Rental Application Form

NOTE: A $50.00 (LOCAL) $70.00 (OUT OF STATE) PER PERSON, NON REFUNDABLE APPLICATION FEE (NO PERSONAL CHECKS) IS REQUIRED WHEN FILLING OUT THE APPLICATION. THIS COMPLETED APPLICATION CANNOT BE RETURNED TO THE APPLICANT. THE MANAGEMENT RESERVES THE RIGHT TO ADVANCE ANY APPLICATION OUT OF ORDER IN WHICH IT WAS RECEIVED. SHOULD YOUR APPLICATION BE ACCEPTED, PAYMENT FOR THE FIRST MONTH'S RENT AND SECURITY DEPOSIT MUST BE MADE WITHIN THREE DAYS OF APPROVAL IN THE FORM OF CERTIFIED CHECK OR MONEY ORDER! SIGNING OF APPLICATION MUST BE WITNESSED BY A FRED A. SMITH COMPANY EMPLOYEE OR A NOTARY PUBLIC.

How Did You Hear About The Unit? Newspaper Internet Friend or Relative Resident Manager

Have you seen the apartment? Yes No

Location Desired: Apartment #:

Rent $: Current Rent Ceiling $: Increase Pending $:

Applicant Information

Last Name: First Name: Middle Initial: Suffix:

Date of Birth:

Social Security Number:

Phone Number:

E-Mail Address

Number of Occupants:

Adults:

Children:

Pets: Type:

Rental History

CURRENT Rental

Present Address:

City: State: Zip Code:

Present Landlord:

Landlord Telephone:

Present Monthly Rental Rate $:

Length of Occupancy:

Previous Rental

Previous Address:

City: State: Zip Code:

Previous Landlord:

Landlord Telephone:

Previous Monthly Rental Rate $:

Length of Occupancy:

Next of Kin

Nearest Relative Not Living With You:

Relationship:

Telephone Number:

Address:

Personal References

First Reference

Name:

Address:

Phone (W): Phone (H):

Second Reference

Name:

Address:

Phone (W): Phone (H):

Employment Information

Primary Employer

Employer:

Address:

Phone Number:

Position: Monthly Salary: Length of Employment:

Secondary Employer

Employer:

Address:

Phone Number:

Position: Monthly Salary: Length of Employment:

Previous Employer

Employer:

Address:

Phone Number:

Position: Monthly Salary: Length of Employment:

Have You Ever Been Sued in Landlord and Tenant's Court? No Yes

Are you, or any occupant of the residence herein applied for, a wife, child or other dependent of a person in the military service? Relation: Branch: Serial Number:

NOTICE: READ CAREFULLY. The Fair Credit Reporting Act requires that no investigative report be made on any consumer unless he/she has given written approval that such a report may be or has been requested and he/she is informed that he/she has the right to ask for disclosure of the type of information being sought. As part of our application procedure, Fred A. Smith Company may make inquiries that can provide pertinent information concerning applicant's character, mode of living and general tentantability. All information gathered as part of our tenant screening process is held in strict confidence.

I hereby give permission to Fred A Smith Company to contact any credit bureau for credit information as well as any reference listed on the application without further notice to the applicant.

The successful applicant agrees to promptly execute a written rental agreement with Fred A. Smith Company, as agents of the property owner.

The information I have given in this application is, to the best of my knowledge, correct. It is understood and agreed that any false information given could lead to the rejection of this application and/or termination of any lease agreement between landlord and tenant.

Please Note: Clicking "Print Preview" will open this form in a printable form in a new window. You will need to print this form, sign it and have it notarized before submitting it to FAS Rentals.