Real Estate - Anitra Mayweather

Nitra Realty Residential Lease Application

Each applicant 18 years of age or older must complete a separate application. To avoid delays or denial, please complete every field thoroughly. If something does not apply to you, enter N/A.

Property & Lease Information

Property Address Anticipated Move-in Date Monthly Rent Security Deposit Initial Lease Term Requested - Months

A. Applicant Identification

Applicant Name as Listed on ID Former Last Name, if applicable Email Mobile Phone Work Phone Home Phone Do you consent to receiving text messages? Social Security Number Driver License / ID Number Driver License / ID State Date of Birth Height Weight Eye Color Hair Color Are there co-applicants? Co-applicant 1 Name and Relationship Co-applicant 2 Name and Relationship Co-applicant 3 Name and Relationship

B. Property Condition

Has applicant viewed the property in person? Repairs or treatments applicant requests landlord consider

C. Representation and Marketing

Is applicant represented by a REALTOR® or other agent? Agent Name Agent Company Agent Email Agent Phone How was applicant made aware of the property?

D. Applicant Housing Information

Current Address Current Apt Number Current City, State, Zip Current Landlord / Property Manager Name Current Landlord Email Current Landlord Phone Current Move-in Date Current Move-out Date Current Rent Reason for Move Previous Address Previous Apt Number Previous City, State, Zip Previous Landlord / Property Manager Name Previous Landlord Email Previous Landlord Phone Previous Move-in Date Previous Move-out Date Previous Rent Reason for Leaving Previous Address

Employment and Income

Current Employer Current Employer Address Employment Verification Contact Employment Verification Phone Employment Verification Fax Employment Verification Email Start Date Gross Monthly Income Position Previous Employer Previous Employer Address Previous Employment Verification Contact Previous Employment Phone Previous Employment Fax Previous Employment Email Employed From Employed To Previous Gross Monthly Income Previous Position Describe Other Income Applicant Wants Considered

Emergency Contact

Name and Relationship Address City State Zip Code Phone Email

E. Occupant Information

Occupant 1 Name, Relationship, DOB Occupant 2 Name, Relationship, DOB Occupant 3 Name, Relationship, DOB Occupant 4 Name, Relationship, DOB

F. Vehicle Information

Vehicle 1 - Type, Year, Make, Model, License Plate/State, Monthly Payment Vehicle 2 - Type, Year, Make, Model, License Plate/State, Monthly Payment Vehicle 3 - Type, Year, Make, Model, License Plate/State, Monthly Payment Vehicle 4 - Type, Year, Make, Model, License Plate/State, Monthly Payment

G. Animals

Will any animals be kept on the property? Animal 1 - Type/Breed, Name, Color, Weight, Age, Gender, Neutered, Bite History, Rabies Current, Assistance Animal Animal 2 - Type/Breed, Name, Color, Weight, Age, Gender, Neutered, Bite History, Rabies Current, Assistance Animal Animal 3 - Type/Breed, Name, Color, Weight, Age, Gender, Neutered, Bite History, Rabies Current, Assistance Animal Animal 4 - Type/Breed, Name, Color, Weight, Age, Gender, Neutered, Bite History, Rabies Current, Assistance Animal Assistance Animal Documentation / Reasonable Accommodation Notes

H. Additional Information

Will any waterbeds or water-filled furniture be on the property? Does anyone who will occupy the property smoke or vape? Will applicant maintain renter's insurance? Is applicant or applicant's spouse, even if separated, in the military? If yes, is the military person serving under orders limiting stay to one year or less? Has applicant ever been evicted? Has applicant ever been asked to move out by a landlord? Has applicant ever breached a lease or rental agreement? Has applicant ever filed for bankruptcy? Has applicant ever lost property in foreclosure? Has applicant ever been convicted of a crime? If yes, provide location, year, and type of conviction Is any occupant a registered sex offender? If yes, provide location, year, and type of conviction Has applicant had any credit problems, slow-pays, or delinquencies? If yes, provide more information Is there additional information applicant wants considered?

I. Authorization

By submitting this application, applicant authorizes landlord and landlord's authorized agent to obtain credit, criminal background, rental history, employment history, and other information related to this application.

I acknowledge that the property may remain on the market until a lease is signed by all parties. I acknowledge that I have had the opportunity to review landlord's tenant selection criteria. I understand that inaccurate or incomplete information may be grounds for rejection. I represent that the statements in this application are true and complete. Applicant Electronic Signature Date