Rental Application*Please do not complete an application until you have completed a showing of the property. Equal Housing Opportunity State of MN Application Fee: $45/Adult Venmo: @Hu-Liu-2 PayPal: liujinghu@yahoo.com Phone: 651-428-0603 The undersigned hereby makes an application to rent the following property: Leasing Address * 3490 Cherry Lane #Unit B, Woodbury, MN 55129 Anticipated Move-In Date * MM DD YYYY Lease Term * Pet Fee Total Rent * Total Security Deposit * PERSONAL INFORMATION Name * First Name Last Name Home Phone (###) ### #### Cell Phone * (###) ### #### Date of Birth * MM DD YYYY Social Security Number * Email Address * Co-Applicant Name First Name Last Name Home Phone (###) ### #### Cell Phone (###) ### #### Date of Birth MM DD YYYY Social Security Number Email Address Names of Dependents Date of Birth MM DD YYYY Have you or Co-Applicant legally changed your name in the past 3 years? * No Yes PLEASE GIVE RESIDENTIAL HISTORY (LAST THREE YEARS) Current Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Month/Year Moved In * Reasons for Leaving * Rent/Mortgage $ * Previous Addresses (Last 3 years) Rent/Mortgage $ Owner/Agent Owner/Agent Phone (###) ### #### PLEASE DESCRIBE YOUR CREDIT HISTORY Have you declared bankruptcy in the past seven (7) years? * Yes No Have you ever been evicted from a residence? * Yes No Have you had two or more late credit card or rental or mortgage payments in the past three (3) years/ * Yes No Have you ever willfully or intentionally refused to pay rent when due? * Yes No Have you been party to a short sale or foreclosure in the past five (5) years? * Yes No Have you any other debt or loan? If yes, please write down how much your monthly payments are. PLEASE PROVIDE YOUR EMPLOYMENT INFORMATION Your Status * Full Time Part Time Student Unemployed Employer Dates Employed Supervisor Name & Phone Salary/Wage May we contact Supervisor listed above to verify employment? Yes No If employed by above less than 12 months, give name and phone of previous employer or school. If you have other sources of income that you would like us to consider, please list income, source, and person (banker, employer, etc.) who we may contact for confirmation. You do not have to reveal alimony, child support, or spouse's annual income unless you want us to consider it in this application. Do you have any pets? Yes No If yes, please describe your pets. ADDITIONAL INFORMATION Please give any additional information that might help owner/management evaluate this application? Where may we reach you to discuss this application? Day Phone #, Night Phone # I hereby apply to lease the above described premises and agree that the rental is to be payable the first day of each month in advance. I hereby waive any claim for damages by reason of non-acceptance which the owner may reject. I recognize that as a part of the procedure for processing my application, an investigative consumer report may be prepared whereby information is obtained through personal interviews with others with whom I may be acquainted as provided in this application and through searches with back-ground check and research companies. I warrant that all statements above set forth are true. I hereby deposit $ 200.00 as earnest money to be refunded to me if this application is not accepted in 5 business banking days. Upon acceptance, this deposit shall be retained as part of the security deposit. When so approved and accepted, I agree to execute a lease for a minimum of [FILL BELOW] months after possession is given and to pay the balance of the security deposit $[FILL BELOW] upon signing of lease agreement. Applicant(s) will pay a non-refundable $45 per adult for background check. * Lease Term, Security Deposit The above information, to the best of my knowledge, is true and correct. * Please print name. Date MM DD YYYY AUTHORIZATION Release of Information I authorize an investigation of my credit, tenant history, banking, employment, criminal background, and other checks as necessary for the purposes of renting a house, apartment, or condominium from this owner/manager. Signature Date MM DD YYYY Thank you!
