Saf Property Management "*" indicates required fields Application to Rent Address you're applying for:*Applying for?*Click here to choose1 Bedroom Appartment2 Bedroom Appartment2 Bedroom House3 Bedroom House4 Bedroom HouseDate: Month Day Year PERSONAL INFORMATIONYour Name:* First Middle Last Suffix Cell Phone # With Area Code*Email Address:* Date of Birth:* Month Day Year Social Security Number:*Prefer Smoking or Non-Smoking Property:*Click here to chooseSmokingNon-SmokingDrivers License / ID #: (Include State Issued)*Current Address* Address: Include Apt. or Unit # City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Landlord Name:*Landlord Phone:* OTHER PROPOSED OCCUPANTS (including minors) Adult over 18 years must fill a separate application.(If not applicable, just put in your name.)Occupants*First NameLast NameRelationshipSocial Security No.Date of Birth Add Remove(Click the plus (+) sign to add more rows) AUTOMOBILE INFORMATIONOnly the vehicles listed below will be permitted overnight parking on property. (leave blank if not applicable) AUTOMOBILE INFORMATIONMake/BrandModelYearColorLicense Plate NoState Add Remove(Click the plus (+) sign to add more rows) EMPLOYMENT INFORMATIONCurrent/Most Recent Employer:*From:* Month Day Year To:* Month Day Year Job Title:*Weekly or Bi-Weekly Wages/Earnings:*Supervisor Name :*Supervisor Phone:*Company Address:* Address: City: State:AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State: Zip Code: REFERENCESPersonal Reference (not related)*Home Phone:*Address Address: City: State:AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State: Zip Code: Relationship:For how long?:Family Reference (related and not a proposed occupant)*Home Phone:*Address* Address: City: State:AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State: Zip Code: Relationship:*For how long?:* ADDITIONAL SOURCES OF INCOMEDo you or anyone in your household currently receive or expect to receive any income from the following sources in the next 12 months:Housing Agency Voucher AssistanceClick here to chooseYesNoAgency Name Add RemoveCase Worker Name & Phone Number Add Remove# Of Beds Allowed and Voucher Amount Add RemoveUnemployment Benefits or Worker's Compensation?Click here to chooseYesNoAnswer*Household MemberAmount Per Month Add Remove(Click the plus (+) sign to add more rows)Child Support or Alimony?Click here to chooseYesNoAnswer*Household MemberAmount Per Month Add Remove(Click the plus (+) sign to add more rows)How is the child support received?Click here to chooseChild Support Enforcement AgencyDirectly from an individualCourt of LawAgency & Contact Info:*Name & Contact Info:*Courthouse & Contact Info:*Social Security, SSI, or any other payments from the Social Security Administration?Click here to chooseYesNoAnswer*Household MemberSSA Office & ContactAmount Per Month Add Remove(Click the plus (+) sign to add more rows)Regular payments from a Veterans' benefit, pension, retirement benefit, or annuities?Click here to chooseYesNoAnswer*Household MemberName & Address of BenefitAmount Per Month Add Remove(Click the plus (+) sign to add more rows) ADDITIONAL SOURCES OF INCOME (cont.)Any other sources of income not listed?Click here to chooseYesNoAnswer*Household MemberDescriptionAmount Per Month Add Remove(Click the plus (+) sign to add more rows)Do you or any other household members expect any changes in income in the next 12 months?Click here to chooseYesNoAnswer*Household MemberExplanationAmount Per Month Add Remove(Click the plus (+) sign to add more rows) CREDIT INFORMATIONIn the chart provided below, list any credit cards or loans, including but not limited to: bank cards, department stores, gas cards, student loans, etc.CREDIT INFORMATION*Name of CreditorAccount NumberMonthly PaymentBalance Due Add Remove(Click the plus (+) sign to add more rows)BANKING INFORMATIONBANKING INFORMATION*Name of BankBranch AddressAccount NumberBalance Add Remove(Click the plus (+) sign to add more rows) GENERAL QUESTIONSAre you a U.S. Citizen?* Yes No Do you have renter's insurance?* Yes No Do you or any other household members have or expect to have any pets?* Yes No Explanation:*Have you ever broken a lease? If yes, explain why.* Yes No Explanation:*Have you ever left any type of rental property still owing money? If yes, explain why and the amount owed.* Yes No Explanation:*Have you ever been served an eviction notice? If yes, provide rental address and date of occurrence.* Yes No Explanation:*Have you ever filed for bankruptcy? If yes, when?