APPLICATION FOR RENTAL
(PAGE 1 OF 2)

Print Form
EQUAL HOUSING OPPORTUNITY

Tell Us About Yourself (use additional sheets if necessary)
FIRST NAME SOCIAL SECURITY # OR INDIVIDUAL TAXPAYER ID # MIDDLE NAME DRIVER’S LICENSE # OR STATE ISSUED ID # STATE OF ISSUANCE LAST NAME

U.S. CITIZEN? YES NO IF NO, COMPLETE SUPPLEMENTAL APPLICATION

DATE OF BIRTH APPLICANT’S PRESENT ADDRESS CITY STATE

OTHER NAMES USED IN LAST 10 YEARS COUNTY ZIP HOME TELEPHONE #

EMAIL ADDRESS WORK TELEPHONE # MOBILE TELEPHONE #

LIST ALL OTHER PERSONS TO OCCUPY APARTMENT, INCLUDING DATE OF BIRTH (if 18 years or older, must fill out application as an applicant) NAME DATE OF BIRTH NAME DATE OF BIRTH NAME DATE OF BIRTH NAME DATE OF BIRTH

PRESENT ADDRESS IS (Check one): OWN HOME PARENTS’ HOME

RENTED HOME

RENTED APARTMENT

STUDENT HOUSING

OTHER: FROM DATE: TO DATE:

IF RENTING: PRESENT LANDLORD OR APARTMENT COMMUNITY / IF OWNED: NAME OF MORTGAGE COMPANY ADDRESS OF PRESENT LANDLORD / APARTMENT COMMUNITY / MORTGAGE COMPANY CITY MONTHLY PAYMENT STATE MOVE-IN DATE ZIP ANTICIPATED MOVE-OUT DATE

TELEPHONE # REASON FOR LEAVING:

APPLICANT’S PREVIOUS ADDRESS (IF LESS THAN TWO YEARS AT PRESENT ADDRESS) (Check one): OWN HOME PARENTS’ HOME RENTED HOME RENTED APARTMENT STUDENT HOUSING

OTHER: FROM DATE: TO DATE:

IF RENTING: PREVIOUS LANDLORD OR APARTMENT COMMUNITY / IF OWNED: NAME OF MORTGAGE COMPANY ADDRESS OF PREVIOUS LANDLORD / APARTMENT COMMUNITY / MORTGAGE COMPANY CITY MONTHLY PAYMENT STATE MOVE-IN DATE ZIP MOVE-OUT DATE

COUNTY WHERE RESIDENCE LOCATED TELEPHONE # REASON FOR LEAVING:

HAVE YOU LIVED IN AN ELON RESIDENTIAL COMMUNITY BEFORE? YES NO

IF YES, WHICH ONE (Include city and/or state)?

FROM DATE:

TO DATE:

Employment
EMPLOYER ADDRESS TYPE OF WORK SUPERVISOR OTHER SOURCE(S) OF INCOME WHEN RECEIVED CITY POSITION HELD SUPERVISOR’S TELEPHONE # AMOUNT STATE MONTHLY GROSS INCOME ZIP INDUSTRY: START DATE MILES TO WORK

MONTHLY INCOME FROM OTHER SOURCES

FORMER EMPLOYER (IF LESS THAN TWO YEARS AT CURRENT JOB) ADDRESS TYPE OF WORK SUPERVISOR CITY POSITION HELD SUPERVISOR’S TELEPHONE # STATE ZIP INDUSTRY: START DATE

Motor Vehicles (including cars, trucks, boats, motorcycles):
MAKE/MODEL 1. 2. 3. YEAR COLOR LICENSE PLATE # STATE

Pets (keeping of pets requires Lessor’s consent)
BREED 1. 2. NAME WEIGHT/HEIGHT AGE

Application for Rental (Elon) v2

Page 1 of 2

Revised 01/26/12

APPLICATION FOR RENTAL
(PAGE 2 OF 2)
EQUAL HOUSING OPPORTUNITY

Personal References
NAME OF NEAREST RELATIVE ADDRESS NAME OF PERSONAL REFERENCE ADDRESS CITY CITY RELATIONSHIP STATE RELATIONSHIP STATE ZIP TELEPHONE # ZIP TELEPHONE #

Criminal Background Information
Do you or do any of your occupants have charges pending against you or against them for any criminal offense(s)? Have you or have any of your occupants ever been convicted of, or pleaded guilty or no contest to, any criminal offense(s) or had any criminal offense(s) disposed of other than by acquittal or a finding of “not guilty”? Any litigation, such as: evictions, suits, judgments, bankruptcies, foreclosures, etc.? If “Yes” to any of the above questions, give details and dates: Applicant Yes No Applicant Yes No Applicant Yes No Occupants Yes No Occupants Yes No Occupants Yes No

How did you hear about our community? Walk-By Rental Publication (Which One?) _

Internet (which site?) Rental Agency (Which