I have read and agree to the Application Agreement. Click Here to read Application Agreement.
Application Fees are 35.00 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

12-13-2018
Applicant Information
First:
Middle Initial:
Last:
Date of Birth:
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SSN:
Home Number:
Cell Number:
Email:
Driver License #:

State:
Expires: Click Here
Automobile Information
Make:
Model:
Year:
Color:
License plate#:
State:

Make:
Model:
Year:
Color:
License plate#:
State:
Other Vehicles:

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
Are you currently unemployed?
Yes No
Current Employer
Employer:
Address:
City:
State:
Zip:
Phone Number:
  Ext:
Fax Number:
E-mail Address:
Supervisor Name:

Supervisor Number:
  Ext:

Your Title/Position:

Monthly Income:
Start Date:
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Additional Income
Additional IncomeSource Monthly Income
Pension
Social Security and/or SSI
Alimony
Child Support
AFDC/Government Assistance
Unemployment Compensation
Other
Applicant Questions
Are you over the age of eighteen?
Yes   No
Is your income verifiable?
Yes   No
Is your income at least 3 times the monthly rent?
Yes   No
Have you ever filed for bankruptcy?
Yes   No
Do you have a record of writing bad checks?
Yes   No
Have you ever been evicted?
Yes   No
Have you ever been asked to move?
Yes   No
Have you ever been convicted of selling, distributing or manufacturing drugs?
Yes   No
Do you have liquid furniture?
Yes   No
Do you know your credit score?
Yes   No  
Do you smoke? Note: No properties allow for smoking inside the residence.
Yes   No
How did you hear about us?
Pets
Do you have Pets?
Yes   No

Note: Photo of pet required.

Other Occupants (The maximum is six.)
Please list all people who will reside in the residence: 

Emergency Contacts
Emergency Contact
First:
Middle:
Last:
Home Phone:
Cell Phone:
Street1:
Street2:
City:
State: Zip:
Financial Information
Bank NameAccount TypeAccount NumberBranch or Address
Credit Reference NameAccount TypeBalance




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

References
First Name:
Last Name:
Address:
Time Known:
Occupation:
Phone:
First Name:
Last Name:
Address:
Time Known:
Occupation:
Phone:
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 Leu Real Estate and Property Management may freely give any requested information concerning me. Leu Real Estate & Property Management will be here after referred to as Leu.

I also hereby authorize Leu 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 Leu including but not limited to a credit check.  I further understand and agree that Leu Real Estate and Property Management 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, Leu Real Estate and Property Management may terminate my tenancy immediately and collect from me any damages incurred including reasonable attorney fees resulting there from. Leu Real Estate and Property Management agrees to provide equal opportunity housing that supports the spirit and intent of all local, state, and federal fair housing laws for all applicants without regard to color, race, religion, sex, marital status, mental or physical disability, age, familial status, sexual orientation, or national origin. Applicant may be denied for any or all of the following reasons: negative credit (including but not limited to I-9’s, collections, bankruptcies, judgements, liens), prior evictions, false information on the application, insufficient household income, current disputes with landlords, unfavorable rental references, or unfavorable employment references.

By signing below, the applicant acknowledges they have read and understand the foregoing application requirements and agree to the terms as written.

Applicant consents to allow owner/agent to verify tenancy information with previous or subsequent owners/agents. I release the owner/agent from any liability incurred in connection with the owner/agent’s investigation of me, the applicant.

The amount charged to screen each applicant is $35.00 and is itemized as follows:

  • Actual cost of credit report, unlawful detainer (eviction) search, and/or other screening reports: $6.00.
  • Cost to obtain, process and verify screening information (may include staff time and other soft costs): $29.00
  • Total Fee: $35.00.

The undersigned is applying to rent the premises designated as:

The rent for which is:

Length of Lease Desired:

Upon approval of this application, and execution of a rental/lease agreement, the applicant shall pay all sums due, including required security deposit before occupancy.

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 NAME:

APPLICANT SIGNATURE:




   
Database Info:  LEUENTER_62775  1stcallpropertymanagement