Rental Application | Managex Properties | Assets make things possible ... people make things happen

Applicant Name*

First Last

Birth Date*

SS#*

Drivers License #*

DL State*

Cell Phone*

Home Phone

Work Phone

Email Address*

Current Address*

Street Address City State ZIP Code

Move In Date*

Landlord Name*

Contact Number*

Previous Address*

Street Address City State ZIP Code

Move In Date*

Move Out Date*

Landlord Name*

Contact Number*

Proposed Occupants ( In addition to yourself )*

Name	Relationship	Occupation	Age

Add additional occupant info by clicking the + icon.

Vehicle Information

Vehicle Make	Model	License Plate #	Year

Add additional vehicle info by clicking the + icon.

Applicant Occupation*

Monthly Salary*

Employer*

Supervisor*

Time Employed*

Employer Address*

Street Address City State ZIP Code

Employer Phone*

Financial Obligations

Payment To	Monthly Payment	Balance

Add additional accounts by clicking the + icon.

How much is your current rent per month?*

Have you ever been late with your rent payment?*

Yes
No

If Yes, how many times in the last 12 months?*

Have you ever been evicted?*

Yes
No

Do you have any pets?*

Yes
No

If Yes, what kind?*

Soonest date you can rent the property?*

Have you given a 30-day notice?*

Yes
No

How long do you intend to rent?*

Will you sign a lease agreement?*

Yes
No

Have you seen the property in person?*

Yes
No

Personal References*

Name	Phone #	Address	Relation

Add additional references by clicking the + icon.

Emergency Contact*

Name	Phone #	Address	Relation

Add additional emergency contacts by clicking the + icon.

How did you hear about us?*

*

Where did you hear about us?

The undersigned makes application to rent housing accommodations designated as:

Address Applicant Is Applying For*

Photo ID*

Upload a copy of your valid DL or ID. 2 Files max, PDF, JPG and PNG files only, 5MB total file size.

Proof Of Income*

Upload a copy of a recent check stub or W2. 2 Files max, PDF, JPG and PNG files only, 5MB total file size.

Today's Date*

Digital Signature*

Consent*

I agree to these terms.

*The parties agree that this agreement may be electronically signed. The parties agree that the electronic signatures appearing on this agreement are the same as handwritten signatures for the purposes of validity, enforceability, and admissibility. Application represents that statements above made are true and correct and hereby authorize verification of reference, including the use of commercial credit checking services and agrees to furnish additional references on request.

THIS APPLICATION MUST BE SIGNED IN ORDER TO BE PROCESSED

$30 ACCEPTANCE FEE PER ADULT PAID UPON APPROVAL

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