Affordable Home: Inspection & Property Management Services

 

AHIPM Confidential Application

Applicant Name
Telephone Number
Date of Birth (mm/dd/yyyy)
Social Security Number
Drivers License #
Drivers License State
Current Address
Current Landlord
Landlord's Telephone Number
How Long at this address (months)
Reason For Leaving
Previous Address
Previous Landlords Name
Previous Landlord's Telephone Number
How Long at this address
Reason For Leaving
Vehicle Type (Make, Model)
State/License Plate Number
Present Employer
Position
Monthly Income
How Long at job? (Months)
Employer Address
Pets? If so what and how many
Have you ever been party to an eviction?
Name of bank
Type of Account

Personal References (name)
Years known?
Relationship
Phone Number
2nd Personal Reference
Years known
Phone Number
Co-Applicant Name (if applicable)
Co-Applicant Date of Birth (if applicable)
Co-Applicant Social Security Number  (if applicable)

By hitting submit I CERTIFY that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for tenant screening as may be necessary in arriving at a tenant decision, I understand that the landlord may terminate any rental agreement entered into for any misrepresentations made above.

 

 

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