Application - Glenbrook Centre Apartments

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Step 1 of 10

Rental Application
Fields with an "*" are required fields and must be completed.
Desired Move-In Date:*
Month
Day
Year
Unit:
APPLICATION INFORMATION
Number of Lessees:
Lessee #1
Name:*
First Last
Date of Birth:*
Month
Day
Year
Social Security Number:*
Main Phone:*
Work Phone:
Cell Phone:
Email:*
Driver's License/ ID Number:*
Attach a Copy of Your Driver's License or ID:
Max. file size: 50 MB.
Lessee #2
Name:*
First Last
Date of Birth:*
Month
Day
Year
Social Security Number:*
Main Phone:*
Work Phone:
Cell Phone:
Email:*
Driver's License/ ID Number:*
Attach a Copy of Your Driver's License or ID:
Max. file size: 50 MB.

NAME OF OCCUPANTS AND RELATIONSHIP TO APPLICANT
Number of Occupants:
Occupant 1
Name:*
First Last
Age:*
Relationship:
Occupant 2
Name:
First Last
Age:*
Relationship:
Occupant 3
Name:
First Last
Age:*
Relationship:
Occupant 4
Name:
First Last
Age:*
Relationship:

EMPLOYMENT HISTORY
(Please Give Employment Details For The Past Four (4) Years For Each Requested Lessee.)
Lessee #1
Current Employer
Name:*
Address*
Street Address City State ZIP Code
Phone:*
Supervisor:*
First Last
Start Date:*
Month
Day
Year
Previous Employer
Name:
Address
Street Address City State ZIP Code
Phone:
Supervisor:
First Last
Start Date:
Month
Day
Year
End Date:
Month
Day
Year
Previous Employer
Name:
Address
Street Address City State ZIP Code
Phone:
Supervisor:
First Last
Start Date:
Month
Day
Year
End Date:
Month
Day
Year
Previous Employer
Name:
Address
Street Address City State ZIP Code
Phone:
Supervisor:
First Last
Start Date:
Month
Day
Year
End Date:
Month
Day
Year
Lessee #2
Current Employer
Name:*
Address*
Street Address City State ZIP Code
Phone:*
Supervisor:*
First Last
Start Date:*
Month
Day
Year
Previous Employer
Name:
Address
Street Address City State ZIP Code
Phone:
Supervisor:
First Last
Start Date:
Month
Day
Year
End Date:
Month
Day
Year
Previous Employer
Name:
Address
Street Address City State ZIP Code
Phone:
Supervisor:
First Last
Start Date:
Month
Day
Year
End Date:
Month
Day
Year
Previous Employer
Name:
Address
Street Address City State ZIP Code
Phone:
Supervisor:
First Last
Start Date:
Month
Day
Year
End Date:
Month
Day
Year

RENTAL HISTORY
(Please Give Rental History Details For The Past Three (3) Years For Each Requested Lessee.)
Lessee #1
Current Address*
Street Address City State ZIP Code
Move-in Date:*
Month
Day
Year
Expected Move-out Date:*
Month
Day
Year
Rent:*
Reason for leaving:*
Landlord/Manager:*
Landlord/Manager Phone:*
Notice To Vacate Given:*
- Yes
- No
Notice to Vacate Effective Date:*
Month
Day
Year
Lessee #1 Previous Address
Previous Address
Street Address City State ZIP Code
Date Move-in Date:
Month
Day
Year
Date of Move-out:
Month
Day
Year
Rent:
Reason for leaving:
Landlord/Manager:
Landlord/Manager Phone:
Lessee #1 Previous Address
Previous Address
Street Address City State ZIP Code
Moved-in Date:
Month
Day
Year
Date of Move-out:
Month
Day
Year
Rent:
Reason for leaving:
Landlord/Manager:
Landlord/Manager Phone:
Lessee #2
Current Address*
Street Address City State ZIP Code
Move-in Date:*
Month
Day
Year
Expected Move-out Date:*
Month
Day
Year
Rent:*
Reason for leaving:*
Landlord/Manager:*
Notice To Vacate Given:*
- Yes
- No
Notice to Vacate Effective Date:*
Month
Day
Year
Lessee #2 Previous Address
Previous Address
Street Address City State ZIP Code
Reason for leaving:
Date Move-in Date:
Month
Day
Year
Date of Move-out:
Month
Day
Year
Rent:
Reason for leaving:
Landlord/Manager:
Landlord/Manager Phone:
Lessee #2 Previous Address
Previous Address
Street Address City State ZIP Code
Reason for Leaving:
Date Moved-in Date:
Month
Day
Year
Date of Move-out:
Month
Day
Year
Rent:
Reason for Leaving:
Landlord/Manager:
Landlord/Manager Phone:

