| About You |
| Your Email Address:
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| Full Name (exactly as on driver's license or govt. ID card):
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| Your street address (as shown on your driver's license or govt. ID card) - Street, City, State, ZIP:
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| Driver's license #:
Driver's license state:
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| Or other government photo ID card #:
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| Former last names (maiden and married):
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| Your Social Security #:
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| Birthdate:
Height:
Weight:
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| Sex:
Eye color:
Hair color:
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| Marital Status:
Single |
Married |
Divorced |
Widowed |
Separated |
| Are you a US citizen?
Yes |
No |
| Do you or any occupant smoke?
Yes |
No |
| Will you or any occupant have an animal?
Yes |
No |
| If so, please give the kind, weight, breed and age:
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Current home address (where you now live) - Street, City, State, ZIP:
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| Home / Cell Phone:
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| Current Rent $:
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| Name of apartment where you now live:
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| Current owner or manager's name:
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| Their Phone:
Date Moved In:
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| Why are you leaving your current residence?
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Your previous home address - Street, City, State, ZIP:
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| Apartment Name:
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| Name of above owner or manager:
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| Their Phone:
Previous Monthly Rent:
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| Date Moved In:
Date Moved Out:
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| Your Work |
| Present Employer:
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Work address - Street, City, State, ZIP:
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| Work Phone:
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| Position:
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| Your gross monthly income $
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| Date you began this job:
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| Supervisors Name:
Supervisors Phone:
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| Previous Employer:
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Previous Work address - Street, City, State, ZIP:
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| Previous Work Phone:
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| Previous Position:
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| Previous gross monthly income $
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| Date you began previous job:
Date ended:
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| Supervisors Name:
Supervisors Phone:
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| Your Credit History |
Your bank's name, city, state:
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| Your major credit cards:
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Other non-work income you want considered (please explain):
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Past credit problems you want to explain:
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| Why You Applied Here |
| Were you referred to us?
Yes |
No |
| If yes, by whom: |
| Name of locator or rental agency:
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| Name of individual locator or agent:
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| Name of friend or other person:
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| Did you find us on your own?
Yes |
No |
| If yes, select from below: |
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On the Internet |
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Stopped By |
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Newspaper
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Rental publication
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Other
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| Your Rental / Criminal History |
| Check only if applicable. Have you, your spouse, or any occupant listed in this Application ever: |
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been evicted or asked to move out? |
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moved out of a dwelling before the end of the lease term without the owner's consent? |
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declared bankruptcy? |
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been sued for rent? |
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been sued for property damage? |
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been charged, detained, or arrested for a felony, misdemeanor involving a controlled substance, violence to another person or destruction of property, or a sex crime that was resolved by conviction, probation, deferred adjudication, court ordered community supervision, or pretrial diversion? |
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been charged, detained, or arrested for a felony, misdemeanor involving a controlled substance, violence to another person or destruction of property, or a sex crime that has not been resolved by any method? |
Please indicate below the year, location and type of each felony, misdemeanor involving a controlled substance, violence to another person or destruction of property, or a sex crime other than those resolved by dismissal or acquittal. We may need to discuss more facts before making a decision.
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| You represent the answer is "no" to any item NOT CHECKED above. |
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| Your Spouse |
| Full Name:
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| Driver's license #:
Driver's license state:
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| Or other government photo ID card #:
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| Former last names (maiden and married):
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| Your Social Security #:
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| Birthdate:
Height:
Weight:
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| Sex:
Eye color:
Hair color:
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| US citizen?
Yes |
No |
| Present Employer:
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Work address - Street, City, State, ZIP:
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| Work Phone:
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| Position:
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| Your gross monthly income $
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| Date you began this job:
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| Supervisors Name:
Supervisors Phone:
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| Other Occupants |
| Names of all persons under 18 and other adults who will occupy the unit without signing the lease. |
| Name:
Relationship:
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| Sex:
DL or govt ID card # and state:
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| Birthdate:
Social Security #:
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| Name:
Relationship:
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| Sex:
DL or govt ID card # and state:
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| Birthdate:
Social Security #:
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| Name:
Relationship:
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| Sex:
DL or govt ID card # and state:
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| Birthdate:
Social Security #:
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| Your Vehicles |
| List all vehicles owned or operated by you, your spouse, or any occupants (including cars, trucks, motorcycles, trailers, etc). |
| Make and color of vehicle:
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| Year:
License #:
State:
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| Make and color of vehicle:
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| Year:
License #:
State:
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| Make and color of vehicle:
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| Year:
License #:
State:
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| Emergency |
| Emergency contact person over 18, who will not be living with you: |
| Name:
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| Address:
City, State, ZIP:
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| Work Phone:
Home Phone:
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| Relationship:
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| Authorization |
I or we authorize Sunrise Des Moines Apartments to obtain reports from any consumer or criminal record reporting agencies before, during, and after tenancy on matters relating to a lease by the above owner to me and to verify, by all available means, the information in this application, including criminal background information, income history and other information reported by employer(s) to any state employment agency. Work history information may be used only for this Rental Application. Authority to obtain work history information expires 365 days from the date of this Application. |
| Typing name(s) in the blanks below act as your legal signature to this application and agreement to the text above. |
| Applicant's signature:
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| Spouse's signature:
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