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Highgates Management Rental Application

Waived Application Fees. All fields are required; this application will not be processed unless filled out entirely and signed.
PROPERTY APPLYING FOR*
REFERRED BY (if applicable)
Date*
MM slash DD slash YYYY

NAME
CELL PHONE
HOME PHONE
WORK PHONE
APPLICANT BIRTH DATE
MM slash DD slash YYYY
SS#
DRIVERS LICENSE: State Issued by
#
PRESENT ADDRESS
Street Address City State / Province / Region ZIP / Postal Code
HOW LONG HAVE YOU LIVED THERE?
MONTHLY RENT $
PRESENT LANDLORD:
LANDLORD’S ADDRESS
Street Address City State / Province / Region ZIP / Postal Code
Phone
IS PRESENT RENT UP TO DATE?
- YES
- NO
HAVE YOU GIVEN NOTICE OF YOUR DEPARTURE?
- YES
- NO
HAVE YOU BEEN ASKED TO LEAVE?
- YES
- NO
DO WE HAVE PERMISSION TO CONTACT THEM?
- YES
- NO
IF NO, WHY?*
PLEASE LIST YOUR TWO (2) PREVIOUS ADDRESSES
Address
Street Address City State / Province / Region ZIP / Postal Code
Address
Street Address City State / Province / Region ZIP / Postal Code

I authorize Highgates Management to obtain credit reports and background checks in connection with my rental application. I understand that my credit report, background checks and the information therein shall be used in compliance with State Law or Federal Law or fair Credit Report Act or Equal Employment Opportunity Law or appropriate regulations. I also understand that I have a right to obtain a copy of my own credit report or background check and can dispute any information.

I herby authorized, without any reservation, any information bureau contacted by Highgates Management to obtain the above credit information.
Signature*
Date*
MM slash DD slash YYYY
Signature
Date
MM slash DD slash YYYY
PLEASE FORWARD ALL INFORMATION TO: The Highgates Leasing Office at the Property where you are applying

Highgates Management Rental Application