alt-credit – Flagship City Living

FLAGSHIP CITY DISTRICT

Residential Rental Application

Applicant 1

Full Nameyour full name

Date of Birthof appointment

Social Security Number

Driver's License #

Emaila valid email

Phone Number

Desired Move-in Date

Applicant 2

Full Nameyour full name

Date of Birthof appointment

Social Security Number

Driver's License #

Emaila valid email

Phone Number

Desired Move-in Date

Co-Applicant's Personal Information (if applicable)

Nameyour full name

Relation to Applicant

Date of Birthof appointment

Social Security Number

Driver's License #

Emaila valid email

Phone Number

RENTAL HISTORY

Applicant 1

Current Address

City

Zip

Years Resided

Landlord's Name

Landlord's Contact #

Reason for Leavingmore details

0 / 500

Previous Address

City

Zip

Years Resided

Landlord's Name

Landlord's Contact #

Reason for Leavingmore details

0 / 500

Previous Address

City

Zip

Years Resided

Landlord's Name

Landlord's Contact #

Reason for Leavingmore details

0 / 500

Have you ever been evicted from a rental residence?

YesNo

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

YesNo

Have you ever refused to pay rent when due?

YesNo

If yes to any of the above, please state your reasons.more details

0 / 1000

Applicant 2

Current Address

City

Zip

Years Resided

Landlord's Name

Landlord's Contact #

Reason for Leavingmore details

0 / 500

Previous Address

City

Zip

Years Resided

Landlord's Name

Landlord's Contact #

Reason for Leavingmore details

0 /

Previous Address

City

Zip

Years Resided

Landlord's Name

Landlord's Contact #

Reason for Leavingmore details

0 /

Have you ever been evicted from a rental residence?

YesNo

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

YesNo

Have you ever refused to pay rent when due?

YesNo

If yes to any of the above, please state your reasons.more details

0 / 1000

EMPLOYMENT DETAILS

Applicant 1

Current Employer

Supervisor's Name

Supervisor's Contact

Job Title

Date Hiredof appointment

Monthly Income

Previous Employer

Previous Employer (If applicable)

Supervisor's Name

Supervisor's Contact

Job Title

Date Hiredof appointment

Throughof appointment

Applicant 2

Current Employer

Supervisor's Name

Supervisor's Contact #

Job Title

Date Hired

Monthly Income

Previous Employer

Previous Employer (If applicable)

Supervisor's Name

Supervisor's Contact #

Job Title

Date Hired

Through

PROOF OF INCOME

The applicant is required to attach proof of their income to this rental application form. Acceptable documentation includes paystub, employer’s letter/certificate, bank statements or copies of the previous year’s tax return.

Fileupload

Upload Proof of Income

CREDIT HISTORY AUTHORIZATION I authorize verification of all information given and authorize a credit and/or criminal check and additional information to be obtained from the Apartment Association of Northwestern Pennsylvania, Inc., a credit reporting bureau, and other services. Applicant must successfully complete a criminal history background check to the satisfaction of the landlord that prospective tenant will not be a liability, cause damage, or concern to the landlord, other tenants, or building property.

YesNo

I certify that the above facts are true to the best of my knowledge and belief.

Yes

SignatureI agree to the terms and conditions

Applicant 1 Signs Here

Clear Signature

SignatureI agree to the terms and conditions

Applicant 2 Signs Here

Clear Signature

Co-Signer SignatureI agree to the terms and conditions

Co-Signer Signs Here (If Applicable)

Clear Signature