Missouri Residential Rental Application Form

An individual interested in renting an apartment leased by a landlord/management company must provide the information requested in the form. Approval and rejection of the application is the prerogative of the landlord/company.Download

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MISSOURI 
APARTMENT 
ASSOC	IATION 	
TO 	RE-ORDER 	CALL 	YOUR 	LOCAL 	ASSOCIATION 	
RENTAL 	APPLICATION 	
~ 	.. 	NATIONAl APARTMENT ASSOCIATION 
AFFiliATE 	
Thank  you for your  interest 	in 	our 	apartments . 	Pleas e 	complete  the requested  information  on this  form. 	
Non·refundable  application 	check  f	ee$ 	--	--------	· Paid 	-----	----	-------	------	-----	
Name 	Social  Security 	No. 	--	--------	--	-	
Spouse  Spouse's  Social  Security 	No. 	------	---	-
Other (s)  Relationship.	
----------------	
Relationsh ip 
Do  you  have  a pet  that 	
w ill 	be 	liv1n	g w1th 	you?	----	------	--	------	-------	P res ent  address : 	__	_____	________	_____	___	_  _ 
For how  long? 	____ 	_ 
Present  landlord  or mortgage  holder:	
---	---------	----	-------------	
Date of Birth 	-----­	
Date  of Birth 	-----­	
Date  of Birth  -	----­	
Date of  Birth 	------	
Telephone	--	----­	
Telepho ne  - -	-----	
Am	ount  of  rent  (mortgage  payment): 	$ __ 	_ 	Reason  for moving 	------	--------	---- ----	-------	
Previous 	address :	----	------	---------	----	-­	For how  long? 	____ 	_ 	
Landlo	rd or  mortg age holder :	---------------------	------	----	
Telephone 	--	--	--­	
Telephone 	-------	
Am	o:.~n	t of rent 	(mortgage  payment ). 	$ __ 	_ 	Reason  for  moving 	----	---	----	----	--	----	-------	-	
Applicant's 	employer :	----	-------	---	--	Address· 	--------------	Tel	ephone  -	-----­	
Salary: S 	For  how long? 	____	_ Pos	1tion 	held :	---------	Supervisor . 	____________ 	_ 	
Spouse's 	employer :	------	-------	----	
For how 	long? 	____ 	Pos1tion 	held 	--	-------	
Address :	---	------	----­	
SuperviSOr	:-------	----	--	
Telephone 	------­	
Salary: 	s 	
Ban	k1ng 	and Credi t Referen	ce.  Bank 	----	------	------	---	--	­ Account  t	ype-	-------	-----	
Address: 
Credi t Rele rence 	
-------	------	-----------­	
Address 
Cred1t 	Referen ce 	------------------------	-Account 
No. 	
________________ 	_ 
Account  No. 	
___	________	____ 	_ 
M on	
thly  payment: 	S -----	------	Account  No. 	_______	____	_	____ 	_ 
Address 	
______	___	_______	_	__	___ ___	______ 	_ 	Monthly 	tJ8y111e11t: 	S -----	--	---­	
Accou nt 	No-·-------	----	------­	Cred1t 	Referen ce 	--------	---	--------------	Address 	______	______	__________	____	_____ 	_ 
Monthly  paymen t	S--	---	-	----	
Personal  Reference : 	---------------------	Relationship-	------	-	Telephone  -	-----	-	
Other 	Information 	
Applicant's 	Dnver's 	License  No	.----------	----	Make of Car :	-----	----	Year : 	__	_ Color  of car	:--	----	
License 	No 	__	____	_  _ 	State 	___ 	_ 
Car 	titled 	in  name  of:	-------------------------	
In case  of eme rgency . notify .	--------	-----	------	Relationship 	__	_	___	__ 	Telephone 	----	---	
Address 
HAVE 	YOU OR YOUR  SPOUSE 	EVER 	PLEAD  GUILTY. 	BEEN 	CONVICTED 	OF. 	OR 	BEEN 	PLACED  ON PROBATION  FOR 	AN	Y CR IME	?----	
IF  SO. 	please  state. Th e date  of 	sa1d 	plea or convi ction	---	-----	The  natur e of  the  offense 	-------	--	-------	
Th e 	court 	and  state 	m wh1ch 	such 	plea  or 	convi	Ction 	was entered 	--	--------	----	----------	--	----	
1 recogn	1ze 	that this applicati on for  an  apartme nt is  subject 	to acceptan	ce 	or  rejection . 	Upon 	payment  of a 	depos 1t 	in  the  amount  of 	S -:-~--::-:-::­	the apartment 	will 	be  held  o	ff the market  pending  the acceptance  or rejection  of the  applica tion . 	If applicati	on 	IS accepted,  lease is 	to be 	signed  at lan dlord 's 
o	ffice 	w1th1n 	____ 	days  after applicant  is no tified  of such  acceptance . At  this 	lime , 	deposi t 	will 	be 	credit	ed 	as 	part of 	the 	secur ity  deposit . 	If applicant  is 
not  accepted  as a reside nt. the  deposi t 	will be 	re turned,  except as  othe rwise  noted 	below . 	If applicat ion is accepted 	an:J 	app	lican t 	does  not sign  lease . 	for 	any reason , the  depos it 	will 	be 	forteited  as 	liqu1da	ted 	damages in  payme	nt for  holding 
the  apartment  off the  market  and land lord 	shall 	be  under  no obligat i	on 	to lease to  applicant. 	I understand  that 	I may 	have 	the right  to  make  a written  request 	withm 	a  reasonable  period of time 	to receive  additiona l, deta iled  informat i	On 	about 
the  nature  and scope  of this  investigat ion. 	
I hereby  make applicat ion 	for 	an  apartment  and cert ify  that  this 	mformatlon 	is  correct. 	I authorize  you 	to contact  any refe rences  that 	I have 	listed 	and 
to  make  such other 	inqu1ries 	as 	you 	deem  necessary  to determine  my 	eligibility 	and  qualihca uon includ	ing  but  not 	lim1	ted 	to cred it checks  and 	mqu~t~	es 	of 
l aw  enforcem ent  age ncies. 	I authonze  those references  and sources  of 	1nform	atron 	to release 	informat ion 	to the landlord . 	
I UNDE RSTAND 	THAT 	IF  I "''AVE  GIVEN 	ANY 	FALSE  INFORMAT ION 	IN OR IN 	REGARD 	TO 	THIS  APPLICATION , 	THE 	PROPERTY 	OW	NER OR 
HIS 	AGEN T 	HAS 	THE 	RIGHT 	TO 	IMMEDIATE	LY 	REJECT 	THIS  APPLICATION . 	
Applicant's 	Signature 	-----------------------	------	- Date 	----	----	-----	
Spouse 's  S	1gnat	ure 	-------------------------	---	---	Date 	---	--	----	---	
Appli cation 	Rece1ved 	by: ---	--	----	---	------	-----	--	---	Date 	------------	
MAA01-100 	© Copyright , 	2001 	Missouri Apartment  Association