OAK HILLS RENTAL APPLICATION

A separate application is required for each applicant 18 or over. Nonrefundable Fee of $10

First Name__________________MI_____Last_________________ Desired Move-in Date_________

Social Sec. # ______________________ Birth date__________________

Drivers Lic #______________________ Issuing State_______________

Phone Numbers_______________________________________________________

Present Address_______________________________________________________

How long at this address_____________________ Amount of Rent_____________

Reason for moving_____________________________________________________

Manager’s Name and Phone_____________________________________________

Previous Address_______________________________________________________

How long at that address_____________________ Amount of Rent_____________

Reason for moving_____________________________________________________

Manager’s Name and Phone_____________________________________________

Describe any pets you have_______________________________________________

List the name, relationship, and age of every person who will live with you, even if only temporarily:

_______________________________________________________________________ _________

Employer _______________________________ Job_________________________

Address_________________________________ Phone_______________________

Employed from ____________ To__________ Supervisor___________________

Gross Income (before deductions) $____________ Per _____________

Any other income sources? __________________________________

Credit Reference ____________________________________________________

HAVE YOU EVER…

Filed for bankruptcy? _____ been evicted? ______ Are there any pending charges against you? _____

Been convicted, pled guilty, or received a suspended sentence for any crime? _____

Vehicle Make ___________ Model _________ Year ________ Plate # _______

Emergency contact ______________________________________________________

I declare that the statements above are true and correct. I authorize verification of my references and credit as they relate to my tenancy and to future rent collection.

I acknowledge that, if this application is approved, then all monies paid to Oak Hills in anticipation of entering a rental agreement is a “holding fee” and will be transferable to my Security Deposit only upon execution of a rental agreement.

Personal checks accepted for Security Deposits or First Month’s Rent must clear before move-in.

Date_____________________ Signed_____________________________________

For office use—copy of ID____ SSN____ DL/ID____ CurTen____Prev____Sexoffender____By____