Rental Application First name*Last name*Email*Primary Phone*Birthdate*Marital Status*SingleMarriedDivorcedCurrent Address*City / State / Zip*Length of Time*Current Landlord*Landlord Phone*Reason for Leaving*Amount of Rent*Is/Was Rent Paid in Full?*YesNoPrevious Address*City / State / Zip*Length of Time*Previous Landlord*Previous Landlord Phone*Reason for Leaving*Amount of Rent*Is/Was Rent Paid in Full?*YesNoPROPOSED OCCUPANTSProposed Occupant Name*Relationship to Applicant*Birthdate*Proposed Occupant Name #2 (if applicable)Relationship to ApplicantBirthdateVEHICLE INFORMATIONMake & Model*Color*Year*EMPLOYMENT / SOURCE OF INCOMECurrent Employer*Occupation*Address*Phone*Name of Supervisor*Monthly Gross Pay*Dates of Employment*Previous Employer*Occupation*Address*Phone*Name of Supervisor*Monthly Gross Pay*Dates of Employment*EMERGENCY CONTACTEmergency Contact Name*Emergency Contact Phone*Emergency Contact Address*Emergency Contact Relationship*GENERAL INFORMATIONHave you ever served a late rent notice?*YesNoHave you ever been served an eviction notice?*YesNoHave you ever been convicted of a felony?*YesNoHave you ever filed for bankruptcy?*YesNoWhen would you be able to move in?*How long do you think you would be renting from us?*How many bedrooms are you interested in?*studio/efficiency1 bedroom2 bedroomsmore than 2 bedroomsfirst availableWhich area are you interested in? *Akron UEast AkronHIghland SquareMaple HtsNorth HillDo you or any of the proposed occupants smoke?*YesNoAUTHORIZATIONBy entering your initials (below) you agree: I believe that the statements I have made are true and accurate. I hereby authorize verification of information I provided and communication with any and all names listed on this application. I understand that any discrepancy or lack of information may result in the rejection of this application. I further understand that this is an application for an apartment and does not constitute a rental or lease agreement in whole or part. Any question regarding rejected applications must be submitted in writing and accompanied by a self-addressed stamped envelope.Enter Your Initials*Date*Submit Your Application