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Application Form

Property Address:		Unit #:
Rent($):

APPLICANT INFORMATION
EACH APPLICANT Must Fill Out A Separate Application
Applicant	Spouse	Co-Applicant	Guarantor

Last Name:		First Name:
Middle Name:		Maiden Name:
Social Security Number:		Birth Date:
Driver's License Number:		State of Issue:
Phone:		Email Address:
Have you gone by any other names?	Yes No	Please List:

OTHER PERSONS TO OCCUPY THE PROPERTY:


RELATIONSHIP TO APPLICANT:


Automobile Make:		Model:
Year:		License Number:
Vehicle Color:
Contact in Case of Emergency:		Retlationship:
Phone Number:

RESIDENCE HISTORY
IT IS THE APPLICANT'S RESPONSABILITY TO ENSURE ALL INFORMATION IS CORRECT AND COMPLETE. MISSING OR INCOMPLETE INFORMATION IS GROUNDS FOR REJECTION.

CURRENT ADDRESS:
Number:		Street:
Name:		Apt. #:
City:		State:
Zip Code:
Rent($):		Mortgage($):
Moved In:		Out:
Landlord:		LL Phone:
Reason For Leaving:

PREVIOUS ADDRESS:
Number:		Street:
Name:		Apt. #:
City:		State:
Zip Code:
Rent($):		Mortgage($):
Moved In:		Out:
Landlord:		LL Phone:
Reason For Leaving:

FORMER ADDRESS:
Number:		Street:
Name:		Apt. #:
City:		State:
Zip Code:
Rent($):		Mortgage($):
Moved In:		Out:
Landlord:		LL Phone:
Reason For Leaving:

EMPLOYMENT HISTORY
INFORMATION ON EMPLOYMENT HISTORIES MUST BE COMPLETE & ACCURATE IN ORDER TO VERIFY INCOME. PLEASE LIST PHONE NUMBERS OF PERSON TO VERIFY EMPLOYMENT.

PRESENT EMPLOYER:
Name of Company or Employer:

Phone:		Position:
Monthly Earnings($):		Start Date:

PREVIOUS EMPLOYER:
Name of Company or Employer:

Phone:		Position:
Monthly Earnings($):		Start Date:
End:

MISCELLANEOUS INFORMATION
Do you have any pets or do you intend to get any pets?:
If yes, what kind?:
Have you or any other occupant ever been convicted of a criminal offense?:			Yes No
Have you or any other occupant ever been evicted?:			Yes No
Are you or any other occupant a registered Sex Offender?:			Yes No
Have you filed bankruptcy in the last 10 years?:
Reason:

I understand that according to state and federal laws I have the right to dispute the accuracy of information provided by owner/landlord/agent disclosed above, and upon written request, the right to a complete and accurate disclosure of the nature and scope of the investigation and/or a written summary of my rights under the FCRA & WA Fair Credit Reporting Act. I certify that to the best of my knowledge all statments made herein are true and correct. I am aware that an incomplete application causes a delay in processing and may result in denial of residency. I understand that a NON-REFUNDABLE APPLICATION PROCESSING FEE of $35.00 will be charged for processing each application. I hereby grant permission to the owner/landlord/agent to obtain credit reports, public record information, verification of rental history, credit history, employment history & any necessary information. An investigative report will be provided to the rental owner or agent.

Date:		Manager:	Washington Home Realty
Check box to Verify all above information is true and we have the right to submit application for processing