RENTAL APPLICATION Equal Housing Opportunity
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- Charla Newman
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1 611 N. 10 th Street Suite 675 St. Louis, MO tel: fax: RENTAL APPLICATION Equal Housing Opportunity The undersigned hereby makes an application to rent unit located at: Anticipated move date of Monthly rent of $ PLEASE TELL US ABOUT YOURSELF: Full Name Home Phone of Birth Social Security # Address: (optional) Other Phone Co-Applicant Name Co-Applicant of Birth Social Security # Dependents Dependents s of Birth List All Pets PLEASE GIVE RESIDENTIAL HISTORY (LAST 3 YEARS) Current Address Apt# City State Zip Month/Year Moved In Reasons for Leaving Current Rent $ Owner/Agent Phone Previous Address (last 3 years) Month/Year Moved In Reasons for Leaving Rent $ PLEASE DESCRIBE YOUR CREDIT HISTORY Have you declared bankruptcy in the past seven (7) years? Yes No Have you ever been evicted from a rental residence? Yes No Have you had two or more late rental payments in the past year? Yes No Have you ever willfully or intentionally refused to pay rent when due? Yes No PLEASE PROVIDE YOUR EMPLOYMENT INFORMATION Your Status: Full Time Part Time Student Unemployed Employer s employed Employed as Supervisor Name Phone Salary $ per.
2 (If employed by above less than 12 months, give name & phone of previous employer or school:.) If you have other sources of income that you would like us to consider, please list income, source, and person (banker, employer, etc.) who we may 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. Amount $ Source/Contact Name PLEASE LIST YOUR REFERENCES Banking Accounts: Name Type of Account Account Number Name Type of Account Account Number Personal Reference or Emergency Contact: Name Address Phone Relationship Driver's License: Your Driver's License Number State Co-Applicant Driver's License Number State Vehicle Information: Make / Model Year License Plate State ADDITIONAL INFORMATION: Please give any additional information that might help owner/management evaluate this application? Primary Applicant Co-Applicant Thank you for your interest in our property! Charrette Community Management
3 2425 Veterans Avenue Vw.dalia, lllinois 'rotr, FREE FAX: nl-6501 LOCAL F.AX; By signing below, 1 hereby authorize LandLoJ:dShield, Inc. the authority to perform a complete investigation of all information provided below/within the lease/ employment application. I have personally filled in and/or reviewed all information listed herein and testify to its accuracy. A complete investigation Credit Report Criminal Record Employment References Rental History (including eviction check) OF AC Terrorist Check SeJ!; Offendet Search Public Records Search Social Security Verification Personal Interviews with above references may include, but is not limited to) any or all of the following: I hereby acknowledge that LandLotdShie14 ~ provides reports to apartment/leasing firms and does not participate in the approval or denial process. My signature below authorizes all above listed companies to release all data pertinent to this application process. (i.e. rental, job history (including salary) and criminal record information) Applicant Name Social Security # of Birth Address ~ State Zip Code _ Applicant Signature Today's
4 611 N. 10 th Street, Suite 675 Saint Louis, MO tel fax Security Deposit Acknowledgement Name(s): Approval : Address: Phone: Cell: Number of Occupants: Number of Bedrooms: I/We understand that upon final approval for residency, I/we will have two (2) days to provide the required security deposit. If for any reason, after paying my deposit I/We decide that I/we no longer wish to occupy the apartment that has been reserved; I/we understand that I have a maximum of seventy two (72) hours to request a refund of the paid deposit. If, for any reason, I/we do no make a refund request within the aforementioned time frame, the deposit will be forfeited in its entirety. By signing below I/we hereby acknowledge the Security Deposit procedures and that these procedures have been explained fully. Signature Signature For Office Use Only Deposit Amount: Deposit Received : Deposit Received By: (Site Office Staff Personnel)
5 RESIDENT SELECTION POLICY All applicants for housing will be screened according to the criteria set forth in this Resident Selection Policy. Management will hire a contractor to run a credit check and criminal background check and registered sex offender report on all applicants and it will check court records for evictions or judgments against the applicant(s). The purpose of these checks is to obtain information on the applicant's past history of meeting financial obligations and future ability to make timely rent payments and to determine if the applicant has a criminal history which makes him/her unacceptable to live at a Charrette Community Management Company managed property. The Resident Selection Policy is established to comply with all Federal, State and local Laws. GUIDELINES: Annual household income must not exceed the property s program income limits (if any); In accordance with the following guideline, the household composition must be appropriate for the apartment size in which the household is applying: Bedroom Size Minimum Persons Maximum Persons 1 - Bedroom Bedroom Bedroom Bedroom 1 8 Demonstrated past performance in meeting financial obligations, especially paying rent; Applicant s income should be equal to or exceed an amount equal to three (3) times the rent of the apartment he/she is interested in renting. (Some exclusions apply, this does not apply to HUD/ or HA Vouchers Subsidized Properties); Current and prior landlords will be contacted to determine rent payment history, disturbance of neighbors, destruction of property or housekeeping habits which would pose a threat to other residents; No negative landlord references from former landlords; No Unlawful Detainers (Evictions) or other legal proceedings that resulted in eviction; No unpaid judgments, collections, and liens exceeding $2,500 excluding student loans and medical bills; RESIDENT SELECTION POLICY PAGE 1 OF 3
6 No bankruptcies filed within the last twelve months; No repossessions within the past two years, excluding voluntary repossessions; No unpaid utility bills (Electric, Gas, Water/Sewer and Garbage); No household members involved in drug-related criminal activity; No household members convicted of drug-related criminal activity for manufacture or production of methamphetamine on the premises of federally assisted housing will be approved for residency under any circumstances; No household members currently engaged in use of a drug or if the owner has reasonable cause to believe that a household member s illegal use of a drug or pattern of illegal use may interfere with the health, safety, or right to peaceful enjoyment of the premises by other residents will be approved for residency; No household members who are subject to lifetime registration requirement under a State Sex Offender Registration Program will be admitted under any circumstances. The Property Manager will check the names of all adults applying for housing through the sex offender registry in each state where each adult has lived; No household member s abuse or pattern of abuse of alcohol that interferes with the health, safety, or peaceful enjoyment of the premises by other residents; No household members who have been involved in drug related criminal activity or violent criminal activity or other criminal and ongoing criminal activity that is current or an indication of repeated criminal behavior will be approved for residency; Any applicant s misrepresentation of any information related to eligibility, allowance, household composition or rent will be accepted. Additional information regarding the application: A separate application is required of each applicant who is 18 years of age or older who will reside in the apartment. An exception is made for married couples, who may submit a joint application. An $40 application fee is due for each adult and is non-refundable. RESIDENT SELECTION POLICY PAGE 2 OF 3
7 While other qualifications may apply, the above mentioned has been established to reflect a short version of the Charrette Community Management Company Resident Selection Policy. Charrette Community Management Company may conduct additional verifications to determine the eligibility of the entire household. Being eligible, however, is not an entitlement to housing. Every applicant must meet the Resident Selection Policy. This policy is used to demonstrate the applicant s suitability as a resident using verified information on past behavior to document the applicant s ability, either alone or with assistance, to comply with essential Lease provisions and any other rules governing tenancy. I have read and fully understand the Resident Selection Policy. : : : : RESIDENT SELECTION POLICY PAGE 3 OF 3
4. AN ORIGINAL OF YOUR I.D., SOCIAL SECURITY CARD, AND BIRTH CERTIFICATE WILL BE REQUIRED WHEN SUBMITTING THIS APPLICATION!!
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