STANDARD APPLICATION: Grants Pass Property Management, Inc.

STANDARD APPLICATION: Grants Pass Property Managment, Inc.

(431 NE 7th Street/ PO Box 1696 Grants Pass, OR 97528/541-476-8967/541-472-0614 fax)

*A $30.00 per applicant non-refundable application screening charge is required and is payable (money order or cashier check only)upon submitting application.

Applicant__________________________________________________ Co-applicant______________________________________________

(First, Middle, Last – Please) (First, Middle Last – Please)

Address____________________________________________ City___________________________________ State______ Zip__________

From____/____ To ____/____ Rent $________ Landlord_________________________________________ Phone_________________

Prior Address________________________________________ City___________________________________ State______ Zip__________

From____/____ To____/_____ Rent $_______ Landlord__________________________________________ Phone________________

Birthdate_____/_____/_____ SS#_____/_____/_____ Birthdate_____/_____/_____ SS#_____/_____/ _____

Occupation__________________________________ Employer____________________________________ Phone___________ Since______

Occupation__________________________________ Employer____________________________________ Phone___________ Since_______

Gross Pay $________/mo Gross Pay $________/mo Other $_________ Type_________________________

Have you ever been evicted?________ When?________ Reason________________________________________________________

Have you ever filed bankruptcy?__________ When?________ Personal?_________ Business?_______

Have you ever been charged with a criminal offense?_________ When?________

Have you ever been convicted of a felony? __________

Have you ever received deferred adjudication for a crime ? ___________

CREDIT REFERENCES: Bank___________________________________ Branch____________________________________________

Checking#______________________________ Savings#__________________________________________

Installments to_____________________________________________________________ Monthly payments $_________________________

Car Payments to____________________________________________________________ Monthly payments $_________________________

Credit Cards________________________________________________________________________________________________________

Emergency Contact__________________________________ Address______________________________________ Phone______________

Which relative or friend will be able to help you should you have financial problems in the future?

Name_______________________________________ Address________________________________________ Phone__________________

Name of Physician_______________________________________________ Attorney__________________________________________

Personal reference_____________________________________ Address_____________________________________ Phone____________

AUTOMOBILES: How many parking spaces are needed?_____

Make____________________________________________ Year______ License#___________________________ State__________

Other Vehicles/Boats/RV’s ____________________________________________________________________________________________

PETS: Please note whether indoor, outdoor or both Has pet(s) ever caused injury to anyone? Yes __ No __

Type_____________________________ Age____ Size/Weight______ Color_____________ Name__________________ In__ Out__ Both__

Name of everyone to occupy residence (Please list birth dates of all residents – An application is required for everyone 18 years or older)

_________________________________________________________________________________________________________________

Do you own a waterbed?_____ Piano/Organ?_____ Aquarium?_____ Do you have renters insurance?*_______

*all renters are required to have their own renters insurance- the owner does not provide insurance for you.

Does anyone in your household smoke?__________

I certify the information on this application is correct and hereby authorize inquires you feel necessary for rental consideration and also for

Future collection purposes if that becomes necessary. I also understand that my references will be checked including, but not limited to,

Landlord(s) & employer(s). I understand that a credit report will be accessed by Grants Pass Property Management, Inc. from Associated Screening, Inc.

I understand that poor credit, references, criminal history or any false information on this application will be reason for Denial of this

application or grounds for eviction if discovered after a rental agreement has been executed. I also understand that all questions must be

answered for rental consideration. I have read the policies written on the back of this application______ and I have seen the interior of the property_______. THIS APPLICATION IS ___ - or - IS NOT ____ A “BACK-UP” TO AN EXISTING APPLICATION

APPLICANT_________________________________________________________________ Drivers License#________________________

CO-APPLICANT______________________________________________________________ Drivers License#________________________

Phone # ________________________________________________ Message # ________________________________________

REFERRED BY: Friend___ Newspaper___ GPPM Listing___ Chamber of Commerce___ Drive-by____ Other__________________________

FOR OFFICE USE ONLY Date received_______________ Time__________ Fee Paid?_________ Property_______________________________

Unit Allows Pets? ______ Smoking? _______ # of Occupants Allowed? _______ Any Missing Info on App? _______ Copies of DL/SS/Pay? _____