Today's Date:

Date of anticipated move-in:

Property are you interested in?

Monthly Rent:

Security Deposit:

Pet Deposit:

Applicant #1:

First Name:

Last Name:

Street Address:

City:

State:

Zip:

Day Phone:

Eve.  Phone :

Email:

Preferred contact method/time:

Date of Birth:

Driver license # and State:

Soc. Sec. #

Applicant's Employment:

Name of Present employer:

Address:

Position:

Monthly Income?

How long?

Supervisor's Name:

Phone Number:

Name of Previous employer:

Address:

Position:

Monthly Income?

How long?

Supervisor's Name:

Phone Number:

Other sources of income:

Name of Present landlord or mortgage company:

Phone Number:

Monthly payment?

Date of move-in

Name of Previous landlord or mortgage company:

Phone Number:

Date of move-in:

Date of move-out:

Applicant #2:

First Name:

Last Name:

Street Address:

City:

State:

Zip:

Day Phone:

Eve.  Phone :

Email:

Preferred contact method/time:

Date of Birth:

Driver license # and State:

Soc. Sec. #

Applicant's Employment:

Name of Present employer:

Address:

Position:

Monthly Income?

How long?

Supervisor's Name:

Phone Number:

Name of Previous employer:

Address:

Position:

Monthly Income?

How long?

Supervisor's Name:

Phone Number:

Other sources of income:

Name of Present landlord or mortgage company:

Phone Number:

Monthly payment?

Date of move-in

Name of Previous landlord or mortgage company:

Phone Number:

Date of move-in:

Date of move-out:

Personal References:

Name:

Phone Number:

Name:

Phone Number:

In Case of Emergency contact:

Name:

Relationship:

Street Address:

City:

State:

Zip:

Day Phone:

Eve.  Phone :

Occupants:

Please list all people who will occupy property:

Pets:

Please list any pets, include breed, size, age:

Vehicles:

license #:

Make:

Model:

Year:

license #:

Make:

Model:

Year:

license #:

Make:

Model:

Year:

Credit/Criminal History:

Phone Number:

Name of Bank:

Address:

Savings Acct #:

Checking Acct #:

Please all credit obligations (for all applicants) with minimum monthly payments

Have any of the occupants listed above ever:

Yes No

Yes No

been convicted of a felony?

received deferred adjudication for a felony?

Yes No

Yes No

been evicted?

Yes No

broken a lease?

declared bankruptcy?

By submitting this application, the above listed applicant(s) declare that all statements made in the application are true and complete.  Applicant(s) hereby authorizes J&P Services, LLC. to verify all of the information in this application and obtain credit report(s) on the above listed applicant(s).  If applicant(s) has/have given any false information, J&P Services, LLC. is entitles to reject the application and retain all application fees as liquidation for time and expenses in processing this application.  Applicants shall give J&P Services, LLC. a non-refundable application fee in the amount of $25.00

Please note, there is $25.00 application fee to cover the expenses for processing this application.  To expedite processing of your application, please contact us to arrange payment.

Rental Application

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J&P Services, LLC.
Real Estate Services