Apply

Upon investigation and verification of the information provided, BPM will make a recommendation regarding an approval or denial of residency. In the event that a majority, but not all of the residency requirements are met, an approval conditioned upon any or all of the following may be made: (a) first and last month’s rent, (b) qualified roommate, (c) Co-Signer Agreement (Co-signers must be approved unconditionally to qualify), and/or (d) additional security deposit.

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Applicant Information

Applicant Type

Desired Property

First Name

Middle Initial

Last Name

Social Security Number

Date of Birth

E-mail address

Phone

Residents Under 18 Years

Vehicle Information

Personal Information

Have you ever used another social security number?

Have you ever filed for Bankruptcy?

Have you ever been convicted of a felony crime?

Are you a full-time student?

Do you require special accommodations?

Have you ever been evicted?

Do you currently owe any apartment community money?

Do you have pets?

Current Residence Information

Street Address (including apartment number)

City

State

ZIP

Landlord Name:

Type:

From Date:

End Date:

Monthly Payment:

Landlord Street Address

City

State

ZIP

Phone

Own / Rent

Past Residence Information

Street Address (including apartment number)

City

State

ZIP

Landlord Name:

Type:

From Date:

End Date:

Monthly Payment:

Landlord Street Address

City

State

ZIP

Phone

Own / Rent

Current Employment Information

Company

Job Title

Phone

Salary

Salary per:

Street Address

City

State

Zip

HR Contact Name

HR Contact Phone

From Date

To Date

Previous Employment Information

Company

Job Title

Phone

Salary

Salary per:

Street Address

City

State

Zip

HR Contact Name

HR Contact Phone

From Date

To Date

Credit Information

Auto Loan - Payment Made to:

Auto Loan - Phone Number

Auto Loan - Monthly Payment

Checking Account - Bank

Checking Account - Phone Number

Checking Account - Monthly Balance

Savings Account - Bank

Savings Account - Phone Number

Savings Account - Monthly Balance

Other Loan/Credit Reference

Other - Phone Number

Other - Monthly Balance

Acknowledgement and Consent

I agree to pay BPM, LLC an application screening charge in the amount of $40.00 which is earned upon the submission and receipt of this application. I understand I acquire no rights to the above property until I sign a rental agreement and submit a security deposit in the amount required. The printable confirmation page will serve as a receipt of payment for the screening charge collected. I authorize and direct BPM, LLC to obtain such credit reports, character reports and/or criminal reports, verification of rental and employment history as it deems necessary to verify all information set forth in the above application. I further understand that false, fraudulent misleading or incomplete information may be grounds for denial of tenancy or subsequent eviction. There are no other agreements express or implied between the parties.

In accordance with State and Federal laws, you are hereby notified that an investigation may be made of the information you provided on this applition together with information as to your character, general reputation, personal characteristics, and mode of living. You have the right to dispute the accuracy of information obtained form the entities you have disclosed above, and, upon written request, the right to complete and accurate disclosure of the scope pf this investigation and/or a written summary of your rights under the Fair Credit Reporting Act.

Acknowledgement (Type Full Name)

Date

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