I have read and agree to the Application Agreement. Click Here to read Application Agreement.

Application Fees are 50.00 per person anyone 18 years of age or older in the household.
(NOTE:  An application will not be processed until fees are received.)

Fill out all fields that are applicable to you. Information that is applicable to you but not provided on this application may be cause for denial.

Property Information
Property Address:
Monthly Rent:
$
Security Deposit:
$
Desired Move-in Date:
Click Here
Date Submitted

11-21-2018
Applicant type: Individual   Co-Applicant

Applicant was referred to Landlord by:

Real estate agent   Sign Internet Other
Applicant Information
First:
Middle:
Last:
Date of Birth:
Click Here
SSN:
Home Number:
Work Number:
Cell Number:
Email:
Height:     Weight:     
Hair Color:
    Eye Color: 
Marital Status:
Married     Single
Citizenship (Country):

Driver License #:
State:
Expires: Click Here
Automobile Information

If more than 2 vehicles will be on property, add this information in "Additional Comments" below.

Make:
Model:
Year:
Color:
License plate#:
State:
Car payments:
Yes   No
Payment:
$ (monthly)

Make:
Model:
Year:
Color:
License plate#:
State:
Car payments:
Yes   No
Payment:
$ (monthly)

Any other name(s) used (including maiden name): 
Residential History
Current Address
Street1:
Street2:
City:
State: Zip:
Residency: Rent   Own
Previous Address
Street1:
Street2:
City:
State:
Zip:
Residency:
Rent   Own
Employment Information
Are you Retired?
Yes No
Current Employer
Employer:
Address:
City:
State:
Zip:
Phone Number:
  Ext:
Supervisor Name:

Supervisor Number:
  Ext:

Your Title/Position:

Gross Monthly Income:
Start Date:
Click Here
Are you Self-Employed?
Yes No
Previous Employer
Employer:
Address:
City:
State:
  Zip: 
Phone Number:
  Ext:
Supervisor Name:

Supervisor Number:
  Ext:

Your Title/Position:

Gross Monthly Income:
Start Date:
Click Here
End Date:
Click Here
Applicant Questions (All questions are required.)
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 property in a 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
Will any waterbeds or water-filled furniture be on the Property?
Yes   No

Will applicant maintain renter's insurance?
Yes   No
Does anyone who will occupy the Property smoke?
Yes   No

Have you ever had any collections?
Yes   No
Is Applicant or Applicant's spouse, even if separated, in military?
Yes   No

Pets
Do you have Pets?
Yes   No
Other Occupants (Type a last name then hit Tab to add another occupant. The maximum is six.)
Please list all people who will reside in the residence:
First: MI: Last: Relation: Date of Birth: Click Here Gender:

Emergency Contact:
First:
Middle:
Last:
Home Phone:
Cell Phone:
Street1:
Street2:
City:
State: Zip:
Email:
Nearest Relative (Not residing in the property.):
First:
Middle:
Last:
Home Phone:
Cell Phone:
Street1:
Street2:
City:
State: Zip:
Email:

Financial Information
Additional Income SourceMonthly Income
Pension
Social Security and/or SSI
Alimony
Child Support
Additional Income SourceMonthly Income
AFDC/Government Assistance
Unemployment Compensation
Other
Do you own a home or other real estate? Yes   No

Additional Comments or Notes
Application Completion

DISCLOSURE AND AUTHORIZATION

The undersigned declares that the information on this rental application is true and correct, and understands that false statements may result in rejection of this and any future applications for housing we manage.  The undersigned does further understand that all persons or firms associated with HBH Management may freely give any requested information concerning me.

I, the undersigned, give my permission:

  1. to my current and former employers to release any information about my employment history and income history to HBH Management and affiliates;
  2. to my current and former landlords to release any information about my rental history to HBH Management and affiliates;
  3. to my current and former mortgage lenders on property that I own or have owned to release any information about my mortgage payment history to HBH Management and affiliates;
  4. to my bank, savings and loan, or credit union to provide a verification of funds that I have on deposit to HBH Management and affiliates; and
  5. to HBH Management and affiliates to obtain a copy of my consumer report (credit report) from any consumer reporting agency and to obtain background information about me.

Further if in the future, any information provided in this application proves to be falsified, HBH Management may terminate my tenancy immediately and collect damages incurred including reasonable attorney fees and others resulting there from.

Investigational Background Search Disclosure

HBH Management conducts applicant screening on persons applying to live in our managed properties; such screenings may include criminal background investigations. Prior to acceptance of an applicant, we will use an independent consumer reporting agency to search public records which may contain criminal background information regarding the applicant. HBH Management will determine if the criminal background information pertains to the applicant and if the report indicates that one or more such felony and or misdemeanor records were found. We will then compare the records to our established acceptance policies to determine whether or not the applicant may be accepted. If your application is declined based on the discovery of public records that indicate an unacceptable criminal background, you will be given the name, address, and telephone number of the consumer reporting agency that provided the criminal background report. An applicant who is declined based on a criminal background may obtain a free copy of the report and may initiate a reinvestigation to have any erroneous information contained in the report corrected. The consumer reporting agency will advise you of the procedures that you should follow in order to do so.

I, the undersigned Applicant, agree to the above terms and do hereby swear (or affirm) that the information supplied herein is true and complete, to the best of my knowledge and belief.  By clicking "Apply Now" you agree to the terms stated above.  Please enter your full name to signify your digital signature, thereby confirming that you have read and agree with all the above statements and have provided complete and accurate information.  Applicant authorizes verification of references given and declares that the statements made in this application are true and correct and agrees that the landlord may terminate the contract entered into in reliance on any misstatement made in this application.


APPLICANT SIGNATURE: 




   
Database Info:  HBH001_112585  HBH_Management