Capital Rentals Lincoln Lease Application

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How Did You Hear About Capital Rentals? (Check All That Apply)

Facebook

Yard Sign

Referred from current or previous tenant

Other

Rental Property Address*

Street Address City State ZIP Code

Other

Full Name*

First Middle Last

Email Address*

Phone Number*

Birthdate*

Driver's License Number*

State*

Social Security Number*

Current Address*

Street Address City State ZIP Code

How Long Have You Lived There?*

Current Rent*

Notice Given?*

Current Landlord*

First Last

Current Landlord Contact Info - Phone # and/or Email Address*

Reason For Moving*

Would You Like Us To Contact You By Email?*

Additional Occupants

List Names, Ages, & Relationship of all the people who will occupy this unit:

Occupant 1 - Name

First Last

Age

Relationship

Occupant 2 - Name

First Last

Age

Relationship

Occupant 3 - Name

First Last

Age

Relationship

Occupant 4 - Name

First Last

Age

Relationship

Employment Information

Present Employer*

Present Employer's Address*

Street Address City State ZIP Code

Job Title*

Employment Date*

Supervisor's Name*

First Last

Phone*

Gross Income Per Month*

Past Employment History*

Please list up to two most recent employers including employer name, address, phone #, dates employed, and supervisor's name.

Emergency Contact Information

Emergency Contact*

First Last

Relationship*

Address*

Street Address City State ZIP Code

Phone*

Personal Information

Are You A Tobacco Smoker?*

NO SMOKING ALLOWED IN THE INTERIOR OF THE UNITS/BUILDINGS. SMOKING IS PERMITTED OUTSIDE AND ON DECKS/PORCHES.

Do You Own A Pet?*

Type Of Pet

NO DOGS ALLOWED - TWO CAT MAXIMUM ($50.00 PER CAT) REFUNDABLE. $15.00 PER CAT PER MONTH

Name Of Pet

If you have a pet - Have you set up a petscreening account at www.capitalrentals.petscreening.com/*

https://capitalrentals.petscreening.com/

Do You Own A Vehicle?*

Make/Model/Color/Year

Plate State/Number

Contact information for nearest relative or friend in the area:

Name*

First Last

Address*

Street Address City State ZIP Code

Phone*

Bank Account*

Name Of Financial Institution

Type Of Account*

Have You ever broken a rental agreement or lease?*

Have you ever been evicted from any tenancy?*

What Year?

Have you ever declared bankruptcy?*

What Year?

Have you ever been convicted of a felony?*

Are you a registered sex offender?*

Have you ever had bed bugs?*

Any additional info you would like to include regarding your application?

Terms & Conditions

This APPLICATION WILL NOT BE CONSIDERED UNLESS ALL INFORMATION IS FILLED OUT COMPLETELY AND ACCURATELY.

I declare this application information to be true and agree that Landlord may immediately terminate my tenancy entered into in reliance upon misinformation given on this application.

I agree to rent the unit on the terms of the Lease Agreement. Management reserves the right to cancel this application if applicant is unable to have utilities placed in their name. I agree that in the event that I have been accepted for rental and I change my mind, and do not move into the premises, my deposit and first month’s rental charges will be retained by Capital Rentals as liquidation/ termination charges (re-advertisement, time delay & evaluation of new tenants).

Resident shall put utilities in resident’s name prior to possession and obtaining keys.

If a co-signer is required, the co-signer application must be returned to: Property Manager, within (3) working days after the initial application and deposit is accepted. All applicants are considered accepted if all conditions are met, unless notified otherwise within (3) working days.

By signing this application, I authorize the Landlord or Landlord’s agents to verify the above information such as employment, monthly income, background, and past residential history. Verification or re-verification of any information contained in the application will retained by the Landlord. Any person or entity identified on this application or holder of public record is hereby instructed to release information regarding this application, my credit, tenant, check writing histories and/or my criminal record to Tenant Data Services Inc. 800-228-1837. Agencies used by Tenant Data Services to acquire this information may include, but are not limited to, Exerian (TRW) Credit Services, Equifax/Capital CSC Credit Services, Telecheck, and/or any law enforcement agency. Upon request, Tenant Data will provide the name and phone number of any outside agency used in the verification process.

Capital Rentals Enterprises, Inc. conducts business in accordance with all federal, state and local fair housing laws. It is our firm commitment to provide housing opportunities to all persons regardless of race, color, religion, sex familial status, marital status, disability or national origin.

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Today's Date*

Lease Application

Capital Rentals Application To Rent

Additional Occupants

Employment Information

Emergency Contact Information

Personal Information

Terms & Conditions

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