Application To Rent | DumBear Properties

Please complete the Rental Application below. All fields marked with an * are required.

WHAT TYPE OF SPACE ARE YOU INTERESTED IN RENTING? *Studio Apartment1 Bedroom ApartmentRental Home

PERSONAL INFORMATION

Name *

Maiden Nameif applicable

Date of Birth *

Month

Day

Year

Drivers License No. *

State *0 / 2

Email Address *

Phone *

Present Home Address *

Apartment, suite, etc

City *

State *

ZIP Code *

Length of Time *

Reason for Moving *

Landlord Name *

Landlord Phone *

Previous Home Address *

Apartment, suite, etc

City *

State *

ZIP Code *

Length of Time *

Reason for Moving *

Landlord Name *

Landlord Phone *

Next Previous Home Address *

Apartment, suite, etc

City *

State *

ZIP Code *

Length of Time *

Reason for Moving *

Landlord Name *

Landlord Phone *

PROPOSED OCCUPANT(S)

Please name and list age of every person who will occupy premises: *

Will you have any liquid filled furniture? *YesNo

If yes, please describe furniture:

EMPLOYMENT / FINANCIAL INFORMATION

Present Occupation *

Employer Name *

How long with this employer? *

Employer Phone *

Employer Address *

Name of Supervisor *

Prior Occupation *

Prior Employer Name *

How long with the prior employer? *

Prior Employer Phone *

Prior Employer Address *

Name of Prior Supervisor *

Current Net Income (take home pay) *

Per: *WeekMonthYear

Financial Obligations:

Please list all of your financial obligations, such as car payment, insurance, cell phone, child support, etc.

Name of Creditor *

Creditor Address *

Creditor Phone *

Monthly Payment *

Name of Creditor

Creditor Address

Creditor Phone

Monthly Payment

Name of Creditor

Creditor Address

Creditor Phone

Monthly Payment

Name of Creditor

Creditor Address

Creditor Phone

Monthly Payment

Name of Creditor

Creditor Address

Creditor Phone

Monthly Payment

Emergency / Personal Reference Information

In case of emergency, notify: *

Address *

Phone *

Relationship *

In case of emergency, notify:

Address

Phone

Relationship

Maiden name (for applicant, if applicable)

Personal Reference *

Address *

Phone *

Years Known *

Personal Reference *

Address *

Phone *

Years Known *

Personal Reference *

Address *

Phone *

Years Known *

VEHICLE INFORMATION

Vehicle Make

Model

Year

License No.

Vehicle Make

Model

Year

License No.

Motorcycles (other vehicles)

Model

Year

License No.

Have you ever filed for bankruptcy? *YesNo

If yes, date filed and describe:

Have you ever been evicted or asked to move? *YesNo

If yes, please describe:

APPLICANT AUTHORIZATION

Applicant represents that all of the above statements are true and correct, and hereby authorizes landlord/agent to verify the above items including, but not limited to the obtaining of a credit report, and agrees to furnish additional credit references upon request.

The undersigned makes application to rent housing accommodations designated as DumBear Properties LLC.

Upon approval of this application, all sums are due, including required deposits before occupancy.

Date *

Signature *