Do you have any RVs, boats, trailers or motorcycles? If so, please list:
Will you have any water filled furniture? Have you ever declared bankruptcy?
Have you ever had an eviction filed against you? Have you ever been charged with a felony?
Have you ever been charged with a misdemeanor? Have you ever refused to pay rent/broken a lease?
If so, please specify If so, when? If so, please specify If so, please specify If so, please specify If so, please specify
Are you Active Military Personnel?
Are you on Military Reserves?
EMERGENCY CONTACT INFORMATION
Home phone: Cell phone: Work phone:
Applicant represents that all of the statements and representations are true and complete, and hereby, authorizes our company verification of the above information, references and credit report. Applicant understands that an investigative consumer report including information about character, credit history, general reputation, personal characteristics, mode of living, and all public record information including criminal records may be made. Applicant hereby gives permission to our company to disclose the result of the credit report to the Owner of the rental property to which applicant is applying for and his\her licensed representative for the purpose of evaluating the applicants ability to perform under the rental agreement.