Address of property you want to rent from Bluff City Properties Inc.
Date Requested to move in
Your Full Name - First , Middle, Last
Your Current Street Address - Apt#
Your Current, State & Zip Code
Your Email address
Your Current Phone with Area Code
Your Current Living Arrangements
Choose One
Independent / Off Campus
Living On Campus
Living with parent/family member
IF YOU HAVE SIGNED A RENTAL AGREEMENT BEFORE
If you HAVE NOT SIGNED A RENTAL AGREEMENT before put N/A in the blanks.
Street Address and Apartment #
City, State, Zip Code
Manager / Owner
Manager’s Street Address
Manager’s City, State, Zip Code
Managers PH Number w/ Area Code
Dates you rented from this person
Have you ever been evicted?
Yes
No
CHOOSE ONE
Have you ever NOT fulfilled a rental agreement?
Yes
No
CHOOSE ONE
Have you ever been convicted of a felony or misdemeanor?
Yes
No
CHOOSE ONE
Have you ever filed for bankruptcy?
Yes
No
CHOOSE ONE
Have you ever willfully or intentionally refused to pay rent?
Yes
No
CHOOSE ONE
Your Birthday - Month, Day, Year
Your Social Security Number
SOURCE OF INCOME
Employer’s Street Address
Employer’s City, State & Zip Code
Name of your Supervisor at work
Work Phone Number w/ Area Code
What motor vehicles do you have?
Make, Year, Model
License Plate Number & State Vehicle is Licensed in
Name of last School you attended
Name of school in which are are currently enrolled - if applicable
If currently enrolled, what year are you in college?
Freshman
Sophmore
Junior
Senior
Fifth Year - Undergraduate
Sixth Year - Undergraduate
Graduate Student
Do you have a waterbed?
Yes
No
CHOOSE ONE
Do you have Pets? What kind?
Yes
No
Name of emergency contact
Phone with area code of person
Name of emergency contact
Phone with area code of person
Please fill out Parent / Guardian
information if a full-time student
Name of your Parents-Guardian or Next of Kin
Parents or Guardian Street Address
Your Parents - Guardian or Next of Kin City, State, Zip Code
Your Parents - Guardian or Next of Kin
The undersigned applicant(s) hereby authorize Bluff City Properties Inc. to contact any consumer or credit reporting agency or bureau employed by it to investigate my (our) character, general reputation, mode of living, financial responsibility, the statements made on this application, to inquire of and check with persons and references named therein, and authorize (s) such credit or consumer reporting agency or bureau to make the consumer credit report in the connection therewith.
It is agreed by the applicant and Bluff City Properties Inc. that the apartment applied for will not be considered rented until the applicant has completed the following:
4. Applicant will be asked to read and sign a lease agreement (the agreement must be signed within a reasonable amount of time, generally 2-3 days after the applicant has been contacted by Bluff City Properties Inc. to do so.
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By filling in the box above, you are SIGNING this form Electronically. After
