Application Form - Polaris Property Management

Step 2 of 3

Each person who will be living at the property who is age eighteen (18) or over is required to fill out a separate application and pay a separate application fee. Failure to do so would slow your application process or render your application null.

In order to successfully complete this online rental application, we will need information from you that covers the following areas:

Banking Information
Income Details
Emergency Contact Details
Personal Background Details
Employer Information
Co-Applicants
Additional Occupants
Pets
Vehicle Information

You should also note that an application fee of $85.00 payable on your credit card is also required at the end of the application process. Application fees are nonrefundable for any reason.

Disclosure: The payment processing company, not the listing brokerage company, charges $3.05 for each credit card charge or a $2.20 for each ACH charge made.

If you are unable to meet these requirements at this time, do not continue with the application process.

Applicant Information

First Name Last Name Date of Birth Soc. Sec. No. Marital Status
Home Phone Mobile Phone Work Phone Driver's License/State ID No. State Issuing ID
Exp. Date Email Address Desired Lease Term Desired Move In Date Alias Names (last 10 years)
Employment Status Who Is Your Real Estate Agent?
Property Address You Are Applying For

Address Information

Current Address

Current Address City State Zip Rent/Own/Other
Landlord Name Landlord Phone Rent Amount Move In Date Move Out Date
Reason For Leaving Have You Given Your Notice? If Not Why?
Mortgage Company
Address City State Zip Phone

Previous Address

Previous Address City State Zip Rent/Own/Other
Landlord Name Landlord Phone Rent Amount Move In Date Move Out Date

Previous Address 2

Previous Address City State Zip Rent/Own/Other
Landlord Name Landlord Phone Rent Amount Move In Date Move Out Date

Co Occupants

First Name Last Name Date Of Birth Relationship
First Name Last Name Date Of Birth Relationship
First Name Last Name Date Of Birth Relationship

Employment History

Employer 1

Company Name Manager Phone Fax Status
Current/Prior Address City State Zip

Employer 2

Company Name Manager Phone Fax Status
Current/Prior Address City State Zip

Additional Information

Additional Monthly Income

Alimony/Spousal Support Child Support Unstated Monthly Income

Bank Information

Bank Name Branch Phone City State
Type Account No. Current Balance Average Balance

Vehicle Information

Make Model Year State Plate No.
Make Model Year State Plate No.

Emergency Contact Information

Name Relationship Phone Email Address
City State Zip
Contact Has Permission To Enter Your Rental Property In Case Of Death Or Other Emergency?

References

Name Address Email Phone Relationship
Name Address Email Phone Relationship

Pet Details

Will any pets be residing in the property?

Pet 1

Name Type Breed Age Weight
Sex Spayed/Neutered Rabies Vaccination Assistive Service Animal?

Pet 2

Name Type Breed Age Weight
Sex Spayed/Neutered Rabies Vaccination Assistive Service Animal?

Pet 3

Name Type Breed Age Weight
Sex Spayed/Neutered Rabies Vaccination Assistive Service Animal?

Pet 4

Name Type Breed Age Weight
Sex Spayed/Neutered Rabies Vaccination Assistive Service Animal?

Contingences to Lease

Personal Information

Check All That Apply

Prior Eviction Received An Eviction Notice Declared Chapter 7 Bankruptcy Declared Chapter 13 Bankruptcy Been Sued For Unlawful Detainer Refused To Pay Rent Been Sued For Rent Been Sued For Property Damage Moved Out Before The End Of My Lease Without Permission Currently Pay Child Support

Currently Pay Alimony Been Convicted Of A Crime Past Due Accounts Open Collections Paid Collections A Judgement Tax Lien Paid Rent Late Received A Violation Notice Received A No Cause Eviction

Provide Details On Any Of The Checked Items Above

Please Read All Of This Information Before Submitting Your Application

All persons age 18 or over must submit a photo ID and last two paystubs prior to lease signing & possession.

If your application to lease is approved, you will have 24 hours from time of notification by the agent to sign your lease and submit all funds due, unless arrangements are made otherwise with the agent. If you do not complete the lease and submit the required funds within this 24 hours period, the agent/landlord reserves the right to offer the property to the next applicant approved.

Application fees are non-refundable, no exceptions.

Polaris Real Estate Group, Inc. is a real estate brokerage company and acts as a leasing agent for the other property owners. By submitting this document you are giving us permission to share your background checks including your consumer credit report with the owner of the rental you are applying for in order for the property owner to make a rental decision.

The following dog breeds are not permitted in any of our represented properties. Please do not continue with this application if you have an animal listed or referenced here as your application will not be approved: Akita's, Argentinean Mastiff, Bull Mastiff, Cane Corso, Chow, Doberman, English Bull Terrier, German Shepherd, Pit Bull Terrier, Rottweiler, Ridgeback, Wolf Hybrid, Mixed Breeds including any of the previously mentioned, Guard dogs and any dog with a past history of biting or that has "demonstrated aggressive behavior.

Polaris Real Estate Group, Inc. reviews the criminal history of every applicant to determine if an applicant is likely to (a) pose a threat to the condition or possession of the premises or other personal or real property (whether or not such property is in or on the premises or owned by a third party); (b) pose a threat to the safety of other tenants or individuals living in or near the building, complex, and/or neighborhood; (c) violate any federal, state, or local law, statute, ordinance, covenant, restriction, or rule imposed upon the premises, including, but not limited to laws related to drug use, public nuisances, and noise; and (d) as a result of the occupancy of the premises, cause the landlord to incur a claim, cost, judgment, lien, or other financial obligation.

The undersigned consents to have a background check done by AmRent as a condition to their application to rent. The background check may include a credit report, OFAC terrorist search and criminal background check. By disclosing the rental application details and checking the box, you are providing your written consent to proceed as required by the Fair Credit Reporting Act. Processing of your application to rent the vacancy you have selected is dependent upon the rental owner and AmRent receiving your consent to screen your background. The undersigned understands that the rental move in - move out information may be maintained in the AmRent database for up to seven (7) years.