APPLICANT INFORMATION
Full Name* Social Security Number*
Driver's License Number State: Date of Birth*
Contact Number* Alternate Number Email Address*:
RESIDENCY INFORMATION
PRESENT HOUSING INFORMATION
Address*: Apartment Community/Landlord*:
Apt Community/Landlord Email: Phone #*:
Current monthly payment*: Length of Residency:
Reason for Leaving:
PREVIOUS HOUSING INFORMATION
Address: Apartment Community Landlord:
Apartment Community/Landlord Email: Phone#:
Previous monthly payment: Length of Residency:
Reason for Leaving
OTHER HOUSING INFORMATION
Have you ever been evicted, asked to leave, or not renewed in any residency?
Do you have any pets?
Anyone over the age of 18 moving with you? If yes, provide name:
FINANCIAL INFORMATION
CURRENT EMPLOYMENT INFORMATION
Current Employer*: Position/Title*:
Address*: Telephone Number*:
Supervisor's Name*: Supervisor's #*: Supervisor's Email:
Gross Income*: Length of Employment:
PREVIOUS EMPLOYMENT INFORMATION
Previous Employer: Position/Title:
Address: Telephone Number:
Previous Supervisor's Name: Supervisor's #: Supervisor's Email:
Gross Income: Length of Employment:
OTHER INCOME
Amount of other income #1: Source of verifiable income #1:
Amount of other income #2: Source of verifiable income #2:
BANKING INFORMATION
Name of Financial Institution (Checking): Estimated Balance:
Name of Financial Institution (Savings): Estimated Balance:
Name of Financial Institution (Other): Estimated Balance:
MILITARY PERSONNEL ONLY
Branch of service Length of Service Rate/Rank Service Number Duty Station
APPLICATION AUTHORIZATION & CERTIFICATION
Applicant has/will submit the sum of $35.00, which is a non-refundable background check and processing fee. Applicant authorizes, as a part of Agent's procedure for processing this application, preparation of an investigative consumer and credit report. Permission is hereby granted by the applicant to any credit bureau to verify any information obtained from any source named therein. Applicant hereby authorizes any present or former landlord or employer, to give any information he or she may have regarding applicant in his or her capacity as an employer or landlord. Further, applicant hereby releases such employer and/or landlord and his or her company or representatives, thereof, from any and all liability for any damage or injury whatsoever caused for issuing same.
The typing of my full name below represents my true and valid signature for processing this application. It is understood that any false information will constitute grounds for rejection of my application. My typed named below certifies that I am the individual completing this application and that all the information contained in this application is true and correct.
DATE
ALL ITEMS WITH AN ASTERISK (*) MUST HAVE AN ANSWER. ANY ITEM NOT ANSWERED WILL RESULT IN THE APPLICATION NOT BEING SUBMITTED. Please remember to email us a copy of a photo ID, document verifying your Social Security Number, and two (2) most recent pay stubs/offer letter/financial aid after submitting your application. Email documents to info@WileyManagementInc.com. Pay the $30 application fee below and if you would like to exclusively reserve the rental (no one else can rent or place an application on property) you should also pay the holding fee. The holding fee is fully refundable if your application is not approved. Thank you again.
TYPED NAME ABOVE REPRESENTS MY SIGNATURE
APPLICATION FEE
HOLDING FEE
