WOODY INVESTMENTS

815 16TH Street, Greeley, CO  80631

970-330-7427

 

 


 

Please Print Clearly

Property/Unit: _________________


 

 

1. Applicant Name __________________________________________Phone______________________________

 

Present Address:________________________________________________________________________________

               

How long have you lived there?____________________________  Social Security Number___________________

 

2. Present Landlord _____________________________________________Phone__________________________

 

Landlord Address:______________________________________________________________________________

 

Monthly Rent __________ Reason for Leaving_______________________________________________________

 

_____________________________________________________________________________________________

 

3. Previous Landlord _______________________________________________Phone_______________________

 

Landlord Address:______________________________________________________________________________

 

Monthly Rent ________________ How long did you live there?__________________________________________

 

Reason for Leaving_____________________________________________________________________________

 

_____________________________________________________________________________________________

 

 

4. Full names of all individuals (and ages of all children)  who will be occupying premises:

 

_____________________________________________________________________________________________

 

_____________________________________________________________________________________________

 

_____________________________________________________________________________________________

 

5. Pets (specify)________________________________________________________________________________

 

6. Have you ever been evicted, sued for nonpayment of rent, or breached a lease (if so, explain)? 

               

_____________________________________________________________________________________________

 

7. Present Employer ________________________________________________Phone______________________

 

Employer Address______________________________________________________________________________

 

Occupation:_______________________________________  Title:_______________________________________

 

Gross Monthly Salary _________________________________ Length of Employment_______________________

 

8. Previous Employer_______________________________________________Phone_______________________

 

Employer Address_____________________________________________________________________________ญญ_

 

Occupation:______________________________________  Title:________________________________________

 

Gross Monthly Salary _________________________________ Length of Employment_______________________

 

9. Other Income, if any (specify source)_____________________________________________ere?_______________________________________________________________________________________

 

____________________________________________________________________________________________

 

10. Personal Reference_____________________________________________ Phone _______________________

 

Reference Address:_____________________________________________________________________________

 

11. Automobiles:               

 

Your Driver License Number___________________________________  Issuing State_______________________

 

(1) Make/Model _______________________  Year _____________  Plate_________________ State____________

 

(2) Make/Model _______________________  Year _____________  Plate_________________ State____________

 

18. In case of emergency notify_______________________________ Relationship__________________________

 

Address:______________________________________________________________________________________

 

______________________________________________________________Phone:__________________________

 

                               

 

 

I certify that the above information is true and complete.  I authorize the verification of this information by contacting any or all individuals and financial institutions listed above.  I understand that this is not a lease or an offer to rent.  No binding obligation of any kind exists between the owner and myself unless and until a lease is signed.  This Application is subject to prior Applications.  This Application shall remain the property of the owner.

 

 

 

Signature of Applicant__________________________________ Date _____________________

 

 

NO PERSON SHALL BE DENIED THE RIGHT TO RENT OUR PROPERTY BECAUSE OF THEIR RACE, COLOR, RELIGION, SEX, NATIONAL ORIGIN OR ANCESTRY.