Application for ResidencyPlease fill in all fields before clicking submit.Applicant InformationName First Middle Last Social Security NumberDate of Birth MM slash DD slash YYYY Drivers LicenseIssuing StateColoradoAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificPhoneEmail Resident HistoryCurrent Address Street Address Address Line 2 City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Name of LandlordLandlord PhoneAmount of RentMonths at Current ResidenceEmployment HistoryCurrent EmployerPhoneSupervisorEmployment Address Street Address Address Line 2 City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Monthly Net IncomeNumber of Months EmployedBank ReferencesName of BankBranch LocationBank PhoneChecking Account BalanceSavings Account BalanceOccupant InformationHow many people will occupy the home?List below the individuals that will be occupying the home. If over age 18 years, a separate Application for Residency and background check are required.Name First Last RelationshipDate of Birth MM slash DD slash YYYY Name First Last RelationshipDate of Birth MM slash DD slash YYYY Name First Last RelationshipDate of Birth MM slash DD slash YYYY HAVE YOU OR ANY MEMBER OF YOUR HOUSEHOLD INCLUDING JUVENILES:1. EVER been arrested, cited, prosecuted, plead guilty to, or been convicted of a crime? YES NO2. EVER been placed on probation, parole, or any other release from jail, or prison? YES NO3. EVER been or currently are a gang member? YES NO4. Is a current warrant for you or ANY other member of your household’s arrest? YES NO5. Currently involved in ANY criminal activity? YES NO6. EVER been evicted if had a forcible detainer filed against you? YES NO7. EVER moved to avoid eviction if because of a problem with other tenants or a landlord? YES NOExplain ALL “YES” answers IN DETAILWill there be any pets in the dwelling unit? YES NOIf YES, list information for all pets residing at the homesite:Name - Type/Breed - Weight - License # - ColorName - Type/Breed - Weight - License # - ColorHow many vehicles do you plan to park at home site?012345List information for vehicles parked at homesite:Vehicle 1Vehicle 2Emergency ContactsContact 1Contact 2Upload Your Documents Please upload a copy of your Drivers License (front & back), 3 months bank statements, and your last 3 paycheck stubs.FileMax. file size: 40 MB. PLEASE READ CAREFULLY Applicant represents that all of the above statements are true and complete, and hereby authorize verification now and in the future, of above information, references and credit records. Applicant acknowledges that ANY false information contained herein constitutes grounds for rejection of this application if discovered before or after move‐in. This application is preliminary only and does not obligate owner or representative to execute a lease or deliver possession of proposed premises. By signing this application, applicant(s) authorize all persons/firms named and unnamed in this application to freely provide any and all requested information concerning applicants and hereby give all right of action for any consequences resulting from such information.Signature(Required)Date(Required) MM slash DD slash YYYY
