Rental Application Apartment(Required) Please indicate the address or how many bedrooms you're looking for if you don’t know the address.Budget/Month(Required) Start Date(Required) MM slash DD slash YYYY Agent/Referred By(Required) Applicant InformationType n/a if not applicable.First Name(Required) First Last Name(Required) Last M.I. Middle SSN(Required) Driver's License # Birth Date(Required) Home Phone(Required)Work PhoneEmail(Required) Current AddressType n/a if not applicable.Your Address(Required) Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Date In(Required) DD slash MM slash YYYY Date Out DD slash MM slash YYYY Landlord Name(Required) Landlord Phone(Required)Monthly Rent(Required)Reason For Leaving(Required) Previous AddressType n/a if not applicable.Your Address Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Date In DD slash MM slash YYYY Date Out DD slash MM slash YYYY Landlord Name Landlord PhoneMonthly RentReason For Leaving Other OccupantsType n/a if not applicable.List Names And Birth Dates Of All Additional Occupants 18 Years Or OlderList Names And Birth Dates Of All Occupants 18 Years Or YoungerPetsType n/a if not applicable.Pets?(Required) Yes No How Many Type Upload CertificateMax. file size: 100 MB.Employment & Income InformationType n/a if not applicable.1. Occupation(Required) Employer/Company(Required) Monthly Salary(Required)Supervisor Name(Required) Supervisor Phone(Required)Start Date(Required) End Date 2. Occupation Employer/Company Monthly SalarySupervisor Name Supervisor PhoneStart Date End Date 1. Other Income Description Monthly Income2. Other Income Description Monthly IncomeEmergency ContactType n/a if not applicable.1. Name(Required) First Address(Required) Phone(Required)Relationship(Required) 2. Name First Address PhoneRelationship Personal ReferencesType n/a if not applicable.1. Name(Required) First Address(Required) Phone(Required)Relationship(Required) 2. Name(Required) First Address(Required) Phone(Required)Relationship(Required) Background InformationFiled for bankruptcy?(Required)Select OneYesNoWillfully or intentionally refused to pay rent when due?(Required)Select OneYesNoPlease Explain (Refused to Pay Rent)(Required)Been evicted from a tenancy or left owing money? If yes, please provide Property Name, City, State, and Landlord Name(Required) Yes No Been convicted of a crime? If yes, please provide Type of Offense, County, and State.(Required) Yes No Please Explain (Been Evicted)(Required)Please Explain (Convicted of a Crime)(Required)Vehicle InformationType n/a if not applicable.1. Make & Model(Required) Year(Required) License No. & State(Required) 2. Make & Model Year License No. & State Other Vehicles Other InformationType n/a if not applicable.How Did You Hear About This Property?(Required) Please Include Any Other Information You Believe Would Help To Evaluate This Application(Required)Consent(Required) I agree to the following:By submitting this application, I certify that the information provided in this rental application is true, accurate, and complete to the best of my knowledge. I understand that any false or misleading information may result in the rejection of this application or termination of tenancy if discovered after rental approval. I authorize Matt Bell Properties LLC and its agents to conduct all necessary investigations to verify the information provided, including but not limited to: - Contacting current and previous landlords, references, and employers. - Accessing my credit report and credit history. - Performing criminal background checks and eviction history searches. - Verifying income and employment status. - Checking public records, including bankruptcy filings, judgments, and liens. I acknowledge and agree that all investigations conducted are solely for determining my eligibility as a tenant and for no other purpose. I release Matt Bell Properties LLC, its agents, and any third parties providing information from any liability or claims related to the gathering, use, or dissemination of such information in connection with this rental application. I understand that Matt Bell Properties LLC may share my information with property management personnel, legal counsel, or collections agencies if necessary to enforce lease terms or recover unpaid amounts. I further consent to Matt Bell Properties LLC retaining this application and any supporting documentation for a reasonable period, regardless of whether tenancy is approved or denied. By submitting this application, I also acknowledge that this consent shall remain valid throughout the tenancy and any subsequent lease renewal periods.
