1234 E. Elm Springfield, MO 65802417-869-5421 Fax 417-869-5509Leasing@Southwoodproperties.com

Rental Application

Required Application Fee $ ___________

Occupancy Date Desired ________________________ Rental Price Range $____________________________ Type and size desired _________________________________________________________________________ Rental Address shown: ________________________________________________________________________ How did you find out about our property? _________________________________________________________

Applicant’s Personal Information

First Name: ___________________________ Middle: ______ Last: ___________________________________ Any other names you’ve used in the past: __________________________________________________________ Driver’s license / ID number / state: ______________________________________________________________ Social Security # : ____________________________________________ Date of Birth: ____________________ Cell phone # : ________________________________________________________________________________ E-mail Address: ______________________________________________________________________________ All Additional Occupants listed below and relationship to applicant: ____________________________________________________________________________________________ ____________________________________________________________________________________________

Residence History

Present street address: __________________________________________________________________________ City: _____________________________ State: ___________________ Zip code: _________________________ Dates lived at this address: __________________________________ Own ______ Rent ______ Occupy ______ Current Phone: ________________________________________________________________________________ How many pets do you have?: __________ Type of pets: ______________________________________________ Name of present Landlord / Manager: ______________________________________________________________ Landlords phone #: __________________________________ Monthly rent: $_____________________________ Are you paid in full? ____________________ Reason for moving: ______________________________________ _____________________________________________________________________________________________ Have you given notice that your moving? ___________________________________________________________ Number of late payments in last year: ______________________________________________________________ Deposit amount currently held by Landlord: $________________________________________________________ What is one feature or amenity that you like at your current home? _______________________________________ Previous residence address: ______________________________________________________________________ Previous Landlord: _____________________________________________________________________________ Previous Landlord’s phone: ______________________________________________________________________ Dates lived at this residence: _____________________________________________________________________ Reason for moving: ____________________________________________________________________________ Was your full security deposit returned: ____________________________________________________________ Number of late payments:___________ Monthly rent $_______________________________________________

Income History

Student: ______ Retired: _______ Self-employed: _______ Unemployed: ____________ Other: _____________ Name of employer: _____________________________________________________________________________ Address of Employer: ___________________________________________________________________________ City: _____________________________ State: ___________________ Zip code: __________________________ Phone #: __________________________ Position: ___________________________________________________ Full time: _______________________ Part time (under 32 hours per week): _______________________________ Average weekly hours: _________________ How long at this place of employment? ________________________ Supervisor: ____________________________________________________________________________________ Please indicate weekly, bi-weekly, monthly average take home pay: _______________________________________ Additional or previous employment: ________________________________________________________________ Average weekly hours: _________________ How long at this place of employment? ________________________ City: _____________________________ State: ___________________ Zip code: __________________________ Phone #: __________________________ Position: ___________________________________________________ Supervisor: ____________________________________________________________________________________ Please indicate weekly, bi-weekly, monthly average take home pay: _______________________________________

Additional Income Source

If there is an additional, verifiable source of income you’d like considered for qualification, please list incomesource and requested information below regarding each source ( e.g., Child support, Section 8 voucher, etc.).Amount: ___________________ Income source: _____________________________________________ Contact person: _________________________________________________________________________ Phone #: ____________________ Relationship: ______________________________________________

Assets/Credits/Loans

Note: Only vehicles listed on application are authorized to be on premises.

Number of vehicles: ________________ Make/Model/Color/Year: ______________________________________ Plate #(s): __________________________ State: _____________________________________________________ Financed/Lease through: __________________________________________ Monthly payments: _______________

Credit Card or Loans

Creditor: _______________________________________________________________________________________ Phone #: ____________________________________ Account #: ________________________________________ Total amount owed: _____________________________Monthly payment: __________________________________ Are your payments current: _______________________

List approximate amounts of any other current monthly expenses:

Cable/Satellite TV: ______________ Medical payments: __________________ Health Insurance: ______________ Auto insurance: ________________ Tuition: ______________________ Renter’s insurance: __________________ Child care: ________________________ Other + amount: ______________________________________________

Bank Reference

Name of bank and branch: _________________________________________________________________________ City: ____________________ Checking or savings account #: ____________________________________________ Number of years account active: (checking): ____________________ (savings): ______________________________ Average monthly balance: (checking): _________________________ (savings): ______________________________

Personal/Professional References

Personal reference or name of nearest living relative: _____________________________________________________ Street Address: ______________________________City: ________________ State: ________ Zip code: __________ Relationship: __________________________ How long: _________________________________________________ Phone # : ________________________________ Name of Doctor: _______________________________________ Phone #: ___________________________________ City: _____________________________ State: ___________________ Zip code: _____________________________ Professional reference(e.g., attorney): __________________________________ Phone #: _______________________ City: _____________________________ State: ___________________ Zip code: _____________________________ Have you ever:Broken a lease? ____________________________________________________________________________________ Refused to pay rent for any reason? ____________________________________________________________________ Been evicted or asked to leave a rental unit? _____________________________________________________________ Filed for bankruptcy? _______________________________________________________________________________ Been convicted of a crime or felony? ___________________________________________________________________ Will you give us permission to do a criminal background check? _____________________________________________ Is there anything to prevent you from placing utilities in your name? __________________________________________ Do you know of any reason that may interrupt you from paying rent? __________________________________________ Preferred method of standard rental payments:Check: __________________ Money order / cashiers check: ______________________________ Other methods of payment requiring an additional handling fee:Credit Card: ___________________ Debit Card: ___________________ Electronic banking: _____________________ Payroll deduction: __________________________________________________________________________________ Would you like to buy a home within the next 2-3 years?: ___________________________________________________ Do you smoke?: ____________________________________________________________________________________ Do you own the following items?:Liquid filled furniture?: ____________________ Plunger ______________ Lawn mower _________________________ Appliances (if so what kind): __________________________________________________________________________

Free Upgrade Bonus/Referral Bonus

Final note. Our company offers a free upgrade or referral reward for residents who recommend anyone to us who decidesto rent a separate unit from us. Please give the name and phone number of a friend, relative, or co-worker who may beinterested in renting. We will contact that person to inquire about applying for and renting one of our other homes or apartments. Name: __________________________________________________ Phone: ___________________________________ THANK YOU! Please note that a completed application requires submission of the following, which will be copied andattached to this application: ____________ Driver’s license or picture ID ____________ Personal check (to verify bank) ____________ Two weeks of most current pay stubs or other proof of each income source listed