APPLICANT PERSONAL REFERENCES
Lessee #1 References
Lessee #1 Reference #1
Reference Name:*
First Last
Address:*
Street Address City State ZIP Code
Phone:*
Relationship:*
Years Known*
Lessee #1 Reference #2
Reference Name:*
First Last
Address:*
Street Address City State ZIP Code
Phone:*
Relationship:*
Years Known:*
Lessee #1 Reference #3
Reference Name:*
First Last
Address:*
Street Address City State ZIP Code
Phone:*
Relationship:*
Years Known*
Lessee #2 References
Lessee #2 Reference #1
Reference Name:*
First Last
Address:*
Street Address City State ZIP Code
Phone:*
Relationship:*
Years Known*
Lessee #2 Reference #2
Reference Name:*
First Last
Address:*
Street Address City State ZIP Code
Phone:*
Relationship:*
Years Known*
Lessee #2 Reference #3
Reference Name:*
First Last
Address:*
Street Address City State ZIP Code
Phone:*
Years Known*

Contact In Emergency:*
Relationship:*
Address:*
Street Address City State ZIP Code
Emergency Contact Phone:*
I hereby certify and affirm that all information provided above is true and correct. I fully understand that my Lease may be terminated if I have made any false, misleading, or incomplete statement(s) in this application. I hereby authorize verification of all information provided in this application, including financial and credit information. Applicant understands this will be done through credit bureaus, contact with current and previous employers, contact with current and previous landlords, and contact with personal references. The Lease begins immediately upon (i) Landlord’s communication to Applicant of the approval of the Application and (ii) payment of the Security Deposit even though the commencement of the Lease term may be on a later date. Further, until the Security Deposit is paid, Landlord reserves the right to lease the unit to another Applicant who is approved and pays the Security Deposit. If application is withdrawn after Applicant is notified of approval, Applicant forfeits any Security Deposit paid as reimbursement to satisfy Landlord’s costs and lost rent for holding an apartment off the market.
Electronic Signatures: The Parties agree that electronic signatures shall have the same legal effect as handwritten signatures. Each Party consents to the use of electronic signatures for the execution of this Agreement. The Parties agree that any electronic signature appearing on this Agreement is intended to authenticate the execution of the document and shall be legally binding on the Parties.
Lessee #1 Signature:
Type Signature*
Date:
Month
Day
Year
Lessee #2 Signature:
Type Signature*
Date:
Month
Day
Year
Please Provide Any Additional Comments Here:
A $25 application fee is required to process your application. Details are given below on how to contact us and explore payment options.

Step 1 of 10

Rental Application

APPLICATION INFORMATION

Lessee #1

Lessee #2

NAME OF OCCUPANTS AND RELATIONSHIP TO APPLICANT

Occupant 1

Occupant 2

Occupant 3

Occupant 4

APPLICANT / OCCUPANT VEHICLES

Lessee #1 Vehicle

Lessee #2 Vehicle

EMPLOYMENT HISTORY

Lessee #1

Current Employer

Previous Employer

Previous Employer

Previous Employer

Lessee #2

Current Employer

Previous Employer

Previous Employer

Previous Employer

RENTAL HISTORY

Lessee #1

Lessee #1 Previous Address

Lessee #1 Previous Address

Lessee #2

Lessee #2 Previous Address

Lessee #2 Previous Address

INCOME

Lessee #1 Income

Lessee #2 Income

CREDIT AND FINANCIAL INFORMATION

Lessee #1 Credit and Financial

Bank Accounts

Credit Cards

Vehicle Loan

Other Creditors

Total Monthly Payments Lessee #1

Lessee #2 Credit and Financial

Bank Accounts

Credit Cards

Vehicle Loan

Other Creditors

Total Monthly Payments Lessee #2

APPLICANT PERSONAL REFERENCES

Lessee #1 References

Lessee #1 Reference #1

Lessee #1 Reference #2

Lessee #1 Reference #3

Lessee #2 References

Lessee #2 Reference #1

Lessee #2 Reference #2

Lessee #2 Reference #3

A $25 application fee is required to process your application. Details are given below on how to contact us and explore payment options.