The Neighborhood at Pointe Place Modern Apartments

Applicant Information

Full Name (First, Middle, Last)*

Home Phone

Cell Phone*

Email*

Date of Birth*

Social Security Number (SSN)*

Drivers License Number*

Drivers License State*

Current Residency

Current Address*

Street Address City State / Province / Region ZIP / Postal Code

Moved In*

Lease Ends*

Monthly Rent*

Landlord Name*

Landlord Phone Number*

Landlord Email*

Reason For Leaving*

Previous Residential History

Previous Address*

Street Address City State / Province / Region ZIP / Postal Code

Moved In*

Lease Ended*

Monthly Rent Cost*

Landlord Name*

Landlord Phone Number*

Landlord Email*

Reason For Leaving*

Employment History

Employer Address*

Street Address City State / Province / Region ZIP / Postal Code

Employer Name*

Employer Phone Number*

Monthly Salary*

Position Held*

Years Worked*

Supervisor Name*

Supervisor Title*

Additional Income

Monthly Income*

Source*

Add additional income

Monthly Income*

Source*

Add additional income

Monthly Income

Source

Dependents

Full Name

Relation

Date of Birth

Add another dependent

Full Name

Relation

Date of Birth

Add another dependent

Full Name

Relation

Date of Birth

Credit Card Information

Issuer*

Balance*

Add another credit card

Balance

Issuer

Add another credit card

Issuer

Balance

Pets

Pet's Name

Type/Breed

Weight (lbs)

Age

Add another pet

Pet's Name

Type/Breed

Weight (lbs)

Age

Additional Information

If needed, would you be able to get a cosigner?*

Yes
No

Will this be your first apartment?*

Yes
No

Have you ever been convicted of a crime?*

Yes
No

Please explain

Are you a smoker?*

Yes
No

Have you filed for bankruptcy in the last 7 years?*

Yes
No

Have you ever had a court action brought against you by a landlord or have you ever brought a court action against a landlord (small claims, eviction)?*

Yes
No

Please explain with names and dates

Additional Applicant

Are you applying with another person?*

Yes
No

Applicant 2: Information

Full Name (First, Middle, Last)*

Home Phone

Cell Phone*

Email*

Date of Birth*

Social Security Number (SSN)*

Drivers License Number*

Drivers License State*

Applicant 2: Current Residency

Same as applicant 1*

Yes
No

Current Address

Street Address City State / Province / Region ZIP / Postal Code

Moved In

Lease Ends

Monthly Rental

Landlord Name

Landlord Phone Number

Landlord Email

Reason for Leaving

Applicant 2: Previous Residential History

Same previous residential history as applicant 1?*

Yes
No

Previous Address

Street Address City State / Province / Region ZIP / Postal Code

Moved In

Lease Ended

Monthly Rental Cost

Landlord Name

Landlord Phone Number

Landlord Email

Reason for Leaving

Applicant 2: Employment History

Employer Address*

Street Address City State / Province / Region ZIP / Postal Code

Employer Name*

Employer Phone Number*

Monthly Salary*

Position Held*

Years Worked*

Supervisor Name*

Supervisor Title*

Applicant 2: Additional Income

Monthly Income*

Source*

Add Additional Income

Monthly Income

Source

Add Additional Income

Monthly Income

Source

Applicant 2: Dependents

Same dependents listed by applicant 1*

Yes
No
Not applicable

Full Name

Relation

Date of Birth

Add another dependent

Full Name

Relation

Date of Birth

Add another dependent

Full Name

Relation

Date of Birth

Applicant 2: Credit Card Information

Issuer*

Balance*

Add another credit card

Issuer

Balance

Add another credit card

Issuer

Balance

Applicant 2: Pets

Same pet(s) applicant 1 listed*

Yes
No
Not applicable

Pet's Name

Type/Breed

Weight (lbs)

Age

Add another pet

Pet's Name

Type/Breed

Weight (lbs)

Age

Applicant 2: Additional Information

If needed, would you be able to get a cosigner?*

Yes
No

Will this be your first apartment?*

Yes
No

Have you ever been convicted of a crime?*

Yes
No

Please explain

Are you a smoker?*

Yes
No

Have you filed for bankruptcy in the last 7 years?*

Yes
No

Have you ever had a court action brought against you by a landlord or have you ever brought a court action against a landlord (small claims, eviction)?*

Yes
No

Please explain with names and dates

Housing Requests

Ideal move in date*

Interested in*

1 Bedroom
2 Bedroom

In Case of Emergency Notify

Applicant 1 cannot list applicant 2 and vice versa.

Full Name*

Relationship*

Phone*

References

Applicant 1 cannot list applicant 2 and vice versa.

Full Name*

Phone*

Relationship*

Address*

Street Address City State / Province / Region ZIP / Postal Code

Full Name*

Phone*

Relationship*

Address*

Street Address City State / Province / Region ZIP / Postal Code

Vehicle Information

Make/Model*

Year*

Color*

Vehicle License Number*

Vehicle License Plate State*

Add another car

Make/Model

Year

Color

Vehicle License Number

Vehicle License Plate State

Photo ID

Copy of ID is Required*

Please upload.

Applicant 2: Copy of ID is Required*

Please upload.

Release for Required Information

I authorize Summit Land Development to contract past and present landlords to discuss tenancy. (Length or tenancy, monthly rent, status, etc.) I understand that information obtained will and can be used in the decision process.

Employee Authorization: In order to verify employment I authorize Summit Land Development to obtain past and present employment regarding, but not limited to length of employment, verification of pay/wages, verification of typical hours worked, position, etc.

Credit Authorization: I hereby authorize Summit Land Development to obtain a credit report from the appropriate credit bureau. This information will be confidential and will not be shared with any outside source.

The information on this application is true and correct to the best of my knowledge. I understand that the $25.00 application fee for verifying this rental application is not a deposit, and will not be applied to any rent or refunded even if the application to rent is declined.

Applicant Full Name*

Today's Date*

Signature*

Applicant 2: Full Name*

Today's Date*

Applicant 2: Signature*

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