Application

LISTER PROPERTIES, LLC APPLICATION

ADDRESS OF PROPERTY INTERESTED IN

First Middle Last	Birth Date	Social Security #	Driver’s License #

Any Other Names Been Used In The Past	Home Phone	Cell Phone

All Other Proposed Occupants	Birth Date	Relationship To Applicant

RENTAL / RESIDENCE HISTORY

	Current Residence	Previous Residence	Prior Residence
Street Address (include building # & floor #)
City
State & Zip
Landlord & Phone
Reason For Leaving
Is/Was Rent Paid In Full?
Did You Give Notice?
Were You Asked To Move?
	From/To	From/To	From/To
Dates Of Residency

EMPLOYMENT HISTORY

	Current Employment	Previous Employment	Prior Employment
Employed By
Employer’s Phone
Occupation
Name Of Supervisor
Monthly Gross Pay
	From/To	From/To	From/To
Dates Of Employment

CREDIT HISTORY

	Bank/Institution Name	Balance Owed
Checking Account
Savings Account
Credit Card
Auto Loan

VEHICLES (Include vehicles belonging to other proposed occupants also)

Make	Model	Color	Year	License Plate #

EMERGENCY CONTACTS

	Closest Relative	Friend	Friend
Name
Street Address
City
State & Zip
Phone Number

GENERAL INFORMATION

Have you ever been served Notice To Show Cause Notice?	How Long Are You Looking To Rent?

When would you be able to move in?	Have you ever been convicted of a felony?

Have you ever been issued a late notice?	How many pets do you have? (list type, breed)

Have you had any reoccurring problems with you current landlord?

Why are you moving from your current address?

List any verifiable sources of income you wish to have considered (optional):

We may run a credit check and a criminal background check. Is there anything that negative we will find that you would like to comment on?

How did you hear about this property?	Do you have an e-mail address we can reach you at?

AGREEMENT & AUTHORIZATION SIGNATURE

I believe that the statements I have made are true and correct. I hereby authorize a credit and/or criminal check to be made, verification of information I provided and communication with any and all names listed on this application for a rental property with Lister Properties, LLC and does not constitute a rental or lease agreement in whole or part.

Applicant Signature:		Date:
Co Applicant Signature:		Date: