B. DOYLE HOLDINGS

Blank Form (#3)

First Name

Last Name

Email Address

Home Phone

How many people will be living in the Apt

Adults

Children

Desired Move in Date

CO-APPLICANT’S PERSONAL INFORMATION (if applicable)

First Name

Last Name

Email Address

Home Phone

Alternative Phone

RENTAL HISTORY

CURRENT RESIDENCE

Current Address

How long have you been residing at this address?

Monthly Rent

Landlord’s Name

Landlord’s Contact Number

Can we contact this landlord for a reference?

Yes

Reason(s) for leaving this property

2. PREVIOUS RESIDENCE

Previous Address

How long did you stay at this address?

Monthly rent

Landlord’s Name

Landlord’s Contact Number

Can we contact this landlord for a reference?

Yes

Reason(s) for leaving this property

Have you ever been evicted from a rental residence?

Yes

Have you ever missed one or more rental payments in the past 12 months?

Yes

Have you ever refused to pay rent when due?

Yes

If you answered YES to any above, please state your reasons and/or circumstances

EMPLOYMENT DETAILS

CURRENT EMPLOYMENT

Current Employer

Supervisor’s Name

Phone Number

Job Title

Date Hired

Monthly Income

Other Sources of Income

2. PREVIOUS EMPLOYMENT

Previous Employer

Supervisor’s Name

Phone Number

Job Title

Period of Employment

CREDIT HISTORY AND BACKGROUND CHECK AUTHORIZATION

Have you declared bankruptcy in the past seen (7) years?

Yes

Is there anything that we may find in our credit check that you want to comment on

CRIMINAL BACKGROUND CHECK AUTHORIZATION

Do you consent to a criminal check?

Yes

Is there anything that we may find in our criminal record check that you want to comment on?

REFERENCES

Please provide two (2) personal rental references

Reference

First Name

Last Name

Phone

Address

Length of Acquaintance

Occupation

2. Reference

First Name

Last Name

Phone

Address

Length of Acquaintance

Occupation

ADDITIONAL INFORMATION

PETS

The Landlord does not allow pets in the rental property

2. SMOKING

The Landlord does not allow smoking of cigarettes/cigars/pipes in the rental property

I declare that the information I have provided is true and correct and contains no misrepresentations. If misrepresentations are found after Residential Lease Agreement is entered into between the Landlord and the Applicant, the Landlord shall have the option to terminate the Residential Lease Agreement and seek all available remedies.

The Applicant authorizes the landlord to verify all references and facts, including but not limited to current and previous landlords, and personal references. The Applicant understands that incomplete or incorrect information provided in the application may cause a delay in processing or may result in the denial of the application.

Initials