is self-employed, Landlord may require one or more previous year's tax return attested by a CPA, attorney, or other tax professional.
Describe other income Applicant wants Considered
Vehicles
List all vehicles to be parked on the Property
Type
Year
Make
Model
License#/State
Mo. Payment
Type
Year
Make
Model
License#/State
Mo. Payment
Type
Year
Make
Model
License#/State
Mo. Payment
Pets
List all pets to be kept on the Property
(dogs, birds, fish, and other pets. No Cats Allowed)
Type/Breed
Name
Color
Weight
Age
Gender
Neutered
Yes
No
Declawed
Yes
No
Rabies Shot Current
Yes
No
Type/Breed
Name
Color
Weight
Age
Gender
Neutered
Yes
No
Declawed
Yes
No
Rabies Shot Current
Yes
No
Other Considerations
Will any Waterbeds or water-filled furniture be on Property
Yes
No
Does anyone who will occupy the Property smoke
Yes
No
Will Applicant maintain renter's insurance
Yes
No
Is Applicant or Applicant's spouse, even if seperated, in military
Yes
No
If yes, is the military person serving under orders limiting the military person's stay to one year or less
Yes
No
Has Applicant Ever
Been evicted
Yes
No
Been asked to move out by a landlord
Yes
No
Breached a lease or rental agreement
Yes
No
Filed for Bankruptcy
Yes
No
Lost a property in foreclosure
Yes
No
Had any credit problems, slow-pays or delinquencies
Yes
No
Been convicted of a crime
Yes
No
Is any occupant a registered sex offender
Yes
No
Are there any criminal matters pending against any occupant
Yes
No
Is there additional information Applicant wants considered
Yes
No
Is there additional information Applicant wants considered
Signatures
Blessed Properties uses DocuSign to obtain verified electronic signatures.
What email address would you like the signature request sent to?
Email
*
Submit
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