MPI
Rental Application
Today's Date
Date of anticipated move in
Property Interested in Renting
How did you hear about us?
Applicant
Full name of applicant(s) or participant(s)
Email Address
Address
Telephone (home)
(work)
(mobile)
Best Way to Contact You During the Day
Please Select
Home Phone
Work Phone
Cell phone
Email
D.O.B.
social security #
Driver's license
Applicant's Employment
Name of present employer
Address
Job Title
Date Started
Monthly income
Supervisor's Name
phone
Other sources of income
Name of previous employer
Address
Job Title
Date Started
Monthly income
Supervisor's Name
phone
Spouse/Co-Applicant
Full name of co-applicant
Email Address
Present Address
Telephone (home)
(work)
D.O.B.
social security #
Driver's license
Spouse/Co-Applicant employment
Name of present employer
Address
Job Title
Date Started
Monthly income
Supervisor's Name
phone
Other sources of income
Name of previous employer
Address
Job Title
Date Started
Monthly income
Supervisor's Name
phone
Present Landlord or mortgage company
Present Landlord or mortgage co.
Telephone (home)
(work)
Mo. rent or mortgage
Date of move-in
Date of move-out
Previous Landlord or mortgage company
Previous Landlord or mortgage co.
Telephone (home)
(work)
Mo. rent or mortgage
Date of move-in
Date of move-out
Personal References
Reference
phone
Address
Reference
phone
Address
Emergency
In case of emergency contact
Relationship to applicant
phone
Occupants
List all occupants
Pets (There is a monthly fee for accomodating pets)
List any pets: type
Breed
Weight
Age
List any pets: type
Breed
Weight
Age
Vehicles
List vehicles to be parked at premises: make
model
year
make
model
year
Credit/Criminal History
Bank name
phone
Address
Do you have a checking account?
Do you have a savings account?
Please list all credit obligations with minimum monthly payment below:
Have you or any of the occupants listed above ever been: convicted of a felony?
been evicted?
broken a lease?
declared bankruptcy?
If you answered
"yes"
to any of the above questions, please provide explanation(s) below:
By clicking submit below, you are declaring that all the statements made in this application are true and complete. Applicant and Co-Applicant hereby authorizes Millennium Properties & Investments, LLC or its Agent to verify all of the information in this application and obtain credit reports on the above listed applicant and/or co-applicant. If application or co-applicant has given false information, Landlord is entitled to reject the application, and retain all application fees as liquidated damages for Landlord's time and expenses in processing this application. Clicking submit qualifies as the applicant's and/co-applicant's electronic signature.
Image Validation
:
Please enter the characters
in the image to the right.
All letters are lowercase.
Characters: