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  Online Application - Step 3  

 

Select Print on your web browser to print this page.

If a field below does not apply to you, simply leave it blank.  This will not diminish your chances of obtaining tenancy as long as you are honest.

Personal

Tenant

Cotenant

Cotenant

Name      
Phone      
e-Mail Address      
SS Number (optional)      
Description (circle)

Adult

Adult         Student         Child

Adult         Student         Child

Current Address      
Landlord Name      
Current Monthly Rent      

 

Income/Expenses

Tenant

Cotenant

Cotenant

Employer      
Time on job      
Monthly gross income      
Work Phone

 

   
Car Description      

Monthly car payment

     

  

References

Tenant

Cotenant

Cotenant

Reference #1 (non-related)      
    phone number      
Reference #2 (non-related)      
   phone number

 

   
Emergency Contact Name      

    Address

     

    Phone

     

 

Housing Needs

Tenant

Number of tenants

1     2     3      4     5

Number of bedrooms desired

1     2     3      4     5

BNI Property interested in  

 

Misc

Tenant

Cotenant

Cotenant

Do you have a checking account?

Yes             No

Yes             No

Yes             No

Do you have a savings account?

Yes             No

Yes             No

Yes             No

Have you ever filed bankruptcy?

Yes             No

Yes             No

Yes             No

Have you ever been evicted?

Yes             No

Yes             No

Yes             No

Do you have pets?

Yes             No

Yes             No

Yes             No

By signing below I declare that I have read the Application Policy and I declare the foregoing to be true under the penalty of perjury, and I agree that it may terminate any agreement entered into in reliance on any misstatements made above.

 

 

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  Tenant Signature Cotenant Signature Cotenant Signature

 

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