Springfield-Property.com Resident Application

Desired Move-in Date*

Property Address*

Street Address Address Line 2 City State ZIP Code

Applicant's Name*

First Last

Date of Birth*

Social Security Number*

No dashes required.

Please enter a value between 111111111 and 999999999.

Phone*

Email*

Names Of All Other Residents

First Last

Names Of All Other Residents

First Last

Names Of All Other Residents

First Last

Names Of All Other Residents

First Last

Names Of All Other Residents

First Last

How Many Pets Do You Or Other Occupants Own?*

Please reference above requirements on pet restrictions.

Pet Information

Names, types, breeds, weight, and age.

Residence History

5-10 year history.

Present Address*

Street Address Address Line 2 City State ZIP Code

Present Landlord Or Mortgage Company*

Landlord Phone Number*

Date From*

Date To*

Monthly Payment*

Reason For Moving*

Previous Address

Street Address Address Line 2 City State ZIP Code

Landlord Or Mortgage Company

Landlord Phone Number

Date From

Date To

Monthly Payment

Reason For Moving

Previous Address

Street Address Address Line 2 City State ZIP Code

Landlord Or Mortgage Company

Landlord Phone Number

Date From

Date To

Monthly Payment

Reason For Moving

Additional Information On Any Of The Above Properties.

Employment Information

Employment Status*

Present Employer*

Employer's Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Employer's Telephone*

Date From*

Date To*

Position Held*

Supervisor*

First Last

Gross Monthly Income*

Previous Employer

Employer's Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Previous Employer

Employer's Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Employer's Telephone

Date From

Date To

Additional Information On Any Of The Above Employers.

If Student, List School

School Telephone

Additional Income Amount

If there are other sources of income you would like us to consider, please list income, source and person (Banker, Employer, Etc.) who we could contact for confirmation. *You do NOT have to reveal alimony, child support or spouse’s annual income unless you want us to consider it in this application.

Source of Additional Income

Source Telephone Number

Banking And Credit Information

Bank #1*

Address*

City State

Account Type*

Checking
Savings

Account Number

Bank Phone Number*

Bank #2

Address

City State

Account Type

Checking
Savings

Account Number

Bank Phone Number

Credit Reference #1*

Address*

City State

Account Number*

Credit Reference Phone Number*

Credit Reference #2

Address

City State

Account Number

Credit Reference Phone Number

Personal References

Personal Reference*

Non-Related

First Last

Phone*

Personal Reference*

Non-Related

First Last

Phone*

Personal Reference*

Non-Related

First Last

Phone*

Personal Reference*

Phone*

Personal Reference*

Phone*

Personal Reference*

Phone*

Other Information

Total Number Of Vehicles*

Includes Company Vehicles

One
Two
Three

Make/Model, Year, Color, and License Number*

Do You Have Any Home Repair Experience?*

Yes
No

Do You Own Basic Tools?*

Yes
No

Have You Ever Been Evicted Or Asked To Move Out?*

Yes
No

Have You Ever Been Sued For Damage To Rental Property?*

Yes
No

Have You Ever Been Convicted Of Or Pleaded No Contest To A Felony?*

Yes
No

Have You Ever Been Convicted Of Or Pleaded No Contest To A Misdemeanor Involving Sexual Misconduct?*

Yes
No

Have You Ever Been Sued For Non-payment Of Rent?*

Yes
No

Have You Ever Broken A Rental Agreement Or Lease?*

Yes
No

Have You Ever Declared Bankruptcy?*

Yes
No

If You Want To Explain Any Of The Above Circumstances, You May Do So Here.

Emergency Contact*

First Last

Relationship*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone #1*

Phone #2

Uploads

Government ID*

Any Additional Supporting Documents

Drop files here or

Authorization - I hereby apply to lease the above described premises for the term and upon the conditions above set forth and agree that the rental is to be payable the first day of each month in advance. As an inducement to the owner of the property and to the agent to accept this application I warrant that all statements above set forth are true. I hereby pay $30 as an application fee. In the event this application is approved and accepted, I agree to execute a lease before possession is given and to pay the security deposit at the time of lease execution. If the application is approved and accepted and I refuse to enter into lease agreement for the period of time called for in the application, the sum received shall be retained by the owner as liquidated damages. This agreement shall in no way bind the owner to accept this application for tenancy; the acceptance or rejection of the application as a tenant shall remain with the sole discretion of the owner. In the event I execute a lease for the property I also agree to maintain sufficient property damage and liability insurance to fulfill my responsibility under the lease and to have the utilities turned on in the premises under my name prior to taking occupancy after the lease has been signed. I authorize you to contact any references that I have listed. I also authorize you to obtain my consumer credit report from your credit-reporting agency and periodically re-run this check at any time in the future to verify the truth and accuracy of any information given on this application.

E-Signature - By entering my name and dating below, I acknowledge I have read the above authorization and agree.*

First Last

Date*

Comments

This field is for validation purposes and should be left unchanged.

Application for Tenancy

Residence History

Employment Information

Banking And Credit Information

Personal References

Other Information

Uploads