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Rent Form

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FPI RENTAL APPLICATION

Apartment Community Name____________________________


A separate application is required from each occupant 18 years of age or older.
Applicant - Last

First

Initial

Other Residents

Drivers License #

Social Security #

Date of Birth

Relationship

Social Security #

Age

Email addresses:

Residence History
Address, City, State, Zip

Current
Address

Move-In Date

Phone
Projected Move-Out Date

Landlord or Mortgage Co.

Monthly Payment

Own/Rent/Lease

Address, City, State, Zip

Phone

Reason for Moving


Address, City, State, Zip

Previous
Address

Move-In Date

Phone
Move-Out Date

Landlord or Mortgage Co.

Monthly Payment

Own/Rent/Lease

Address, City, State, Zip

Phone

Reason for Moving


Will you have
any pets?

Describe pet:

Will you have any


liquid furniture?

Describe furniture:

Employment History
Employer Name
Current
Employer

Address, City, State, Zip

Supervisor Name

Start Date

Employer Name
Previous
Employer
(Circle One)

Phone

Salary per Year, Month, Hour (Circle One)

Address, City, State, Zip

Supervisor Name

Start Date

Position/Occupation
Phone

Salary per Year, Month, Hour (Circle One)

Position/Occupation

Additional Income (Alimony, Child Support or other) Please Explain:

Vehicles
Auto #1 - Make/Model

Registered Owner

Year

Color

License

State

Auto #2 - Make/Model

Registered Owner

Year

Color

License

State

Banking and Credit References


Loans and Charge Accounts (Dept. stores, credit cards, etc.)

Credit Reference

Account #

Address, City, State, Zip

Telephone No.

Name of Bank or Savings & Loan (Branch)

Checking Account #

Address, City, State, Zip

Telephone No.

Savings Account #
Have you ever filed
for Bankruptcy?

When?

Have you ever been evicted


or asked to move?

Describe:

Emergency Contact
Nearest Relative/Next of Kin

Relationship

Cell Phone

Email Address

Address, City, State, Zip

Phone

Address, City, State, Zip

Phone

Personal References
Name of Personal Reference

Length of Acquaintance

Cell Phone
Name of Personal Reference

Email Address
Length of Acquaintance

Cell Phone

Address, City, State, Zip

Phone

Email Address

NON-REFUNDABLE APPLICATION PROCESSING FEE $_____________


In compliance with the FAIR CREDIT REPORTING ACT, this is to inform you that a credit investigation involving the statements made on this
application for tenancy of this apartment community is being initiated. I further authorize FPI Management, Inc. to obtain credit reports,
character reorts and rental history as needed to verify all information put forth in this application. Management reserves the right to terminate
at its election if any person knowingly or willingly makes fraudulent statements on this application. It is illegal and against our policy to
discriminate against any person because of race, religion, color, sex, national origin or disability.

I understand that I acquire no rights in an apartment until a fully executed rental agreement has been completed and all
monies due have been paid. I certify that to the best of my knowledge, all statements are true and complete.
Applicant
FPI Management, Inc.
G:\Excel\FPI-Rental Application (Conventional, D4)
April 2014 supersedes May 2011

Date

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