Apply Now To view Rental Agreement / Lease Click Here To view Non-Standard Rental Provisions Click Here We Subscribe to ALL Federal, State & Local Fair Housing Laws This is NOT a lease or a rental agreement. Showing Agent: Cell #: Interested Property: Unit #: Each Adult Applicant MUST Complete a Separate Application Complete the following information for each household member that will occupy the unit at the time of move-in and throughout the term of the lease. You must email or attach 30-days proof of income. (Attach or email to: email@example.com) APPLICATION MUST BE COMPLETED IN FULL FALSIFICATION OF INFORMATION IS GROUNDS FOR DENIAL! Applicants First Name * Middle Name * Last Name * M/F *MaleFemale Social Security Number * Birthdate (mm/dd/yyyy) * First Name Middle Name Last Name M/FMaleFemale Social Security Number Birthdate (mm/dd/yyyy) First Name Middle Name Last Name M/FMaleFemale Social Security Number Birthdate (mm/dd/yyyy) First Name Middle Name Last Name M/FMaleFemale Social Security Number Birthdate (mm/dd/yyyy) First Name Middle Name Last Name M/FMaleFemale Social Security Number Birthdate (mm/dd/yyyy) How did you hear about Bigelow Rentals? Where can you be reached? Daytime Phone # Email Address Do you expect any additions to the household within the next 12 months? *YesNo Name / Relationship Have you, or any other person named on this application, ever been convicted of a crime? *YesNo Explanation Do you have or do you anticipate having any animals? *YesNo Explanation Applicants rental history For the past years Have you ever refused to pay rent? YesNo Been Evicted or asked to leave? YesNo Current Address Address Rent ($) From (mm/dd/yyyy) To (mm/dd/yyyy) Landlord's Name Address Phone # Fax # Previous Address Address Rent ($) From (mm/dd/yyyy) To (mm/dd/yyyy) Landlord's Name Address Phone # Fax # Previous Address Address Rent ($) From (mm/dd/yyyy) To (mm/dd/yyyy) Landlord's Name Address Phone # Fax # Emergency Contact Name Address Phone Vehicle Information Car 1 Make/Model/Year/Color Plate # Drivers License # Car 2 Make/Model/Year/Color Plate # Drivers License # Applicant's Income/Credit Include ALL sources of income you want considered in this application. Applicant 1 Place of Employment Address Supervisor's Name Phone # How many hours per week? Gross Monthly Income How long have you been employed there? From (mm/dd/yyyy) To (mm/dd/yyyy) **You must email or attach 4 weeks of current paystubs with the application. Email to: firstname.lastname@example.org** Applicant 2 Place of Employment Address Supervisor's Name Phone # How many hours per week? Gross Monthly Income How long have you been employed there? From (mm/dd/yyyy) To (mm/dd/yyyy) **You must email or attach 4 weeks of current paystubs with the application. Email to: email@example.com** Have you ever filed for Bankruptcy? *YesNo Signature Clause: The purpose of this application is to determine whether I qualify as a tenant. If my application is approved, the Landlord and I shall sign a written lease. I have no rental agreement with the Landlord before the time of the lease signing. I have paid the earnest money deposit and credit check fee indicated on this application. The earnest money deposit will be applied to my security deposit or my first month’s rent if the Landlord enters into a lease or rental agreement with me. If this application is approved, and I fail to enter into a lease or rental agreement, the earnest money and any subsequent payments may be retained to compensate the Landlords costs and damages, subject to the Landlord’s duty to mitigate. If this application is rejected or withdrawn or if no action is taken by the end of the ________ calendar day following receipt of the earnest money, the earnest money and any subsequent payments will be refunded by the end of the next business day. The credit report fee is nonrefundable. I hereby authorize the Landlord and Manager to investigate my credit and financial responsibility, Income, rental and eviction history, and the statements made in this application, and to obtain a consumer credit report on me from a consumer report agency that complies and maintains files on consumers on a nationwide basis. My performance under any lease or rental agreement that I may enter into with the Landlord may be reported to such reporting agency. I acknowledge that the Manager and the agents and employees thereof represent the interests of the Landlord, but they also have a duty to treat all parties fairly and in accordance with fair housing law, and to disclose material adverse facts about property. I warrant and represent that I am at least 18 years of age and that all information and answers to the above questions are true and complete to the best of my knowledge. I understand that providing false information or making false statements may be grounds for denial of my application. I also understand that such action may result in criminal penalties. I understand that my occupancy is contingent on meeting management’s resident selection criteria. Signature * Date (mm/dd/yyyy) * Signature Date (mm/dd/yyyy) LANDLORD DISCLOSURES AND REQUIREMENTS TENANT/APPLICANT ACKNOWLEDGES HAVING BEEN ADVISED A receipt for earnest money collected has been given applicant That copy of the proposed lease and rules and regulations of the landlord have been made available to applicant for inspection. Of the name and address of the person authorized to receive rent, manage, and maintain the premises, who can readily be contacted, and an owner or agent with an address within the state authorized to receive and receipt for notices and demands, and at which service of process and be made in person. That I have the right to inspect the dwelling unit and notify the landlord of any damage or defect that exist before the beginning of my tenancy. That I have the right to request, in writing, a written list of the physical damage and defects, for which the landlord deducted money from the previous tenant’s security deposit Of utility charges not included in the rent.