RENTAL APPLICATION
HAGUE TOWERS/PEMBROKE TOWERS

330 W. Brambleton Avenue, Norfolk, VA 23510
Hague (757) 622-3351 Pembroke Towers (757) 625-5855
FAX: 757-623-1891   E-mail haguetowers@aol.com

APPLICATION FEE: $35.00 PER PERSON     *Renter's Insurance Required
Date of Application Desired Date of Occupancy
Type and Size of Apartment Wanted (No. of Bedrooms, etc.)

PERSONAL INFORMATION
APPLICANT or Guarantor, Full Name Date of Birth
Social Security No. Phone
Driver's Licence No. Cell Phone
Current Address Email
 
CO-APPLICANT'S Full Name     Date of Birth
Social Security No. Phone
Driver's License Cell Phone
Current Address Email
 

Full Name of Other Residents Relationship to you Date of Birth
     
     
     
     

How many pets do you or other occupants own? _________
Kind of pet, breed, weight & age _____________________
How did you hear about our property? __________________________ 		NO DOGS!
$200 NON REFUNDABLE
PET FEE PER PET. MAX 2

RESIDENCE HISTORY
Applicant CURRENT & PREVIOUS LANDLORD/MORTGAGE INFORMATION Rented To/From Reason For Leaving
Applicant Address & Phone    
Landlord address & Phone      
Applicant Address & Phone    
Landlord address & Phone    

Co-Applicant CURRENT & PREVIOUS LANDLORD/MORTGAGE INFORMATION Rented To/From Reason For Leaving
Applicant Address & Phone    
Landlord address & Phone      
Applicant Address & Phone    
Landlord address & Phone    

EMPLOYMENT INFORMATION
If new or relocating to the area, provide new employment information 1st
Company Name and Address Telephone Dates From/To Supervisor Position Salary
           
           
           
           
Company Name and Address Telephone Dates From/To Supervisor Position Salary
           
           
           
           

BANKING AND CREDIT REFERENCES
Bank Name & Branch Telephone
   Checking______________ Savings______________ Loan______________ Mo.Pymnt______________
Bank Name & Branch
   Checking______________ Savings______________ Loan______________ Mo.Payment______________
 
Credit References                             Mo. Pymnt                             Telephone
    Address
Other References
    Address
 

OTHER INFORMATION
Total Number of Vehicles (Including Company Vehicles. One vehicle per every two licensed drivers listed on lease)
Make/Model Year Color Tag No./State
Make/Model Year Color Tag No./State
Other Car, etc.
 
Total Gross Monthly Household Income $   
If there are other sources of income you would like us to consider, please list income, source and person (Banker, Employer, etc.) who we could contact for confirmation. You do NOT have to reveal alimony, child support or spouse's annual income unless you want us to consider it in this application.
Amount $ __________ Per __________ Source ________________ Telephone __________ 
Amount $ __________ Per __________ Source ________________ Telephone __________

HAVE YOU OR CO-APPLICANT EVER: Been sued for non-payment of rent? Yes    No
Been evicted or asked to move out? Yes    No Broken a Rental Agreement? Yes    No
Been sued for damage to rental property? Yes    No Declared Bankruptcy Yes    No
Been convicted of a felony? Yes    No  
 
In Case of Personal Emergency, Notify: Relationship: ________________________
Address: __________________________________ Home Phone: ____________ Work Phone: ____________
I hereby make application for an apartment and certify that this information is correct. I authorize you to contact any references that I have listed. I also authorize you to obtain my consumer credit report from your credit reporting agency, which will appear as an inquiry on my file. Applicant's Signature _________________________________
Co-Applicant's Signature ______________________________
Date Signed __________________
Do Not Write in this Space
Reference Verification Remarks Date Application Received:
Present Landlord   Received by:
Previous Landlord   Application Approved Yes    No
Employment   By:
Bank   Apartment Number
Credit   Mo. Rental Amount
Credit   Move in Date:
Credit    
Credit    
Other    
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