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* Required information.
Applicant Information
First Name *
Middle Initial: *
Last Name: *
Birth Date: *
Gender: *
Own or Rent?
Landlord/Mortgage Co.:
Landlord/Mortgage Co. Phone #:
Current Rent/Mortgage $:
How long at current address:
Current Address: *
City: *
State: *
Zip: *
Email: *
Home Phone:
Work Phone:
Cell Phone:
Smoker?:
Co-Applicant Information
First Name: *
Middle Initial: *
Last Name: *
Birth Date: *
Gender: *
Own or Rent?
Landlord/Mortgage Co.:
Landlord/Mortgage Co. Phone #:
Current Rent/Mortgage $:
How long at current address:
Current Address: *
City: *
State: *
Zip: *
Email: *
Home Phone:
Work Phone:
Cell Phone:
Smoker?:
Proposed Occupant(s) (In addition to applicate & co-applicate)
Name:
Relationship:
Birth Date:
Smoker?:
Name:
Relationship:
Birth Date:
Smoker?:
Proposed Pet(s) (additional fees will be incurred)
Name:
Breed:
Color:
Age:
Weight (lbs):
Height at Shoulder:
Cat or Dog?:
Gender:
Neutered:
Declawed:
Name:
Breed:
Color:
Age:
Weight (lbs):
Height at Shoulder:
Cat or Dog?:
Gender:
Neutered:
Declawed:
Name:
Breed:
Color:
Age:
Weight (lbs):
Height at Shoulder:
Cat or Dog?:
Gender:
Neutered:
Declawed:
Automobile Information (vehicles that will be kept at this Property)
Make:
Model:
Color:
Plate #:
State:
Year:
Make:
Model:
Color:
Plate #:
State:
Year:
Make:
Model:
Color:
Plate #:
State:
Year:
Applicant Information - Past Rental History

If you have been at your current address less than 5 years, please supply the following information:

Previous Address:
Previous Rent/Mortgage $:
Reason for moving:
Landlord/Mortgage Co.:
Previous landlord's Phone #:
How long at previous address?
Owned or Rented?
Have you ever applied to Florin Hill Apartments in the past?
If Yes, What Year
Have you ever been evicted or asked to leave an apartment?
If Yes, What Year
Have you ever had a security deposit withheld?
If Yes, What Year
Have you ever been convicted of a felony?
If Yes, What Year
Have you ever had a drug or criminal offense?
If Yes, What Year
Have you ever refused to pay rent for any reason?
If Yes, Why
Applicant Information - Employment History
Employed by:
Employer's Phone:
Rate of pay $
Commission amount $
Position:
How long employed:
Contact:
Pay is per
Commission is per
Your current employment status?



Will be Employed by:
Employer's Phone:
Rate of pay $
Commission amount $
Position:
Start Date:
Contact:
Pay is per
Commission is per
Your new employment status?



Additional Income Source:
Employer's Phone:
Rate of pay $
Pay is per
Start Date:
Contact:
Position:
Applicant Information - Creditors
Creditor:
Amount Owed:
Monthly Payment
Account Number
Creditor:
Amount Owed:
Monthly Payment
Account Number
Creditor:
Amount Owed:
Monthly Payment
Account Number
Applicant Information - (1) Personal Reference and (1) Emergency Contact
Reference's Name:
Relationship:
How long
Phone #
Emergency Contact's Name:
Relationship:
How long
Phone #
*
* Date:
Co-Applicant Information - Past Rental History

If you have been at your current address less than 5 years, please supply the following information:

Previous Address:
Previous Rent/Mortgage $:
Reason for moving:
Landlord/Mortgage Co.:
Previous landlord's Phone #:
How long at previous address?
Owned or Rented?
Have you ever applied to Florin Hill Apartments in the past?
If Yes, What Year
Have you ever been evicted or asked to leave an apartment?
If Yes, What Year
Have you ever had a security deposit withheld?
If Yes, What Year
Have you ever been convicted of a felony?
If Yes, What Year
Have you ever had a drug or criminal offense?
If Yes, What Year
Have you ever refused to pay rent for any reason?
If Yes, Why
Co-Applicant Information - Employment History
Employed by:
Employer's Phone:
Rate of pay $
Commission amount $
Position:
How long employed:
Contact:
Pay is per
Commission is per
Your current employment status?



Will be Employed by:
Employer's Phone:
Rate of pay $
Commission amount $
Position:
Start Date:
Contact:
Pay is per
Commission is per
Your new employment status?



Additional Income Source:
Employer's Phone:
Rate of pay $
Pay is per
Start Date:
Contact:
Position:
Co-Applicant Information - Creditors
Creditor:
Amount Owed:
Monthly Payment
Account Number
Creditor:
Amount Owed:
Monthly Payment
Account Number
Creditor:
Amount Owed:
Monthly Payment
Account Number
Co-Applicant Information - (1) Personal Reference and (1) Emergency Contact
Reference's Name:
Relationship:
How long
Phone #
Emergency Contact's Name:
Relationship:
How long
Phone #
Date:
 
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Phone: (717) 492-0005 | Fax: (717) 492-0305 | info@florinhillapartments.com