Please fill out the following form to be considered for residency at Granite Works.
Alternately, you may
download the form
in pdf format and mail it in.
Personal Information
Full Name
*
Home Phone
*
SSN
*
Alt Phone
Co-Applicant
Dependants
SSN
Email Address
*
Residential History
Current Address
Apt
Rent
City
State
Zip
Month / Year Moved
Reason for Leaving
Owner / Agent
Owner / Agent Phone
Previous Address
Rent
Owner / Agent
Owner / Agent Phone
Credit History
Have you ever declared bankruptcy in the past seven (7) years?
Yes
No
Have you ever been evicted from a rental residence?
Yes
No
Have you had two or more late rental payments in the past year?
Yes
No
Have you ever willfully or intentionally refused to pay rent when due?
Yes
No
Employment Information
Status
Full Time
Part Time
Student
Unemployed
Employer
Dates Employed
Job Title
Office Phone
Annual Income
If employed less than 12 months, give name & phone of previous employer or school:
If you have other sources of income that you would like us to consider, please list income, source, and person (banker, employer) who we may contact for confirmation. You do not have to reveal alimony, child support, or spouses's annual income unless you want us to consider it in this application.
Income
Source
Phone
Income
Source
Phone
Income
Source
Phone
Personal Reference or Emergency Contact
Name
Address
Phone
Relationship
Vehicle Information
License #
State
Make
Model
Year
License Plate State
Additional Information
Please give us any additional information that might help owner/management evaluate this application.
Where may we reach you to discuss this application?
Day Phone:
Night Phone:
Authorization
I hereby apply to lease the above described premises for the term and upon the set conditions above set forth and agree that the rental is to be payable the first day of each month in advance. As an inducement to the owner of the property and to the agent to accept this application. I warrant that all statements above set forth are true; however, should any statement made above be a misrepresentation or not a true statement of facts, all of the deposit will be retained to offset the agent's cost, time, and effort in processing my application.
I hereby deposit
as earnest money to be refunded to me if this application is not accepted in 3 business banking days. Upon acceptance, this deposit shall be retained as part of the security deposit and this amount is non-refundable otherwise.
When so approved and accepted, I agree to execute a lease for
months before possession is given and to pay the balance of the security deposit prior to the move in date. If the application is not approved or accepted by the owner or agent, the deposit will be refunded, the application hereby waiving any claim for damages by reason off non-acceptance which the owner or agent may reject. I recognize that as a part of your procedure for processing my application, and investigative consumer report may be prepared whereby information is obtained through personal interviews with others with whom I may be acquainted. This inquiry includes information as to my character, general reputation, personal characteristics and mode of living.
The above information, to the best of my knowledge, is true and correct.
*
I agree to permit an investigation of my credit, tenant history, banking and employment for the purposes of renting an apartment with this owner/manager.
*
