Apply to Rent — Triple M Real Estate Management

01

Applicant Information

Full Legal Name *

Cell Phone *

Date of Birth *

Email Address *

Aliases / Other Names Used

Driver’s License Number *

State *

Expiration *

02

Rental & Residence History

Please provide your current address followed by your most recent previous address.

Current Residence

Street Address *

City *

State *

ZIP *

Current Landlord’s Name

Landlord’s Phone

Length of Time at This Address

Reason for Leaving

Previous Residence

Street Address

City

State

ZIP

Previous Landlord’s Name

Landlord’s Phone

Length of Time at This Address

Reason for Leaving

03

Vehicle Information

Year

Make

Model

Color

State & Plate Number

04

Employment

Current Employer

Employer *

Position *

Monthly Income *

Employer Phone

Length of Employment

Other Income & Source

Employer Address

City

State

ZIP

Previous Employer

Employer

Position

Monthly Income

Employer Phone

Length of Employment

Employer Address

City, State

05

Personal References

Reference 1

Name

Years Known

Relationship

Phone

Reference 2

Name

Years Known

Relationship

Phone

06

Emergency Contact

Name *

Relationship *

Phone *

07

Household & Background

Total Number of Adults *

Children Under Age 18 *

Names & Relations of All Other People Who Would Live in the Home

Have you ever been served a late rent notice? *

Yes No

Does anyone who would live in the unit smoke? *

Yes No

Have you ever filed for bankruptcy? *

Yes No

Have you been convicted of a felony? *

Yes No

Have you ever been served an eviction notice? *

Yes No

If yes, when?

When Could You Move In? *

Pets — Type, Breed, Approximate Weight, Age

We will run a credit and criminal background check. Is there anything negative we’ll find that you’d like to comment on?

08

Certify & Sign

I certify that the answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for tenant screening as may be necessary in arriving at a tenant decision. I understand that Triple M Real Estate Management, LLC may terminate any rental agreement entered into for any misrepresentations made above.

I have read, understand, and agree to the certification above.

Signature (type your full name) *

Date *

Apply to rent with Triple M.

Applicant Information

Rental & Residence History

Current Residence

Previous Residence

Vehicle Information

Employment

Current Employer

Previous Employer

Personal References

Reference 1

Reference 2

Emergency Contact

Household & Background

$50.00 — non-refundable

Certify & Sign