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Residential Application

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Residential Rental Application

This form is here for your convenience. If you are uncomfortable sendingthis information via e-mail simply contact us and we can either fax ormail you an application, or follow this link to an application in PDFformat. After you've printed and filled it out fax or mail it to us at:

80 Walnut St. Lewiston, ME 04240 or Fax #207-795-0011

If you choose to use the online application please be aware that in somecases we may still need a signed application from you, due to the factthat a few landlords will not give a reference without seeing a copy ofthe signed application (check with your landlord if this is a concern).

Applicant:

Co-Applicant:

Present Address:

Phone:

D.O.B.

Co-App. D.O.B.

SSN#:

Drivers Liscence #:

Names and ages of all persons to reside in the apartment:

Rental History: Applicant

Present Landlord:

Phone Number:

Apartment Address:

Rental Amount:

Date Rented:

Why are you looking to move?:

Former Landlord:

Phone Number:

Apartment Address:

Rental Amount:

Date Rented From:

Date Rented Until:

Reason for Moving?:

Two Year History Required

Rental History: Co-Applicant

Present Landlord:

Phone Number:

Apartment Address:

Rental Amount:

Date Rented:

Why are you looking to move?:

Former Landlord:

Phone Number:

Apartment Address:

Rental Amount:

Date Rented From:

Date Rented Until:

Reason for Moving?:

Two Year History Required

Employment History: Applicant

Present Employer:

Supervisor's Name:

Phone #:

Address:

Gross Salary:

Job Title:

Date Employed:

Former Employer:

Supervisor's Name:

Phone #:

Address:

Gross Salary:

Job Title:

Employed From:

Employed Till:

Other Income:

Two Year History Required

Employment History: Co-Applicant

Present Employer:

Supervisor's Name:

Phone #:

Address:

Gross Salary:

Job Title:

Date Employed:

Former Employer:

Supervisor's Name:

Phone #:

Address:

Gross Salary:

Job Title:

Employed From:

Employed Till:

Other Income:

Two Year History Required

Personal References

Name:

Years Known:

Relationship:

Phone Number:

Name:

Years Known:

Relationship:

Phone Number:

Name:

Years Known:

Relationship:

Phone Number:

Miscellaneous Info

Automobile(s):

Year:

Make:

Color:

License:

Year:

Make:

Color:

License:

How many pets do you have?

Type:

Waterbed?

Yes No

Have you or the proposed occupant(s) listed above ever:

been convicted or plead guilty to a misdemeanor?	Yes No
been convicted or plead guilty to a felony?	Yes No
been evicted, party to an eviction, or asked to move out?	Yes No
broken a lease or rental agreement?	Yes No
declared bankruptcy?	Yes No
been sued for nonpayment?	Yes No
been sued for damage to a rental property?	Yes No
had a recorded lien, garnishment or judgment?	Yes No

If yes to any of the above, please indiacte year, location and details:

How long do you intend to live at this property?

I hereby authorize LA Property Management ("landlord"), or any authorized agent or employee of LA Property Management, and TenantNet, Inc. to make or have made any credit, employment or investigative inquiry that LA Property Management, or TenantNet, Inc. determines appropriate for the extension of credit or the collection of amounts owed to LA Property Management, and for the purposes of verifying, recording and/or confirming the above information which I herein state is true to the best of my knowledge and belief. LA Property Management and/or TenantNet, Inc. can furnish information concerning my account to consumer reporting agencies and others who may properly receive that information. If I ask, I will be informed whether or not a consumer report was requested, and if a report was requested I will be informed of the name and address of the consumer reporting agency that furnished the report. I authorize and consent to the release and recording of this information and herby release LA Property Management and TenantNet, Inc . their agents/employees from any and all liability arising from the acts and services described herein. I understand that LA Property Management may terminate any rental agreement entered into for any misrepresentations made above.