Application

Address You Are Applying For

Personal Information

First Name

Middle Name

Last Name

Social Security Number

Driver's License / ID #

State of Issue

Date of Birth

Home Phone

Work Phone

Cell Phone

Current Address

Street Address

City

State

Zip

Move In Date

Move Out Date

Last Paid Rent (Month)

Monthly Payment

Owner/Manager

Telephone Number

Reason for Leaving

Previous Address

Street Address

City

State

Zip

Owner/Manager

Telephone Number

Monthly Payment

Move In Date

Move Out Date

Reason for Leaving

Current Employment Information

Employer Name

Employer Address

Employer Phone

Position

Type of Business

Supervisor Name

Start Date

End Date

Monthly Salary

Previous Employment Information

Employer Name

Employer Address

Employer Phone

Position

Type of Business

Supervisor Name

Start Date

End Date

Monthly Salary

Emergency Contacts

Contact Name

Address

Phone

Relationship

Contact Name

Address

Phone

Relationship

Vehicles

Operable automobiles including trucks, vans & motorcycles

How many vehicles will be parked at the property?

Pets

How many pets do you have?

Additional Occupants

How many additional people will be occupying the unit?

Questions

Have you ever had credit problems?

Have you ever had an unlawful detainer filed against you?

Have you ever been served an eviction notice?

Have you ever filed for bankruptcy?

Have you ever been convicted of a felony?

Will you be using any water-filled furniture?

Do you own any musical instruments?

Do you or any of the proposed occupants smoke?

Agreement & Authorization

Applicant represents that statements made are true and correct and hereby authorizes ownerâ€™s periodic verification of credit, income, references and other background information contained in a consumer report to include but not limited to credit, unlawful detainer, judgments, criminal background and bounced checks and agrees to furnish additional credit and rental references upon request. Applicant agrees to pay for said verification and application processing via online payment, money order or cashierâ€™s check made payable to B2RE Property Management. If you would like to make an online payment, you will be prompted to do so once you have submitted this application. Application will only be processed once the application fee has been paid and if paid online, we receive the verification of online payment. Such payment is a part of the application process and is a charge for the consumer report and other administrative costs of application processing. In addition, Applicant hereby authorizes the consumer reporting agency to provide applicant information to various local, state and/or federal government agencies, including without limitation, various law enforcement agencies.

By signing below and clicking the submit application button I am acknowledging that I have received and reviewed the Application Process information posted on the companyâ€™s website, I am agreeing to the terms of this application above as well as providing my digital signature for this application.

I understand and agree that the $42.50 application fee is a non-refundable payment for a credit/background check and application processing and that this application may not be processed until payment is received.

Full Name

Date