Interested in Leasing

Preferred rental address:

Number of bedrooms:

Desired move in date:

Is this date flexible? YesNo

Applicant

First Name:

Last Name:

Email:

Phone #:

Vehicle Make/Model:

Vehicle Year:

Driver’s License #/State:

Additional Occupants

Full Name 2:

Age 2:

Relationship to Applicant 2:

Full Name 3:

Age 3:

Relationship to Applicant 3:

Full Name 4:

Age 4:

Relationship to Applicant 4:

List additional occupants:

Rental History

Current Address:

Landlord/Manager:

Landlord/Manager's Phone:

Dates Lived at Address:

Reason for Leaving:

Employment History

Name of Current Employer:

Position or Title:

Date Started at This Job:

Phone:

Are your a Student?

Are your a Student? YesNo

Degree Program:

Name of Current School:

Major Area of Study:

Anticipated Graduation Date:

Income

Your gross monthly employment income (before deductions):

Monthly amounts of other income (amount):

Source:

Monthly amounts of other income (amount):

Source:

TOTAL INCOME: $

Have you ever?

Filed for bankruptcy? YesNo

Been evicted? YesNo

Been sued? YesNo

Been convicted of a crime? YesNo

Explain any “yes” listed above:

Do you have a dog? YesNo

Do you have a cat? YesNo

If “yes” to either of the above, describe the type and number of animals you will have living with you: Capstone Properties has a limited number of animal eligible rentals.

Do you smoke? YesNo

I certify that all information given above is true and correct and understand that my lease or rental agreement may be terminated if I have made any false or incomplete statements in this application. I authorize verification of the information provided in this application from my credit sources, credit bureaus, current and previous landlords and employers and personal references. This permission will survive the expiration of my tenancy.

Your Housing Preferences