Rental Application - Indigo Iris Investments - Indigo Iris Investments LLC

Rental Application Equal Housing Opportunity
The undersigned hereby makes an application to rent the property identified below.

Choose One *

933 N Jenison Ave (2 BR home) -- Rent $750 / month + utilities -- Security Deposit $750 918 W Barnes Ave (rooms) -- Rent $385 / month, all utilities included -- Security Deposit $300 5711 Piper Ave (4 BR home) -- Rent $980 / mo + utilities -- Security Deposit $980

Anticipated Move-In Date *

Please Tell Us About Yourself

Name *

First

Last

Phone Number *

Alternate Phone *

Email *

Date of Birth *

Social Security Number *

Co-Applicant Name *

First

Last

Co-Applicant Date of Birth *

Co-Applicant Social Security Number *

Name(s) of Dependent(s) and Birthdates *

Describe the number and type of pets you want to have in the rental property, if any: *

Do you intend to have water-filled furniture in the rental property? *

Yes No

If yes, please describe: *

Do you smoke? *

Yes No Yes, but not indoors

Please Give Residential History (Last 3 Years or Residences)

Current Address *

Line 1

Line 2

City

State

Zip Code

Country

Month/Year Moved In - Current Address *

Rent - Current Address *

Reason(s) for Leaving - Current Address *

Owner/Agent Name - Current Address *

Owner/Agent Phone Number - Current Address *

May we contact? *

Yes No

First Previous Address *

Line 1

Line 2

City

State

Zip Code

Country

Months & Years Lived There (From / To) *

Rent - First Previous Address *

Reason(s) for Leaving - First Previous Address *

Owner/Agent Name - First Previous Address *

Owner/Agent Phone Number - First Previous Address *

Second Previous Address *

Line 1

Line 2

City

State

Zip Code

Country

Months & Years Lived There (From / To) *

Rent - Second Previous Address *

Reason(s) for Leaving - Second Previous Address *

Owner/Agent Name - Second Previous Address *

Owner/Agent Phone Number - Second Previous Address *

Please Provide Your Employment / Income Information

Your Employment Status *

Full Time Part Time Student Unemployed

Employer *

Dates Employed *

Position *

Supervisor Name *

Supervisor Phone Number *

Gross Income (before deductions) *

Income Per *

Hour Week Month Year

If employed by above for less than 12 months, give name & phone of previous employer or school: *

If you have other sources of income that you would like us to consider, please
list income, source, and person (banker, employer, etc.) who we may contact for
confirmation. You do not have to reveal alimony, child support, or spouse's
annual income unless you want us to consider it in this application.

Amount *

Source *

Contact Name *

Contact Phone Number *

Please List Your References

Bank Accounts:

Checking Account Number *

Checking Account Bank/Institution *

Savings Account Number *

Savings Account Bank/Institution *

Other Account Number *

Other Account Bank/Institution *

Driver's License:

Driver's License Number *

Driver's License Issuing State *

Emergency Contact:

Emergency Contact Name *

Emergency Contact Address *

Emergency Contact Phone *

Relationship *

Personal References:

Reference 1 Name *

Reference 1 Address *

Reference 1 Phone *

Reference 1 Relationship *

Reference 1 - Years Known *

Reference 2 Name *

Reference 2 Address *

Reference 2 Phone *

Reference 2 Relationship *

Reference 2 - Years Known *

Please Describe Your History

Have you declared bankruptcy in the past seven (7) years? *

Yes No

Have you ever been evicted from a rental residence? *

Yes No

Have you had two or more late rental payments in the past year? *

Yes No

Have you ever willfully or intentionally refused to pay rent when due? *

Yes No

Have you ever been convicted of a crime? *

Yes No

Have you ever been involved in a lawsuit with a landlord? *

Yes No

Explain any "Yes" answer given above *

Additional Information

Please give any additional information that might help owner/management evaluate this application: *

Where may we reach you to discuss this application?

Day Phone *

Evening Phone *

I hereby apply to lease the above described premises for the term and upon the set conditions set forth in the Lease agreement. I warrant that all statements above set forth are true. If the application is not approved or accepted by the owner or agent, I hereby waive any claim for damages by reason of non-acceptance.

I recognize that as a part of the procedure for processing my application an investigative consumer report may be prepared whereby information is obtained through personal interviews with others with whom I may be acquainted. This inquiry includes information as to my character, general reputation, personal characteristics and mode of living.

I certify and warrant that the above information, to the best of my knowledge, is true and correct, and understand that any lease or rental agreement entered into with this landlord may be terminated if I have made any material false or incomplete statements in this application.

Electronic Signature *

Date *

AUTHORIZATION

Release of Information

I authorize verification and investigation of the information provided in this application regarding my credit, tenant history, banking, employment and personal references for the purposes of renting property from this owner/manager.

Name / Electronic Signature *

Date *

Rental Application Equal Housing OpportunityThe undersigned hereby makes an application to rent the property identified below.

Please Tell Us About Yourself

Please Give Residential History (Last 3 Years or Residences)

Please Provide Your Employment / Income Information

Please List Your References

Bank Accounts:

Driver's License:

Emergency Contact:

Personal References:

Please Describe Your History

Additional Information

AUTHORIZATION

Release of Information

Rental Application Equal Housing Opportunity
The undersigned hereby makes an application to rent the property identified below.