I have read and agree to the Application Agreement. Click Here to read Application Agreement.
Application Fees are 30.00 per person over the age of 18 in the household.
(NOTE:  An application will not be processed until fees are received.)
Property Information
Property Address:
Date you will take occupancy:
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Date Submitted

06-22-2018
Applicant type: Individual   Co-Applicant
Applicant Information
First Name:
Middle Initial:
Last Name:
Email:
Date of Birth:
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SSN:
Phone:



Current Residence:
Current Address:
City:
State: Zip:
Landlord:
Phone:
How long?:
Previous Residence:
Previous Address:
City:
State: Zip:
Previous Landlord:
Phone:
How long?:

Employment Information
Employer:
Address:
City:
State:
Zip:
Phone:
  Ext:
E-mail:
Your Position:
Annual Income:
Hourly Salary
Hire Date:
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Additional Persons
Please list all people who will reside in the residence: 

Emergency Contact
Name of a person not residing with you:
First:
Middle:
Last:
Phone:


Address:
City:
State: Zip:
Relationship:
References
First Name:
Last Name:
Phone:
First Name:
Last Name:
Phone:
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 Adkins, McNeill, Smith and Associates may freely give any requested information concerning me.

I also hereby authorize Adkins, McNeill, Smith and Associates to verify my past and present employment earnings records, bank statements, previous residences and/or any information given for the purposes of renting and/or leasing through Adkins, McNeill, Smith and Associates including but not limited to a credit check.  I further understand and agree that Adkins, McNeill, Smith and Associates will rely upon this rental application as an inducement for entering into a rental agreement or lease and I warrant that the facts contained in this application are true.  If any facts prove to be untrue, Adkins, McNeill, Smith and Associates may terminate my tenancy immediately and collect from me any damages incurred including reasonable attorney fees resulting there from.  Adkins, McNeill, Smith and Associates welcomes all applicants and supports fair housing.  We do not refuse to lease or rent any housing accommodations or property nor in any other way discriminate against a person because of sex, marital status, race, creed, religion, age, familial status, physical or mental handicap, color or national origin.

Investigational Background Search Disclosure

Adkins, McNeill, Smith and Associates 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 may use an independent consumer reporting agency to search public records which may contain criminal background information regarding the applicant.  Adkins, McNeill, Smith and Associates 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.

Valid Photo Identification must be presented prior to final approval of this application.

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:  HOF001_93303  HOF_AMSA_Hoffman_Team