* Yes No Explanation:*Have you ever filed a lawsuit against a landlord/management company? If yes, provide details on lawsuit filed.* Yes No Explanation:*Are you or any household member a current smoker?* Yes No Is the total move-in amount available now (rent and deposit)?* Yes No How did you hear about us?AGREEMENT & AUTHORIZATIONConsent* I agree to the privacy policy.By checking the box, I understand this application will be evaluated by management for the purposes of renting and and occupying valuable real estate. Applicant further understands that the facts represented herein are being relied upon by management and therefore guarantees that all disclosures herein are true and complete. Any misleading, incorrect, or false statements may be a violation of various fraud statutes. Management reserves the right to pursue applicant by any means legally available for providing misleading, incorrect, or false statements. Misleading, incorrect, or false statements will be sufficient reason for immediate eviction and loss of security deposit. The applicant further acknowledges and agrees that management may confirm information provided in the application and authorizes management to contact references, obtain a personal credit report, check public records, criminal records, and use any other methods of confirmation available to management. Applicant further acknowledges that management may from time to time continue to make efforts to update the information provided herein. Applicant also acknowledges that management, or its collection agency, may contact references, obtain a personal credit report, check public records, criminal records, and use any other methods of confirmation available for collection purposes should it become necessary.Upload the following requirements before submitting the form:Photo ID and Other DocumentsMax. file size: 100 MB.(i.e. jpg, gif, png, pdf)Please attach 3 latest paystubs* Drop files here or Select files Max. file size: 100 MB. (i.e. jpg, gif, png, pdf)Please attach 3 Months bank statements Drop files here or Select files Max. file size: 100 MB. (i.e. jpg, gif, png, pdf)Please attach Housing Agency Voucher Assistance Drop files here or Select files Max. file size: 100 MB. (i.e. jpg, gif, png, pdf) "*" indicates required fields Application to Rent Address you're applying for:*Applying for?*Click here to choose1 Bedroom Appartment2 Bedroom Appartment2 Bedroom House3 Bedroom House4 Bedroom HouseDate: Month Day Year PERSONAL INFORMATIONYour Name:* First Middle Last Suffix Cell Phone # With Area Code*Email Address:* Date of Birth:* Month Day Year Social Security Number:*Prefer Smoking or Non-Smoking Property:*Click here to chooseSmokingNon-SmokingDrivers License / ID #: (Include State Issued)*Current Address* Address: Include Apt. or Unit # City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Landlord Name:*Landlord Phone:* OTHER PROPOSED OCCUPANTS (including minors) Adult over 18 years must fill a separate application.(If not applicable, just put in your name.)Occupants*First NameLast NameRelationshipSocial Security No.Date of Birth Add Remove(Click the plus (+) sign to add more rows) AUTOMOBILE INFORMATIONOnly the vehicles listed below will be permitted overnight parking on property. (leave blank if not applicable) AUTOMOBILE INFORMATIONMake/BrandModelYearColorLicense Plate NoState Add Remove(Click the plus (+) sign to add more rows) EMPLOYMENT INFORMATIONCurrent/Most Recent Employer:*From:* Month Day Year To:* Month Day Year Job Title:*Weekly or Bi-Weekly Wages/Earnings:*Supervisor Name :*Supervisor Phone:*Company Address:* Address: City: State:AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State: Zip Code: REFERENCESPersonal Reference (not related)*Home Phone:*Address Address: City: State:AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State: Zip Code: Relationship:For how long?:Family Reference (related and not a proposed occupant)*Home Phone:*Address* Address: City: State:AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State: Zip Code: Relationship:*For how long?:* ADDITIONAL SOURCES OF INCOMEDo you or anyone in your household currently receive or expect to receive any income from the following sources in the next 12 months:Housing Agency Voucher AssistanceClick here to chooseYesNoAgency Name Add RemoveCase Worker Name & Phone Number Add Remove# Of Beds Allowed and Voucher Amount Add RemoveUnemployment Benefits or Worker's Compensation?Click here to chooseYesNoAnswer*Household