Platinum Property Leasing Application Form

Must be filled out with primary 1st applicant information.

Second adult must complete secondary application information.
If more than two adults, all applicant information must be provided for each adult and placed in the "Homes I am primarily interested in" section.

After you have submitted your application, we will contact you if we have availability and if you are selected.

Overview
In past 6 months have you completed a rental application with Platinum Property Leasing?
Number of adults?
Total number of occupants?
Primary Applicant Name Primary Applicant Name First Middle Last
Maiden Name (not requried)
Date of Birth
Date of Birth
/ MM / DD YYYY
Phone Phone - ### - ### ####
Email
Current Employer
Job Title
How long at current job? (weeks/months/years)

week/months/years
Income: Take Home / Month
Phone Number of Employer Phone Number of Employer - ### - ### ####
Previous Employer (if at current job less than one year)
Previous Job Title
How long at previous job? (weeks/months/years)
Previous job income
Previous job phone number Previous job phone number - ### - ### ####
Self Employed?
If self employment list sources of income and prepare to show proof of these funds.
Other income?
Please list other sources of income.
(Examples: social security, child support, second job, student grants/loans)
Additional household income/month:
Primary Applicant Current Address
Current Address Current Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Can we contact your landlord?

Can we contact your landlord? Yes Not yet Never
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Current Landlord Name Current Landlord Name First Last
Current Landlord Phone Current Landlord Phone - ### - ### ####

(landlord won't be called unless state you want to rent after showing)
Current Landlord Mailing Address Current Landlord Mailing Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
How long lived at current home

1 month to 11 months, 1-3 yrs, 4 yrs+
Current Rent
Why are you leaving?
Landlord Information
Secondary Applicant
Name Name First Last
Maiden name (not required)
Date of birth Date of birth / MM / DD YYYY
Phone Phone - ### - ### ####
Email
Current Employer
How long at current job? (weeks/months/years)
Income: Take home/month
Phone number of employer Phone number of employer - ### - ### ####
Previous Employer (If at current job less than one year)
Previous Job Title
How long at previous job? (weeks/months/years)
Previous job income
Previous job phone number Previous job phone number - ### - ### ####
Self Employed?
If self employment list sources of income and prepare to show proof of these funds.
Other income?
Please list other sources of income.
(Examples: social security, child support, second job, student grants/loans)
Additional household income/month:
Secondary applicant current address
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Can we contact your landlord

Can we contact your landlord Yes Not yet Never
Current Landlord Name Current Landlord Name First Last
Current Landlord Phone Current Landlord Phone - ### - ### ####
Current Landlord Mailing Address Current Landlord Mailing Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
How long lived at current home
Why are you leaving
References (can not be relatives)

Professional references other than landlord or past landlord:
Professional Reference #1 Professional Reference #1 First Last
Phone Number of Reference #1 Phone Number of Reference #1 - ### - ### ####
Professional Reference #2 Professional Reference #2 First Last
Phone Number of Reference #2 Phone Number of Reference #2 - ### - ### ####
Pets
Total number of pets?
Pet One (type/breed/age)
Pet Two (type/breed/age)
Pet Three (type/breed/age)
Criminal charges
Number of traffic violations in last five years
Criminal Charges Other than Traffic
(failure to list these may result in being denied rentals)

List ALL violations, criminal charges you personally received in the last TEN 10 years
Have you ever, or are you currently an illegal abuser or addicted to any controlled substances?
To your knowledge is anyone you plan to have living in this household ever, or currently an illegal abuser or addicted to any controlled substances?
Have you ever been convicted or are you currently facing charges for manufacture, possession, or distribution of any controlled substances?
To your knowledge is anyone you plan to have living in this household ever been convicted or currently facing charges for manufacture, possession, or distribution of any controlled substances?
Do you or any occupant have a felony conviction?
Information
Have you ever been late on rent payments?
Have you ever been evicted, and/or been foreclosed on?
Have you ever been taken to court by a landlord?
Have you ever been taken to court for past due bills, this includes a landlord, business, car loan, etc?
Do you have any adverse credit conditions/situations that will show up on a credit report?
Area to explain any information provide above.
Date I would like to move in Date I would like to move in / MM / DD YYYY
Home(s) I am primarily interested in. (Only one application is needed for all properties you are interested in.)
I realize that Platinum Property Leasing's deposits are a month and a half versus one month's rent.

I realize that Platinum Property Leasing's deposits are a month and a half versus one month's rent. Yes No
I certify that all information is correct.
If it is determined that any information is not correct, I can be evicted. I also give Platinum Property Leasing permission to perform a credit check if you decide to rent and the check is deemed necessary.

I certify that all information is correct.
If it is determined that any information is not correct, I can be evicted. I also give Platinum Property Leasing permission to perform a credit check if you decide to rent and the check is deemed necessary. I agree I disagree
I have rented from Runde property management previously

I have rented from Runde property management previously Yes No

Platinum Property Leasing Application Form

Platinum Property Leasing Application Form

Overview

Self Employed?

Other income?

Primary Applicant Current Address

Secondary Applicant

Self Employed?

Other income?

Secondary applicant current address

References (can not be relatives)

Pets

Criminal charges

Information