(Each co-resident must submit a separate application)
INSTRUCTIONS:Response required for each blank.Use N/A if not applicable.Please print except for signature.Use full names and initials.If living at temporary address please use last previous address as present address.
Applicant’s Full Name__________________________________________________________
Present Address:___________________________________________________________City:____________________ State:______Zip:_________ Home Ph#_______________
Cell Ph #_______________________E-mail Address:_____________________________Social Security Number:_______________________________Date of Birth:___________
I/We do hereby consent to and authorize the landlord and/or any representative of Sycamore Ltd, to obtain, verify and exchange information on any reports concerning me as are maintained by, but not limited to:City, State, Federal Law Enforcement Agencies, Credit Reporting Agencies, present and/or past employers including but not limited to present and/or past salary verification, present and/or past residences.I/We understand that any and all information obtained may be considered by the landlord and/or Gall & Gall Company, Inc., in accordance with the established screening criteria, as a factor in decisions they make with respect to the property for which I am applying.
Furthermore, I/We hereby release and hold harmless any agencies, owners, and affiliates (including but not limited to officers, directors, and employees) that shall provide information to the landlord and/or Gall & Gall Company, Inc., upon request, from any and all claims, demands, suits, or expenses arising from or related to the content, validity, or handling of said reports.
I hereby certify that I have read and reviewed the information contained in this application for lease is accurate, full and complete.Any discrepancy or lack of information will result immediate rejection of this application.I/We understand that this is an application and does not constitute a lease agreement in whole or part.