Application for Apartment Occupancy Agreement

$25.00 NON-REFUNDABLE APPLICATION FEE PER APPLICANT

PLEASE RETURN TO:  MESSINA & ASSOCIATES PROPERTY MANAGEMENT - 1512 E SUPERIOR ST. DULUTH, MN 55812

Fill this out by typing in each field and then printing, or print and then fill out by hand.

Applicant #1
(Complete Legal Name)
Social Security #
Drivers License #, State
Date of Birth
Present Address
Occupation
Employer
Location
Phone
Type of business
Supervisor's name/title
Length of employment
Monthly income
Phone (residence)
Phone (business)
How long at present address?
Reason for moving?
Monthly rent
Landlord
Landlord's phone
Previous address
How long at previous address?
Reason for moving?
Monthly rent
Previous Landlord/Manager
Previous Landlord's phone
Car make, model
License #, State
Credit Reference
Type of account
Date account opened
   
Personal Reference
Address
Phone
Length of acquaintance
   
Nearest Relative
Relationship
Address
Phone
Applicant #2
Complete Legal Name)
Social Security #
Drivers License #, State
Date of Birth
Present Address
Occupation
Employer
Location
Phone
Type of business
Supervisor's name/title
Length of employment
Monthly income
Phone (residence)
Phone (business)
How long at present address?
Reason for moving?
Monthly rent
Landlord
Landlord's phone
Previous address
How long at previous address?
Reason for moving?
Monthly rent
Previous Landlord/Manager
Previous Landlord's phone
Car make, model
License #, State
Credit Reference
Type of account
Date account opened
   
Personal Reference
Address
Phone
Length of acquaintance
   
Nearest Relative
Relationship
Address
Phone

CONSENT TO OBTAIN CREDIT INFORMATION

The State of Minnesota prohibits discrimination in Housing and this form has been reviewed by the Minnesota Department of Human Rights, the Minnesota Attorney General's Office and the Office of Housing and Urban Development.  Application processing by Rental Research Services, Inc. 11300 Minnetonka Mills Rd, Minnetonka, MN, 55305, (800) 328-0333.   The foregoing information is supplied to the management to induce them to rent to me and is true and correct in all respects.  I authorise whatever credit investigation the management considers appropriate.  This investigation may include the exchange of information and a report from a credit reporting agency.  I authorize the release of income and employment history from federal or state records including State Emploiyment Security Agency records.  This release is valid for this transaction only and continues in effect for the maximum period, not to exceed one year, as allowed by law.

Executed on this _____ day of __________________, in the year ___________, in the city of __________________, state of _______________.

Signed Applicant #1 ________________________________________________

Executed on this _____ day of __________________, in the year ___________, in the city of __________________, state of _______________.


Signed Applicant #2 ________________________________________________