MemberAmount Per Month Add Remove(Click the plus (+) sign to add more rows)Child Support or Alimony?Click here to chooseYesNoAnswer*Household MemberAmount Per Month Add Remove(Click the plus (+) sign to add more rows)How is the child support received?Click here to chooseChild Support Enforcement AgencyDirectly from an individualCourt of LawAgency & Contact Info:*Name & Contact Info:*Courthouse & Contact Info:*Social Security, SSI, or any other payments from the Social Security Administration?Click here to chooseYesNoAnswer*Household MemberSSA Office & ContactAmount Per Month Add Remove(Click the plus (+) sign to add more rows)Regular payments from a Veterans' benefit, pension, retirement benefit, or annuities?Click here to chooseYesNoAnswer*Household MemberName & Address of BenefitAmount Per Month Add Remove(Click the plus (+) sign to add more rows) ADDITIONAL SOURCES OF INCOME (cont.)Any other sources of income not listed?Click here to chooseYesNoAnswer*Household MemberDescriptionAmount Per Month Add Remove(Click the plus (+) sign to add more rows)Do you or any other household members expect any changes in income in the next 12 months?Click here to chooseYesNoAnswer*Household MemberExplanationAmount Per Month Add Remove(Click the plus (+) sign to add more rows) CREDIT INFORMATIONIn the chart provided below, list any credit cards or loans, including but not limited to: bank cards, department stores, gas cards, student loans, etc.CREDIT INFORMATION*Name of CreditorAccount NumberMonthly PaymentBalance Due Add Remove(Click the plus (+) sign to add more rows)BANKING INFORMATIONBANKING INFORMATION*Name of BankBranch AddressAccount NumberBalance Add Remove(Click the plus (+) sign to add more rows) GENERAL QUESTIONSAre you a U.S. Citizen?* Yes No Do you have renter's insurance?* Yes No Do you or any other household members have or expect to have any pets?* Yes No Explanation:*Have you ever broken a lease? If yes, explain why.* Yes No Explanation:*Have you ever left any type of rental property still owing money? If yes, explain why and the amount owed.* Yes No Explanation:*Have you ever been served an eviction notice? If yes, provide rental address and date of occurrence.* Yes No Explanation:*Have you ever filed for bankruptcy? If yes, when?* Yes No Explanation:*Have you ever filed a lawsuit against a landlord/management company? If yes, provide details on lawsuit filed.* Yes No Explanation:*Are you or any household member a current smoker?* Yes No Is the total move-in amount available now (rent and deposit)?* Yes No How did you hear about us?AGREEMENT & AUTHORIZATIONConsent* I agree to the privacy policy.By checking the box, I understand this application will be evaluated by management for the purposes of renting and and occupying valuable real estate. Applicant further understands that the facts represented herein are being relied upon by management and therefore guarantees that all disclosures herein are true and complete. Any misleading, incorrect, or false statements may be a violation of various fraud statutes. Management reserves the right to pursue applicant by any means legally available for providing misleading, incorrect, or false statements. Misleading, incorrect, or false statements will be sufficient reason for immediate eviction and loss of security deposit. The applicant further acknowledges and agrees that management may confirm information provided in the application and authorizes management to contact references, obtain a personal credit report, check public records, criminal records, and use any other methods of confirmation available to management. Applicant further acknowledges that management may from time to time continue to make efforts to update the information provided herein. Applicant also acknowledges that management, or its collection agency, may contact references, obtain a personal credit report, check public records, criminal records, and use any other methods of confirmation available for collection purposes should it become necessary.Upload the following requirements before submitting the form:Photo ID and Other DocumentsMax. file size: 100 MB.(i.e. jpg, gif, png, pdf)Please attach 3 latest paystubs* Drop files here or Select files Max. file size: 100 MB. (i.e. jpg, gif, png, pdf)Please attach 3 Months bank statements Drop files here or Select files Max. file size: 100 MB. (i.e. jpg, gif, png, pdf)Please attach Housing Agency Voucher Assistance Drop files here or Select files Max. file size: 100 MB. (i.e. jpg, gif, png, pdf)