RENTAL APPLICATION

Excelsior Gardens Apartments

1594-1 South 14th Ave

Ozark, MO 65721

417-581-9741

Today's date: * / MM / DD YYYY
Date of anticipated move in: * / MM / DD YYYY
Property address: *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Monthly rent: * $ . Dollars Cents
Security deposit: $ . Dollars Cents
Applicant
Full name of applicant: * First Last
Present Address: *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Telephone number:
Home: * - (###) - ### ####
Work: - (###) - ### ####
D.O.B.: * / MM / DD YYYY
Email *
Applicant’s employment:
Name of present employer: *
Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Position *
Date started: * / MM / DD YYYY
Monthly income: * $ . Dollars Cents
Supervisor's name: *
Phone * - (###) - ### ####
Name of previous employer:
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Position:
Date started: / MM / DD YYYY
Monthly income: $ . Dollars Cents
Supervisor’s name:
Phone - (###) - ### ####
Other sources of income:
Spouse:
Full name of spouse: First Last
Present Address:
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Telephone number:
Home: * - (###) - ### ####
Work: - (###) - ### ####
Date of birth: * / MM / DD YYYY
Spouse’s employment:
Name of present employer: *
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Position:
Date started: / MM / DD YYYY
Monthly income: $ . Dollars Cents
Supervisor’s name:
Phone - (###) - ### ####
Name of previous employer:
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Position:
Date started: / MM / DD YYYY
Monthly income: $ . Dollars Cents
Supervisor’s name:
Phone - (###) - ### ####
Other sources of income:
Present Landlord or mortgage company: *
Telephone number:
Home: * - (###) - ### ####
Work: * - (###) - ### ####
Monthly rent or mortgage payment: * $ . Dollars Cents
Date of move-in: * / MM / DD YYYY
Date of move-out: * / MM / DD YYYY
Personal references:
Name * First Last
Phone * - (###) - ### ####
Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Name * First Last
Phone * - (###) - ### ####
Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Emergency
In case of emergency contact: * First Last
Relationship: *
Phone * - (###) - ### ####
Occupants
List all occupants: *
Vehicles
Make:
Model:
Year:
Make:
Model:
Year:
Credit/Criminal History:
Bank name: *
Phone * - (###) - ### ####
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
List all credit obligations with minimum monthly payment: *
Have any of the occupants listed above ever been: convicted of a felony? * Yes No
Received deferred adjudication for a felony? * Yes No
Been evicted: * Yes No
Broken a lease: * Yes No
Declared bankruptcy: * Yes No
Convicted of being a sex offender: * Yes No
The above listed applicant declares that all statements made in this application are true and complete. Applicant hereby authorizes Curran Properties Inc and/or it’s agent, to verify all of the information in this application and obtain credit reports on the above listed applicant and/or applicant’s. If applicant or applicant’s spouse has given any false information Landlord is entitled to reject the application, and retain all application fees as liquidated damages for Landlord’s time and expenses in processing this application.
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RENTAL APPLICATION

RENTAL APPLICATION

Applicant

Telephone number:

Applicant’s employment:

Spouse:

Telephone number:

Spouse’s employment:

Telephone number:

Personal references:

Emergency

Occupants

Vehicles

Credit/Criminal History: