RENTAL APPLICATION — THE HOME STORE LLC APPLICANT pop How did you hear of us? Which property are you applying for (applicable)? Home Phone Business Phone Cell Phone E-mail No, of Persons to Oveupy Residence _Name of Occupants under 18 yrs old op pop. pop. ‘Will any pets be living with you? __ (Y/N) Type Breed Name Weight Ibs Age Present Address How Long? Please check one: Rent " Own 5 Other 5 (explain) Present Landlord Landlord Phone Previous Address (reset et 1) How Long? Please check one: Rent " Own [ Other“ (explain) Present Landloed Landlord Phone Drivers Lense # Make of Auto Year Lie. Plate Current Employer Salary Position Supervisor ‘Years Employed Bus, Address Phone Previous Employer Salary Position Supervisor (etn employe I Ba yew) ‘Years Employed us, Address Phone Are there any money or eviction judgments pending against you! yes, please explain Have you ever declared bankrupley? I yes, please state year, chapter and cours ischarge Date Emergency Contact Name Relationship Telephone Cell Phone Address CO-APPLICANT pop. Home Phone Business Phone Cell Phone E-mail Present Address How Long? Please check one: Rent Own 5 Other 5 (exphin) Present Landlord Landlord Phone Previous Ades (preset les tan 92) How Long? Please check one: Rent ©) Own & Other“ (explain) Present Landlord Landlord Phone Drivers License # Make of Auto Year Lie. Plate Current Employer Salary Position Supervisor ‘Years Employed Bus. Address Phone Previous Employer Salary Position Supervisor [Weurent employers ye) ‘Years Employed Bus, Address Phone ‘Arc there any money or eviction judgments pending against you? __If yes, please explain: Have you ever declared bankruptcy? __ I yes, please state year, chapter and court Discharge Date Name Relationship Telephone Call Phone 1) iMEREBY CERTIFY THE ABOVE STATEMENTS ARE TRUE, FALSIFICATION MAY RESULT IN DENIAL OF APPLICATION OW IMMEDIATE TERMINATION OF 2) INFORMATION PROVIDED BY THE APPLICANT Is SUBJECT TO VERIFICATION. AUTHORIZATION IS HERESY GRANTED 10 VERIFY SUCH INFORMATION ‘AND TO OBTAIN CREDIT REPORTS, CRIMINAL HISTORY, RENTAL STORY, AND EMPLOYMENT VERIFICATION. 8) APPLICATION FEE-18 Sah PE PERSON AND ISNON REFUND AH 3) FARLURE TO PROVIDE RFQLIRED DOCUMENTS COULD RESULT IN APPLICATION BEING DENIED, 5) SECURITY DEPOSIT AND FIRST FULL MONTH'S RENT MUST BE PAID BY CERUIFIED CHECK OR SIONEY ORDER PRIOR TO MOVE IN. 8) THIS APPLICATION, IF APPROVED, SHALL BE MADE. PAKT OF YOUR LEASE 5) CO-APPLICANTS AND CO-SIGNERS UNDERSTAND THAT THEY ARE EQUALLY AND FULLY RESPONSIBLE FOR THE LEASE AND DAMAGES. “ppisen Snare Dae With your aplication, plese include copies ofthe following ‘Please scan and e-mail, or fax back completed and signed application to: 1.__ Driver's License applyerhcbomesoretecom Fax: 248-414-6111