Guarantor Lease Application

For Address

Apt#

personal details

Name

Email

Home/Cell Phone

Date of Birth

Social Security

Marital Status

Number of Dependents

Present address

City

State

Zip

How long

Rent/Mortgage $

employment

Employer

Telephone

How long

Address

City

State

Zip

Position

Income $

Supervisor

Telephone

Previous Employer

Position

How long

Address

State

City

Zip

Position

Income $

Supervisor

Telephone

Additional Sources of Income

bank references

Bank

Savings A/C#

Bank

Checking A/C#

Outstanding Loans

Company

Cars(s)

Make

Year

Drivers License#

terms & conditions

At the request of the landlord, the tenant agrees to be flexible in terms of "the move in" date regardless of the commencement date stated on the lease. In that event, landlord will prorate tenants accordingly.

The undersigned authorizes Roseann Lettieri Realty Corp. to obtain a credit, and/or criminal report from a recognized credit reporting agency