I have read and agree to the Application Agreement. Click Here to read Application Agreement.
Application Fees are 45.00 plus an additional $10 for each 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:
Click Here
Date Submitted

07-25-2017
Applicant type: Individual   Co-Applicant
Applicant Information
First:
Middle:
Last:
Date of Birth:
Click Here
SSN:
Home Number:
Cell Number:
Email:
Driver License #:
State:
Expires: Click Here

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:

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:

Monthly Income:
Start Date:
Click Here
End Date:
Click Here
Applicant Questions
Have you ever been asked to move out of a residence?
Yes   No

Have you ever been party to an eviction?
Yes   No
Are you a registered sex offender?
Yes   No
Have you or any member of your household been convicted or pleaded no contest to a felony?
Yes   No


Do you have liquid furniture? (i.e. waterbed)
Yes   No

Do you have renter insurance?
Yes   No
Have you ever filed bankruptcy?
Yes   No
Have you ever had any collections?
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:
Nearest Relative (Not residing in the property.):
First:
Middle:
Last:
Home Phone:
Cell Phone:
Street1:
Street2:
City:
State: Zip:

Personal References(Do not list relatives.)
Personal Reference 1:
First:
Middle:
Last:
Home Phone:
Cell Phone:
Street1:
Street2:
City:
State: Zip:
Personal Reference 2:
First:
Middle:
Last:
Home Phone:
Cell Phone:
Street1:
Street2:
City:
State: Zip:
Financial Information
Bank NameAccount TypePhone
Credit Reference NameAccount TypeBalance




Do you own a home or other real estate? Yes   No

Additional Income SourceMonthly Income
Pension
Social Security and/or SSI
Alimony
Child Support
AFDC/Government Assistance
Unemployment Compensation
Other
Additional Comments or Notes
Application Completion

DISCLOSURE AND AUTHORIZATION

I understand that I must sign a lease and pay the first month's rent within 10 days of paying the deposit.

I understand that the deposit is non-refundable if applicant is approved.

I understand that once I give HTPM money to hold a unit, should I choose not to take the held unit; Industrial Leasing will keep the full amount.

I understand that there is a 45.00 non-refundable application fee for first applicant and $10 for each applicant 18 or over. Must be paid upon applying for a unit.

I understand that the utilities must be connected in my name within 3 business days of the lease signing.

I agree to give HTPM permission to run a credit check and a criminal background check.

I certify that the information the provided is true to the best of my knowledge.

I understand that if I owe any outstanding balance for unpaid rent, utilities, or damages to HTPM or any companies affiliated with HTPM, the deposit will be kept to pay towards that debt.

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:  INDUSTLS_102541  Industrial_Leasing