Rental Credit Application for Vineyard Townhomes
Please fill in all blanks that apply to you. The more information we have the easier it is to process the application. Enter dates as mm/dd/yyyy
Your Name:
Social Security #:
Driver's License #:
Date of Birth:
Name:
Relationship:
Date of Birth:
Social Security #:
Name:
Relationship:
Date of Birth:
Social Security #:
Name:
Relationship:
Date of Birth:
Social Security #:
Do you have a pet?
Have you ever broken a lease or been evicted from an apartment?
Have you ever been convicted of a drug related crime?
Have you or any household members been convicted of a felony within the last five years?
If the management and/or its agents, have any questions about this application, please give PHONE NUMBERS where you can be reached.
I authorize The Vineyard Townhomes and / or its agent to examine my credit history. I certify that the above information is correct, and I understand that this application may be revoked if any information furnished is found to  be incorrect. I hereby grant this property and / or its agent the right to process this application for the purpose of obtaining a Rental / Lease agreement with this property. Additionally, I authorize all current and former employers to release information they may have about me and release them from any liability and responsibility from doing so.
If I submit a deposit of $250.00, I understand that it is refundable if this application is denied. If the reservation is canceled for any reason within three (3) calendar days from the date the deposit is given to a representative of Vineyard Townhomes, I agree to forfeit $50.00. If the reservation is canceled for any reason in four (4) or more calendar days, I agree to forfeit the full deposit paid.
A $25.00 application fee is due with the deposit.
WE DO BUSINESS IN ACCORDANCE WITH THE FEDERAL FAIR HOUSING LAW, IT IS ILLEAGAL TO DISCRIMINATE AGAINST ANY PERSON BECAUSE OF RACE, COLOR, RELIGION, SEX, HANDICAP, FAMILIAL STATUS, OR NATIONAL ORIGIN.


Enter entire social security and driver's license numbers, where applicable. Only the last four digits will be displayed.
Current Address:
Owner Name & Contact #
How Long at Current Address:
Rent Amount:
Reason for Leaving:
Previous Address:
Owner Name & Contact #
Moved In:
Moved Out:
Rent Amount:
Reason for Leaving:
Current Employer:
Contact #:
Date Hired:
Wages:
Hours per Week:
If yes, what?
Weight
List other occupants and their relationship to applicant.
If yes, explain.
If yes, explain.
If yes, explain below.
Please list your automobile information below. (Make, model, color, year, license plate number and state.)
Make:
Model:
Color:
Year:
License Plate #:
State:
Make:
Model:
Color:
Year:
License Plate #:
State:
EMERGENCY REFERENCES: In case of emergency contact:
Name & Address:
Relationship:
Phone:
Relationship:
Name & Address:
Phone:
Best Phone #:
Second Phone #:
Third Phone #:
NoYes
NoYes
NoYes
NoYes
I agree to above conditions and have entered all the correct information.