Rental Application & Credit Check Consent/
Request for Additional Information

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Half Moon Harbour - Applicant Information/Consent to Credit Check APPLICANT INFORMATION: Applicant’s Name: Street Address:  City/State/Zip: E-Mail Address (required field): Social Security Number: Date of Birth: MONTH January February March April May June July August September October November December DAY 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 19 Home Phone:  Work Phone: Occupation:  Monthly Income: $ Employer’s Name: Employer’s Address: CO-APPLICANT INFORMATION: Co-Applicant’s Name: Street Address: City/State/Zip: Social Security Number: Date of Birth: MONTH January February March April May June July August September October November December DAY 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 19 Home Phone: Work Phone: Occupation: Monthly Income: $ Employer’s Name: Employer’s Address: Persons to live in unit: Adults: SELECT 1 2 3  Children: SELECT 0 1 2 3 4 5  Total: SELECT 1 2 3 4 5 6 7 8 Pets: Dogs: SELECT 0 1 2  Cats: SELECT 0 1 2  Other: SELECT 0 1 2  Total: SELECT 0 1 2 3 4 Automobiles: SELECT 0 1 2 3 Interested in: One Bedroom Two Bedrooms Three Bedrooms Price Range: SELECT $1500-1750 $1750-2000 $2000-2500 $2500-3000 $3000-3500 $3500-4500 Have you ever been evicted? Yes No Have you ever filed personal bankruptcy? Yes No  If yes, year: Do you currently own or rent? Own Rent Current monthly expenses rent/mortgage? $ How did you find out about Half Moon Harbour? SELECT Sign Advertisement Referral Cooperating Broker Internet Banner Walk-In Other If “Other”, please specify: CHOOSE ONE: I just want further information on Half Moon Harbour at this time. I want to apply for residence at Half Moon Harbour, and the Applicant (and Co-Applicant) have typed their virtual signatures below. By clicking the SUBMIT button, I authorize the leasing agent to obtain information from credit reporting agencies on both the Applicant and Co-Applicant. Applicant Signature (required–type in name): Co-Applicant Signature (required–type in name):