| TENANCY APPLICATION |
| DATE RESIDENCY REQUIRED |
| BIRTHDAY |
| LOCATION APPLYING FOR: |
| SOCIAL SECURITY # |
| APPLICANT NAME: LAST FIRST MI. |
| TELEPHONE/CELL # |
| PRESENT ADDRESS: STREET CITY STATE ZIP CODE |
| EMAIL ADDRESS |
| PRESENT LANDLORD: STREET CITY STATE ZIP CODE |
| Present Landlord Telephone # |
| Date of Occupancy |
| Scheduled Move-Out Date |
| Current Rent Amount |
| PRIOR LANDLORD: STREET CITY STATE ZIP CODE |
| Prior Landlord Telephone # |
| Date of Occupancy |
| Move-Out Date |
| Rent Amount Paid |
| OCCUPATION |
| # of Years Employed |
| PRESENT EMPLOYER: STREET CITY STATE ZIP CODE |
| TELEPHONE |
| DATE OF HIRE |
| SALARY |
| SUPERVISOR/MANAGER |
| VEHICLE(S) MAKE |
| LICENSE PLATE # |
| In Case of Emergency Contact |
| NAME |
| ADDRESS (CITY, STATE ) |
| TELEPHONE |
| NAME |
| ADDRESS (CITY, STATE ) |
| TELEPHONE |
| Additional Information |
| Pet's Name |
| Size |
| Type |
| Have you ever been convected of a crime? No Yes If Yes, please explain: |
| Have you ever been evicted or refuse to pay rent? No Yes If Yes, please explain: |
| Have you ever been sued for damage to property? No Yes If Yes, please explain: |
| APPROVALS |
| In compliance with the Fair Credit Reporting Act, State and Federal Laws, this is to inform you that an investigation involving the statements made on this application for tenancy is being initiated by Briarwood Development LLC. I certify to the best of my knowledge that statements are true and complete. I further authorize Briarwood Development LLC. to obtain credit reports, court/criminal records, character reports, general reputation, mode of living, rental references and employment history as needed to verify all the information put forth on this application. SCREENING FEE IS NONREFUNDABLE. |
| APPLICANTS SIGNATURE |
| DATE |