Property Interested In: Select a property Applicant Information Last Name First Name Email Phone General How many people will be living in unit? No. of Adults No. of Children Is anyone on parole or probation? yes no Who? Officer's Name Officer's Phone# Applicant 1 Details Your phone is in whose name? Birth date Sex DL# Social Security # Current Address Apt # City State Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Minor Outlying Islands Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas U.S. Virgin Islands Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip How long at this address? Landlord's Name Landlord's Phone # Mobile # Previous address (if current address is less than 1 year) Apt # City State Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Minor Outlying Islands Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas U.S. Virgin Islands Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming How long? Landlord's Name Landlord's Phone # Applicant 1 Employment Place of Employment/Source of Income Address City State Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Minor Outlying Islands Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas U.S. Virgin Islands Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Phone # Position How long with company? Shift Paid how often? Next Payday Take Home Pay $ Will you or your spouse/roommate be receiving Assistance, Government or otherwise in paying the rent or security? (Select one) NO DSS Yes No If yes, from whom? Do you currently have any outstanding judgments, ever filed for bankruptcy, or been evicted? Yes No If yes, explain. Applicant 1 Personal References (At least two should be relatives with separate address) Relative 1 Address City/State/Zip Phone # Relationship Relative 2 Address City/State/Zip Phone # Relationship Name Address City/State/Zip Phone # Relationship Applicant 2 Details Last Name First Name Email Phone Birth date Sex DL# Social Security # Current Address Apt # City State Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Minor Outlying Islands Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas U.S. Virgin Islands Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip How long at this address? Landlord's Name Landlord's Phone # Mobile # Previous address (if current address is less than 1 year) Apt # City State Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Minor Outlying Islands Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas U.S. Virgin Islands Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming How long? Landlord's Name Landlord's Phone # Applicant 2 Employment Place of Employment/Source of Income Address City State Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Minor Outlying Islands Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas U.S. Virgin Islands Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Phone # Position How long with company? Shift Paid how often? Next Payday Take Home Pay $ Will you or your spouse/roommate be receiving Assistance, Government or otherwise in paying the rent or security? (Select one) NO DSS Yes No If yes, from whom? Do you currently have any outstanding judgments, ever filed for bankruptcy, or been evicted? Yes No If yes, explain. Applicant 2 Personal References (At least two should be relatives with separate address) Relative 1 Address City/State/Zip Phone # Relationship Relative 2 Address City/State/Zip Phone # Relationship Name Address City/State/Zip Phone # Relationship Watervliet Applicants Only - We are required, by law, to acquire the birthdates of all tenants. Please list the birthdates of all children and additional tenants here. Birth date Birth date Birth date Birth date BY SUBMITTING THIS APPLICATION ELECTRONICALLY, YOU AGREE TO THE FOLLOWING: I authorize Sir Properties to completely verify all information that I have provided. Sir Properties has my express authorization to contact any person or company listed on this application. By signing this document I agree that all information contained herein is correct to the best of my knowledge. If any information provided herein is deliberately altered or omitted with the intent to deceive, the landlord reserves the right to cancel the lease and give 30-day notice to vacate the property. Disclosures: Radon Gas—Notice to Prospective Tenant: Radon is a naturally occurring radioactive gas that when it has accumulated in a building in sufficient quantities, may present health risks to persons who are exposed to it over time. Levels of radon that exceed federal and state guidelines have been found in buildings in every state. Additional information regarding radon and radon testing may be obtained from your county public health unit. Lead Paint—every potential tenant of any interest in real property on which a residential dwelling was built prior to 1978 is notified that such property may present exposure to lead from lead-based paint that may place young children at risk of developing lead poisoning. Lead poisoning in young children may produce permanent neurological damage, including learning disabilities, reduced intelligence quotient, behavioral problems and impaired memory. Lead poisoning also poses a particular risk to pregnant women. Deposits—upon selection as a potential tenant the security deposit and signed lease are required to hold an apartment. Should section 8 or any other agency render you disqualified based on the asking rental price the security deposit is forfeited. If the agency in question does not contact us within five business days to set up an inspection appointment or complete the required paperwork the landlord reserves the right to consider the lease null and void and the tenant will forfeit their security deposit. NO SMOKING & NO PETS POLICY!We at Sir Properties take great pride in providing our community a smoke-free and pet-free environment. We value clean air and grounds throughout all our premises, both indoors and outdoors, for all our tenants and their neighbors. Neither smoking, vaping, toking (indoors or outdoors), nor the keeping of pets of any kind (furry, scaly, or aquatic) are allowed whatsoever. Violators are evicted.
