Rental Application

Trimac Group LLC · please complete all sections. Your progress saves automatically.

1. Unit & Move-in Date of this application Type and size of apartment desired Price range of residence desired Desired date of occupancy Do you have a waterbed? Piano/organ? Smoke? Do you have pets? If yes, pet profile (type, breed, weight, age)

2. Personal Information Applicant's full name Have you been known by any other names? If so, please indicate Date of birth Telephone no. Names of persons other than the above applicant who will be residing in the unit Have you or any member of your household ever been convicted of or pleaded guilty or "no contest" to a felony? Have you or any member of your household ever been convicted of or pleaded guilty or "no contest" to a misdemeanor involving sexual misconduct? If yes, please describe Are you required to register as a sexual or violent offender?

3. Residence History

We require two (2) rental references or two (2) full years of rental history, whichever is greater. Please list your actual landlord or property manager, not roommates.

Present Address

Address From To Amount of rent Landlord Landlord phone/cell Reason for leaving

Previous Address

Address From To Amount of rent Landlord Landlord phone/cell Reason for leaving Please account for any "gaps" in this rental history Is there any reason you cannot have the utilities turned on in your name? If yes, please explain

4. Personal References (no relatives)

5. Verifiable Sources of Income

List all verifiable sources of income you wish to have considered in the evaluation of your application.

6. Automobile(s)

7. Emergency Contact Information

Contact 1

Name Address Phone Relationship

Contact 2

Name Address Phone Relationship

8. Acknowledgment I expect to reside on the premises

The statements above are true and correct.

I hereby verify that I am 18 years or older, or otherwise competent to enter into a binding rental contract and I understand that I will be fully responsible for the terms of the rental contract.

I hereby authorize the landlord, his agent or staff to contact any persons, corporations, employers, agencies, offices, groups or organizations to obtain any information, credit report or material which is deemed necessary to verify the information and statements in the application.

In the event the application is approved and I desire to rent the premises, I agree to fill out and sign the rental agreement and the condition of premises.

I have read and agree to the statements above Type your full name as signature Date

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Present Address

Previous Address

Contact 1

Contact 2

Application submitted