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