Application for Residency

Required  
 Yes    No

What size apartment would you like to rent?
   1 BR      2 BR

     

Applicant

Required
Required
Required
Required

  (if necessary)

Required  
Required - - MM-DD-YYYY

Current Address

Required
Required
Required  
Dates: RequiredFrom:  -   MM-YYYY
  To:  /   MM-YYYY
Required
Required
Current Landlord
  Required
  Required
  Required
 
  Required
  Required
 
(if necessary)

Previous Address

Dates: From:  /   MM-YYYY
  To:  -   MM-YYYY
Landlord:
 
 
 
 
 
 
(if necessary)
   

Previous Address

Dates: From:  -   MM-YYYY
  To:  -   MM-YYYY
Landlord:
 
 
 
 
 
 
(if necessary)

Yes    No
   
 

Required

Yes      No

Other than the APPLICANT and Co-Applicant, please list any other individuals that will be living at the residence.

          Date of Birth    
Title First Name Middle Initial Last Name Maiden Name
(if applicable)
MM DD YYYY Relationship Social Security Number
1. - -
 
2. - -  
3.  - -  
4. - -  
5. - -  
                   
                   

Local Employment: Applicant

If you are moving in from out-of-state or out-of-the-area, please list the local employer for whom you will be working.
Yes      No

  (if necessary)

  (if necessary)

Full-time    Part-time
   
   
   
 
Required
Yes      No

Total household income from all other sources:

  $
  $
  $
           
           

Personal References: List 2 INDIVIDUALS we can call for a personal reference:

RequiredFirst Name
RequiredLast Name RequiredAddress RequiredCity State RequiredZip RequiredRelationship RequiredPhone Number
1.

  (if necessary)

2.

  (if necessary)

       
       

Emergency Contact:

Required
Required State RequiredZip Required  

 
     
Required

  (if necessary)

  (if necessary)

       

Pet Information

Required
  
Yes    No
         
         

Renter's Insurance

Required

 
Yes     No
Required I understand that the property's insurance coverage and insurance does not and cannot protect any personal belongings against burglary, vandalism, fire, smoke, flood and other perils. I also understand that by not having peronal liability insurance, I may be liable to third parties and to the property owner for certain perils which are covered by renter's insurance. IF NO INSURANCE, OWNER AND ITS REPRESENTATIVES STRONGLY RECOMMEND THAT RESIDENT SECURE INSURANCE.
 

Background Information

Have you ever:

Required  
Yes     No 
Required 
Yes     No
 
Required 
Yes     No
Required 
Yes     No
 
 
 

Vehicle Information

       
Make & Model Year License No License State Vehicle Color
1.
2.
 

Other Information

 
 

Required By submitting this application I/we, authorize Mayo 420, Landlord and its agents to obtain an investigative consumer credit report including but not limited to credit history, OFAC search, landlord/tenant court record search, criminal record search and registered sex offender search. I/we authorize the release of information from previous or current landlords, employers and bank representatives. This investigation is for resident screening purposes only, and is strictly confidential. The information will be compiled from various sources, which are believed to be reliable, but the accuracy of their reports cannot be guaranteed. I hereby hold Mayo 420, Landlord and its agents free and harmless and free of any liability for any damages arising out of any improper use of this information.

Important information about your rights under the Fair Credit Reporting Act.

  • You have a right to request disclosure of the nature and scope of the investigation.
  • You must be told if information in your file has been used against you.
  • You have a right to know what is in your file, and the disclosure may not be free.
  • You have the right to ask for a credit score. There may be a fee for this service.
  • You have the right to dispute incomplete or inaccurate information. Consumer reporting agencies must correct inaccurate, incomplete, or unverifiable information.

A summary of your rights under the Fair Credit Reporting Act is available by visiting or writing (Para information en espanol, visite o escribe) www.ftc.gov/credit | Consumer Response Center, Room 130-A, Federal Trade Commission, 600 Pennsylvania Avenue N.W., Washington, D.C. 20580.

Required By submitting this application I/we, agree to the terms and conditions of the Mayo 420 Application Approval Criteria. The information contained in this application is treated confidentially. No information will be revealed to anyone without the express written consent of the applicant.


Required By submitting this application, I/we understand that there is a non refundable credit/check process of $25 and that a security deposit will be required. The security deposit is refundable if (1) this application is rejected by the management ; (2) if applicant notifies management of cancellation within 48 hours of applying; or (3) if all the terms and conditions of lease agreement are fulfilled. Applicant understands that if they fail or refuse to occupy said apartment, that the lessor and owner shall be entitled to damages as administrative costs.

**********Applicant Typed Name IS REQUIRED*********
**********Applicant Drawn Signature IS REQUIRED*********

Applicant:
Please draw your signature

 

 

 

 
     
HUD logo We do business in accordance with the Federal Fair Housing Law. HUD Wheelchair Icon