Submit an Application

Application is null and void until Application fee is received by Prominent Property Management, Inc.

Date

Property Address Unit
Where did you find our advertisement?

Your Name (required)
Date of Birth(required)
DL# SSN#(required)
Cell Phone
Home Phone
Your Email (required)
Name and Relationship of every person living with you, even if only temporarily

Personal Reference
Phone
Address
Emergency Contact
Phone
Address

Have a waterbed? Have a pet?
If yes, please describe (Breed, Age, Weight)
Ever filed for Bankruptcy?
Ever been evicted?
Ever been convicted of a felony?
If yes, describe briefly

Tenancy
Current Address City Zip
How long at this address? Rent?
Owner/Manager name Phone

Previous Address City Zip
How long at this address? Rent?
Owner/Manager name Phone
Why did you move?

Employment
Present Employer Phone
Job title Salary per month (before deductions)
Supervisor Phone
How long with this employer? Date to present

Previous Employer Phone
Job title Salary per month
Supervisor Phone
How long with this employer?Start End

Other income (Sources and amounts)
Alimony and/or Child Support you receive
OR Pay

Bank Information
Checking bank Savings bank
Major credit card Average balance
Application fee payment:
Card Number Exp. Date
Name on Card Sec. Code Billing Zip Code

Vehicle Information
Make(s) Model(s)
Year(s) License Plate(s)

I hereby authorize Prominent Property Management, Inc. to contact credit services, personal and credit references given herein, plus my employers or past Landlord(s) to verify the information I have provided.
In addition I authorize Prominent Property Management, Inc. to report to credit services organization any information revelant to my unsatisfied obligations to Landlord.
I understand that as a matter of practice Prominent Property Management, Inc. my have access to applicant's credit information as necessary throughout the term of the lease and authorize the same.
I acknowledge this application as the property of Prominent Property Management, Inc. I affirm that the information I have provided in this application is correct.
Applicant acknowledges application and all information herein is valid for 30 days. If after 30 days aplicant has not reached decision or would like to re-apply, application above is null and void and new application must be submitted.
Applicant acknowledges Application Fee is completely nonrefundable whether or not application has been processed. If applicant gives up Application Fee and subsequently requests applicaton not be processed, Prominent Property Management, Inc. is not responsible for the refunding of any monies given toward processing of application. Applicant also acknoledges the event applicant is denied for unit for which s/he applied; application fee will not be returned. I hereby permit Prominent Property Management, INC. or any of its agents to process payment of application fee with provide credit card information.

Applicant acknowledges receipt of Prominent Property Management, Inc. relationship policy:

Applicant's Name Applicant's Initials
By filling in name and initials above, this serves as your electronic signature.

Prominent Property Management, Inc. abides by the Fair Housing Act.

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