RIVERMILL APARTMENT CREDIT APPLICATION

 

 

Date: _________ Interested in: Renting Property Address: ________________________

 

Name:

                        (First)                                                  (Middle)                                              (Last Jr./Sr.)

Birth date: / /         Soc. Sec. No: / /         Home Phone: ( ) -

 

Address:

                        (Street/P.O. #)                                                                         (State)                                     (Zip)

 

Name:

                                    (First)                                      (Middle)                                              (Maiden)

Birth date: / /         Soc. Sec. No: / /

 

EMAIL ADDRESS:_______________________________________________________________________

 

IN CASE OF EMERGENCY CALL: _________________________________________________________

 

EMPLOYMENT INFORMATION

 

Present Employer:                                                                Occupation:

 

Address:                                                                                  Phone: ( ) -

 

Hourly pay: $ ________ Paid: Wk. Bi-Wk. Mo. Take-home $ _________ Date Employed: ______

 

Previous Employer:                                                                Reason for leaving:

 

 

Employer:                                                                             Occupation:

 

Address:                                                                                  Phone: ( ) -

 

Hourly pay: $ ________ Paid: Wk. Bi-Wk. Mo. Take-home $ _________ Date Employed: ______

 

Previous Employer:                                                                Reason for leaving:

OTHER INFORMATION

 

Landlord:________________________________________Phone: ( ) -______________________

Other Income:

Monthly obligations (i.e. car payments, child support, credit cards, etc.):

__________________________________________________________________________________________

 

 

PLEASE COMPLETE THE BACK PAGE

 

CREDIT REFERENCES

 

Name                                                          Address                                                      Phone

1.

2.

3.

 

 

COMPLETE THIS SECTION ONLY IF INTERESTED IN RENTING

 

Interested in a _____ bedroom apartment                              Date needed: ______________________________

 

Number of children at home: ___________________           Ages: ____________________________________

 

Pets: Number: _______________     Breed: _____________________________________________________

 

NOTE: Pit Bulls, Doberman Pinchers, Great Danes, Rotweilers

are not allowed. All pets subject to approval of landlord.

 

 

 

Referred by:    Website                 Apartment Guide              Village Adocate

                        Other ____________________________________________________________________

 

I have provided true information to the best of my knowledge. I further authorize the above cited references to supply pertinent information as may be required to determine my/our credit capabilities. YOU HAVE MY/OUR PERMISSION TO VERIFY THE ABOVE INFORMATION AND OBTAIN OUR CREDIT REPORT.

 

________________________________________                ________________________________________

Agent                                                                                      Signed

 

________________________________________                ________________________________________

Date                                                                                        Signed

OFFICE USE ONLY

Price of Property: $______________            Total Monthly Income: $ _________            Total Expenses: $_____________

Net Income: $ _________________  Monthly Payment: $_____________

 

                                                                                                Percentage of Income            Amount of Home

Payment not to exceed 28% of gross income:

Total obligations not to exceed 36% of gross income:

 

Jordan Properties: P.O. Box 128, Saxapahaw, NC 27340

Phone: 336-376-3122 Fax: 336-376-3522