October 25, 2016 admin Application NOTICE: Application must be filled out in its entirety. Applications that are incomplete will not be considered in any way. ALL applicants must submit own application. Agency: I/We understand that I/We are not represented by Property Professionals of Bemidji's broker or salespeople and that the broker/salespeople represent the owner/landlord. If you desire representation you must enter into a written contract (NOT with Property Professionals of Bemidji), according to state law. This is a disclosure only, not a contract for representation. Applicant FULL LEGAL Name Former or Maiden Name Date of Birth Phone # Email List All Persons To Occupy Dwelling, Including Yourself Name Relationship Age Years Known Name Relationship Age Years Known Name Relationship Age Years Known Name Relationship Age Years Known Name Relationship Age Years Known Name Relationship Age Years Known Rental Info Applying For Apt/House/MH # of Bedrooms Price Range Describe Any Pets Date Needed By Any Other Needs Student Grade Level Do you smoke? YesNo Current Address Street Address City State Zip Phone Landlord Reason For Leaving Landlord Phone Dates of Renting Rent Amount RentOwnFamily Previous Address Street Address City State Zip Phone Landlord Reason For Leaving Landlord Phone Dates of Renting Rent Amount RentOwnFamily Employment Employer Address Phone Date Hired Job Title Gross Income per month Previous or Second Employer (if any) Address Phone Date Hired Job Title Gross Income per month Other Income Source Amount per Month Financial Aid $ per semester (if student) Comments Have you ever? Been evicted? YesNo Been asked to vacate a property? YesNo Refused to pay rent? YesNo Abandoned a property? YesNo Filed bankruptcy? YesNo Been convicted of a crime (excluding driving citation)? YesNo Are you currently on probation or parole? YesNo Do you have any judgments and/or conciliations? YesNo Is legal action/investigation pending against you? YesNo Do you lack credit history? YesNo Owe any landlord money? YesNo Owe any utility company money? YesNo Lived in another state? YesNo Explain any yes answers. Character References Name Address City State Zip Phone Relationship Name Address City State Zip Phone Relationship Name Address City State Zip Phone Relationship Emergency Contact Name Address, City, State Phone Relationship Personal Vehicles Make and Model Year Plate # Make and Model Year Plate # By signing below, I do hereby authorize Property Professionals and its affiliates to make credit inquiries, verify employment, previous rental history, criminal background & other references necessary to approve or deny this application. I understand that should I lease or co-sign to lease property managed by Property Professionals and I fail to pay rent, fulfill terms of the Lease Agreement or my tenancy results in eviction or litigation, adverse credit reports may be filed with credit reporting agencies. I also declare that, under penalty of perjury, all parts of this application and updates to information on this application I give during the year are true and correct statements, to the best of my knowledge, including identity of all persona under the age of 18 listed on this application. Failure to disclose any facts or truths could lead to a denial of application. Incomplete applications will not be accepted. Applicant Signature Date Date of Birth Social Security NumberProperty Professionals Will Contact to Obtain Comments When meeting for a showing, you will need to present Property Professionals of Bemidji with a valid govt photo ID and the last 30 days of paystubs.