ApHeader
*I'm applying to rent a unit from: Wildbridge Rentals in Berea
Wilds Apartments in Richmond
*Tenant's full name:
*Phone number
*Birth date
Email address:
*Current address: street, city, state and zip
Co-Tenant's full name
Co-Tenant's birth date
Co-Tenant's relation to tenant
Co-Tenant #2's full name
Co-Tenant #2's birth date
Co-Tenant #2's relation to tenant
Co-Tenant #3's full name
Co-Tenant #3's birth date
Co-Tenant #3's relation to tenant
*Automobile
*Model and color
*License plate # with county and state
Automobile #2
Model and color
License plate # with county and state
Automobile #3
Model and color
License plate # with county and state
*Current employer's name
*Current employer's phone
*Current employer's address
Current employer #2's name
Employer #2's phone
Employer #2's address
*Nearest relative
*Nearest relative's phone
*Nearest relative's address
In an emergency, please notify:
Emergency contact's phone
Emergency contact's address
*Name of prior rental reference
*Rental reference's phone
*Rental reference's address
*Date moved in and date moved out
Name of Prior Rental Reference #2
Rental reference 2's phone
Rental reference 2's address
Date moved in and date moved out
Name of Credit Reference
Credit Reference's phone
Credit Reference's address
Name of credit reference #2
Reference 2's phone
Reference 2's address
*Have you ever been evicted from any tenancy? Yes
No
*Have you or a co-applicant ever filed a petition in bankruptcy? Yes
No
*Have you or a co-applicant ever been evicted from any tenancy? Yes
No
*Have you or a co-applicant ever intentionally refused to pay any rent when due? Yes
No
*What is the highest amount paid for rent?
*Have you or any co-applicant ever been arrested and/or convicted of any misdemeanor or felony? Yes
No
If so, please explain.
*I give my permission for a rental office representative to contact my employer and my references. I agree
I don't agree
*I will provide my Social Security number and driver's license number to the landlord before renting. I agree
I don't agree
*I understand that there is a strict "NO PET" policy that if violated, could result in immediate eviction. I agree
I don't agree
*By submitting this form, I declare the foregoing to be true under penalty of perjury and I agree that the landlord may terminate any agreement entered into in reliance on any mistatement made above. I understand that any deposit that has been placed to hold the apartment will be forfeited should I decide not to rent it. I agree
I don't agree