RENTAL APPLICATION | Mac Dev Group LLC

ADDRESS OF PROPERTY APPLYING FOR:

DESIRED MOVE-IN DATE:

APPLICANT INFORMATION

FIRST NAME:	MIDDLE NAME:	LAST NAME:	MAIDEN NAME:

DATE OF BIRTH:	SSN:	HOME PHONE:	CELL PHONE:

PHOTO ID#:	STATE OF ISSUE:	EMAIL ADDRESS:

RESIDENCE HISTORY

CURRENT ADDRESS:	RENT OR OWN?

CITY:	STATE:	ZIP CODE:	MONTHLY PAYMENT:

MOVE-IN DATE:	LEASE EXPIRES:	LANDLORD NAME:	LANDLORD PHONE:	REASON FOR LEAVING:

EMPLOYMENT INFORMATION

CURRENT EMPLOYER:	SUPERVISOR:	PHONE:

ADDRESS:	CITY:	STATE:	ZIP CODE:

POSITION:	GROSS MO. INCOME:	START DATE:	END DATE:

CO-APPLICANT INFORMATION

FIRST NAME:	MIDDLE NAME:	LAST NAME:	MAIDEN NAME:

DATE OF BIRTH:	SSN:	HOME PHONE:	CELL PHONE:

PHOTO ID#:	STATE OF ISSUE:	EMAIL ADDRESS:

RESIDENCE HISTORY

CURRENT ADDRESS:	RENT OR OWN?

CITY:	STATE:	ZIP CODE:	MONTHLY PAYMENT:

MOVE-IN DATE:	LEASE EXPIRES:	LANDLORD NAME:	LANDLORD PHONE:	REASON FOR LEAVING:

EMPLOYMENT INFORMATION

CURRENT EMPLOYER:	SUPERVISOR:	PHONE:

ADDRESS:	CITY:	STATE:	ZIP CODE:

POSITION:	GROSS MO. INCOME:	START DATE:	END DATE:

OTHER OCCUPANT(S)

FIRST NAME:	LAST NAME:	RELATIONSHIP:	AGE:

FIRST NAME:	LAST NAME:	RELATIONSHIP:	AGE:

FIRST NAME:	LAST NAME:	RELATIONSHIP:	AGE:

PET

TYPE:	BREED:	WEIGHT:	FIXED?

EMERGENCY CONTACT(S)

FULL NAME:	RELATIONSHIP:	CONTACT PHONE:	EMAIL:

FULL NAME:	RELATIONSHIP:	CONTACT PHONE:	EMAIL:

VEHICLE INFORMATION

YEAR:	MAKE:	MODEL:	COLOR:	TAG#:	STATE:

YEAR:	MAKE:	MODEL:	COLOR:	TAG#:	STATE:

Have you ever been evicted or a defendant in an eviction action?

YES
NO

IF YES, PLEASE EXPLAIN:

Have you ever filed, or are you in the process of filling, bankruptcy?

YES
NO

IF YES, PLEASE EXPLAIN:

Do you owe any other landlords a balance?

YES
NO

IF YES, PLEASE EXPLAIN:

Have you ever been asked to move for lease violation of any kind?

YES
NO

IF YES, PLEASE EXPLAIN:

Have you ever been convicted of felony?

YES
NO

IF YES, PLEASE EXPLAIN:

Have you ever been convicted of a major misdemeanor?

YES
NO

IF YES, PLEASE EXPLAIN:

OTHER INCOME TO CONSIDER

CHILD SUPPORT:	$	NAME & ADDRESS OF PAYER:

ALIMONY:	$	NAME & ADDRESS OF PAYER:

SOCIAL SECURITY:	$	DESCRIPTION OF BENEFITS:

DISABILITY BENEFITS:	$	NAME & SOURCE OF PAYMENTS:

PUBLIC ASSISTANCE:	$	NAME OF ASSISTANCE PROGRAM:

OTHER:	$	DESCRIBE:

AUTHORIZATION TO RELEASE CONSUMER INFORMATION

Each person eighteen (18) years of age or older must be listed as an applicant on an application. If a co-signer 1s necessary, the co-signer must also complete and sign an application, or guarantor form. $ ____ Non-refundable processing fee (per applicant) will be collected with this application, in order to process the application. Please completely fill in your application. If you do not, we will not be able to process the application successfully.

Tenancy will be denied If any information is misrepresented on this application. If misrepresentations are found after the rental agreement is signed, we have the right to terminate your rental agreement immediately, which would result In you being asked to leave the property. We utilize a third party service to verify any or all of the following, your current and/or past employment, your current and/or past rental and eviction history, your credit history and score(s), and review criminal records within the last 20 years on a nationwide scale. All application are processed without regard to race, color, religion, sex, handicap, familial status or national origin.

This is to advise that I, the undersigned, hereby authorize Resident Research, LLC, acting as the landlord's designated screening organization for the above-referenced rental property, to obtain a consumer credit report from any or all of the three credit bureaus, conduct a nationwide criminal records search, nationwide eviction history search, to verify the details of my employment Including salary information, and to obtain a complete rental history from my current and/or former landlord(s) to determine eligibility for tenancy and assessing credit worthiness.

Signature of Applicant

Date

Signature of Co-Applicant

Date