The information collected below will be used to determine whether you qualify as a tenant. It will not be disclosed without your consent except to your employers for verification of income and employment and to financial institutions for verification of assets, and as required and permitted by law. You do not have to provide this information. However, if you do not, your tenant application may be delayed or rejected.

If you are interested in one of our units, please complete the application below.

Address(es) of desired unit(s)
Desired Date of Occupancy
Number of People to Occupy the Home
Do you have a Section 8 Voucher?
 
**  Required

Applicant Name

**
Email
**
Phone Number
**
   
PRESENT / CURRENT Address
City
State
Zip Code
Current Monthly Rent
Present Community Name
Landlord Phone#
Length Of Residence
   
FORMER Address
City
State
Zip Code
Monthly Rent
Reason For Leaving
Landlord Phone#
Length Of Residence
   

HOUSEHOLD COMPOSITION

List yourself as #1
Full Name
Relationship
Age
Social Security #
Date Of Birth
Marital Status

(S/M/W/SEP/D)
Full Time Student?
             
   
Person #2 Full Name
Relationship
Age
Social Security #
Date Of Birth
Marital Status

(S/M/W/SEP/D)
Full Time Student?
             
   
Person #3 Full Name
Relationship
Age
Social Security #
Date Of Birth
Marital Status

(S/M/W/SEP/D)
Full Time Student?
             
   
Person #4 Full Name
Relationship
Age
Social Security #
Date Of Birth
Marital Status

(S/M/W/SEP/D)
Full Time Student?
             
   
Person #5 Full Name
Relationship
Age
Social Security #
Date Of Birth
Marital Status

(S/M/W/SEP/D)
Full Time Student?
             
   
Person #6 Full Name
Relationship
Age
Social Security #
Date Of Birth
Marital Status

(S/M/W/SEP/D)
Full Time Student?
             
   
Person #7 Full Name
Relationship
Age
Social Security #
Date Of Birth
Marital Status

(S/M/W/SEP/D)
Full Time Student?
             
   
Person #8 Full Name
Relationship
Age
Social Security #
Date Of Birth
Marital Status

(S/M/W/SEP/D)
Full Time Student?
             
   
1. Are any household members listed above foster children?
             
If YES, Who?
   
2. Are any household members listed above live-in attendants?
             
If YES, Who?
   
3. Are any household members listed above planning to attend school full-time?
             
If YES, Who?
   
4. Does anyone live with you now who is not listed above?
             
5. Does anyone plan to live with you in the future who is not listed above?
             
6. Do you anticipate any changes to your household composition in the next twelve months?
             
Please explain if you answer "YES" to any of questions 4-6 above:
   

7. EMPLOYMENT INFORMATION

Applicant's Full Name

Occupation
Employer
Employer Phone #
Employer Fax #
Salary $
per
    
# Hours Per Week
Date Hired
Name and Address of previous employer
(if employed at present position less than 2 years)
Previous Employer Phone #
   

Spouse's Full Name

Occupation
Employer
Employer Phone #
Employer Fax #
Salary $
per
    
# Hours Per Week
Date Hired
Name and Address of previous employer
(if employed at present position less than 2 years)
Previous Employer Phone #
   
8. If you have no salary, from what source will your rent be paid?
   

OTHER SOURCES OF INCOME

Do you receive income from any of the following? Please mark "YES" or "NO" for each source of income.
9. Second Job              
10. Bonuses              
11. Tips              
12. Commissions / Fees              
13. Overtime Pay              
14. Workers Compensation              
15. Unemployment              
16. Alimony              
17. Child Support              
18. Social Security              
19. Grants              
20. Scholarships              
21. Recurring Gifts              
22. AFCD/TANF              
23. Other              
For each "YES" marked above, please complete the following:
Household Member Name
Source
Amount Received $
per
    
   
Household Member Name
Source
Amount Received $
per
    
   
Household Member Name
Source
Amount Received $
per
    
   
Household Member Name
Source
Amount Received $
per
    
   
Household Member Name
Source
Amount Received $
per
    
   
Household Member Name
Source
Amount Received $
per
    
   

HOUSEHOLD ASSETS
(If total is less than $5,000, complete Form #8)

Do you have any of the following types of assets? Please mark "YES" or "NO" for each type of asset.
24. Checking Account              
25. Savings Account              
26. Cash              
27. Certificate Of Deposit*              
28. IRA/Keough Account*              
29. Retirement/Pension Fund*              
30. Mutual Funds / Stocks*              
31. Real Estate / Land*              
32. Revocable Trust Fund              
33. Mortgage / Note Held              
34. Life Insurance Policy*              
35. Personal Property Held As Investment              
For each "YES" marked above, please complete the following:
Household Member Name
Type of Asset
Cash Value (see note) $
Interest Asset will earn in next 12 months. $
   
Household Member Name
Type of Asset
Cash Value (see note) $
Interest Asset will earn in next 12 months. $
   
Household Member Name
Type of Asset
Cash Value (see note) $
Interest Asset will earn in next 12 months. $
   
Household Member Name
Type of Asset
Cash Value (see note) $
Interest Asset will earn in next 12 months. $
   
36. Have you sold any property for less than it is worth within the past two years? (If sale due to bankruptcy, foreclosure, divorce, answer no.)              
If YES, explain:
   
Do you have pets?              
Have you ever been evicted?              
Have you ever been convicted of a crime?              
   
Emergency Contact
Emergency Contact Cell Phone #
Emergency Contact Relationship
 
The information provided above is true and complete to the best of my knowledge and belief.

I consent to the disclosure of income and financial information from my employer and financial references for purposes of income and asset verification related to my application for tenancy.

By clicking "Accept/Send" below, I authorize Gulf Grove Apartments to make inquiries through the Credit Bureau and/or from my employer and other references that I have supplied on this rental application.

This application is made with the understanding that it is subject to acceptance by the owner and subject to execution by an officer of said company and delivery of a lease covering said premises.

Please allow a minimum of 5 days to process your application for both credit and character references.

You have no objection to inquiries for the purposes of verification of the above statements. This includes a police check. It is understood that the above information will be held in strict confidence.

Falsification of application information will result in termination of application and/or Lease Agreement.

I have been advised and understand that residency at the address(es) listed above entails certain income restrictions and that residency is subject to qualification.

I agree that in addition to a Lease Agreement that I will execute a TENANT INCOME CERTIFICATION attesting to the information contained herein which certification will be made under the penalty of perjury.
Type Applicant Full Name Date
   
Type Spouse Full Name Date
   
   
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