Application

REMINDER

NO PETS ALLOWED!

Address this application is to be used for?*

About yourself

Full Name*

First NameMiddle NameLast Name

Phone Number*

Social Security Number*

Age?*

Date of Birth*

Drivers License Number*

State Issued*

Current Renting Information

Current Address*

Street Address

Apt #

CityState

Zip Code

Landlord's Name

First NameLast Name

Landlord's Phone Number

Reason for Moving?*

Monthly Rent

Move in Date

Move Out Date

Did you Rent this Residence?*

YesNo

Is your Name on the Lease?

YesNo

Have you given Written Notice to Leave?

YesNo

Were You Evicted or Asked to Move?*

YesNo

Previous Renting Information

Previous Address

Street Address

Apt #

CityState

Zip Code

Landlord's Name

First NameLast Name

Landlord's Phone Number

Area CodePhone Number

Reason for Moving?

Monthly Rent

Move In Date

Move Out Date

Did you Rent this Residence?

YesNo

Is your Name on the Lease?

YesNo

Have you given Written Notice to Leave?

YesNo

Were You Evicted or Asked To Move?*

YesNo

Your Current Employment

Name of Employer*

Address*

Street Address

Street Address Line 2

CityState

Zip Code

Your Position

Your Start Date

Date

Supervisor's Name

First NameLast Name

Employers Phone Number

Monthly Salary*

Is the Salary that you entered Gross or Net?*

GrossNet

Your Personal History

Have you Ever Been Asked to Move Out or Evicted?*

YesNo

Has an Eviction Ever Been Filed Against You, Even If It Was Dismissed?*

YesNo

Have you Ever Declared Bankruptcy?*

YesNo

Have you Ever Been Sued for Damage to a Rental Unit?*

YesNo

Have you Ever Broken a Rental Agreement or Lease?*

YesNo

Have you Ever Been Sued for Non-Payment of Rent?*

YesNo

Have you Ever Been Convicted of a Felony?*

YesNo

Do You Receive a Section 8 Voucher?*

YesNo

If Yes, Which Organization is Your Section 8 Through?

Evette Szajna and AssociatesPontiac Housing CommissionBusch HousingOther

Are You Receiving 3rd Party Payment Assistance Through Community Housing Network, DHS, Catholic Communities, or Any Other Rent Assistance Program?*

YesNo

If you checked yes to receiving 3rd party payment assistance through Community Housing, Lighthouse, DHS, CCRT, or any other agency, What type of assistance will you be getting?*

One time payment for security deposit and/or 1st month's rentAn Agency (or multiple agencies) will making a 1 time payment towards a portion of the security deposit.Ongoing monthly rent payment assistance that will continue for at least 1 year; as well as move in costs assistanceNOT RECEIVING ANY ASSISTANCE

Your Vehicle

What is the Make, Model and Color of your Vehicle?*

License Plate Number*

State where License Plate is from?*

Other Residence who will be living in the house

List the Legal Names and Ages of ALL other people who will occupy this unit, including children*

In Case of Emergency

Emergency Contact*

First NameLast Name

Emergency Phone Number*

Area CodePhone Number

Address for Emergency Contact*

Street Address

Street Address Line 2

CityState

Zip Code

Have you Ever Rented from Lombardo's Properties, Pete Lombardo or Jim Lombardo?*

YesNo

If yes, whenblanks Address Rentedblank

If your application is approved, and you are selected to rent the property, do you have the security deposit and 1st month's rent ready to go or will you need time to get the money together?*

YES, I am able to pay the move in costs in full once approvedNO, I will need more time to get the full amount togetherI am able to pay the security deposit in full; BUT, I will need a little bit more time to come up with 1st month's rentAn agency will be paying part or all of the move in costs

Please Attach Check Stubs for the Past 90 Days as Well as Proof of Any Other Type of Income such as SSI, SSD, Child Support

Browse Files

Terms & Conditions

PLEASE READ CAREFULLY:

I hereby state and represent that the information in this application is complete and accurate. I understand that in the event a lease is entered into it may be cancelled by the Landlord if any of the information provided in the application is materially inaccurate or incomplete. I hereby authorize the Landlord or Landlords Agents to verify the information on the application. Verification or re-verification of any information contained in the application will be retained by the Landlord. I hereby authorize Tenant Data Services Inc. to obtain information about me, including, but not limited to, this application, my credit, my tenant history, my check writing history, any court records and/or my criminal record, and I hereby authorize and instruct and entity or person contacted by Tenant Data Services Inc. or the Landlord or Landlords agents to release such information to them. Upon request, Landlord, Landlords Agents, or Tenant Data Services will provide the name and phone number of the source of the information used in the verification process.

No Pets allowed!!. If a pet is found on the premise you will be penalized including up to eviction

THERE IS A NON-REFUNDABLE APPLCIATION FEE OF $50

By Signing on the below line I agree to all the terms listed on the previous 2 page defined as "Terms and Conditions" And you also agree to a credit/background check*

My Products

Application Fee$50.00

If the fee is not paid then your application will not be processed.

Payment Methods

Credit Card

Cash App Pay