Application Form - Nice Stays

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RESIDENTIAL APPLICATION

Date

Address

refer

Initial length of lease requested:

Stay

6-month 12-month

Requested move-in date:

move-in

APPLICANT

Name

SSS

birth

license

Phone

Email:

Employer:

Position:

How long

Work Address

City

State

ZIP

Monthly income

Supervisor

Phone & Fax

Emergency Contact

Relationship

Emergency Phone

Emergency Address

E City

E State

E ZIP

SPOUSE INFORMATION

Spouse

spouse SSS

Spouse Birth

spouse license

Spouse Phone

Spouse Email

S Employer

S Position

S how long

S Work Address

S City

S State

S Zip

S Monthly Icome

S Supervisor

S Phone n Fax

RESIDENTIAL HISTORY

Current Address

C City

C State

C Zip

C Rent or own

Rented Own

C How Long

C Rent Amount

C Landlord's Name

C Landlord’s Phone

C Landlord’s Fax

Previous Address

P City

P State

P Zip

P Rent or own

Rented Own

How Long

Rent Amount

Landlord's Name

Landlord’s Phone

Landlord’s Fax

Have you or your spouse ever been evicted?

evicted?

Yes No

Have you or your spouse ever been sued for non-payment of rent or damage to rental property?

non payment

Yes No

ADDITIONAL INFORMATION

income

Have you or your spouse ever declared bankruptcy?

Bankruptcy?

Yes No

Date declared:

bankruptcy date

Have you or your spouse ever been convicted of a felony?

convicted?

Yes No

Date: of conviction

convicted date

Have you or your spouse ever sold narcotics or other illegal substances?

Illegal Substance?

Yes No

Do you or your spouse currently use illegal drugs or substances?

drug?

Yes No

Do you own a waterbed?

Do you own a waterbed?

Yes No

Do you or a roommate have a pet(s)

Do you or a roommate have a pet?

Yes No

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