Application for Residency as Guarantor

 
NOTE: EACH GUARANTOR MUST SUBMIT A SEPARATE APPLICATION
Thank you for your interest in an A.J. Dwoskin & Associates, Inc. community! To streamline the application process, you may complete an application online. After you have completely filled out the application, click on the “Submit Application” button at the bottom of the screen to send it to the Leasing Office. Please fill out the entire application with no blanks or unanswered questions. An incomplete application can slow the processing time, and we want to do our best to prevent a delay with your new home. Please keep in mind, in order to reserve an apartment/townhome, you also need to drop off or send via overnight delivery the necessary fees and documentation to the Leasing Office.
APPLICANT INFORMATION
First Name M.I. Last Name Other Last Names Used Social Security # / IRS Taxpayer ID #
 
Home #   Work # Cell #
E-Mail Address Date Of Birth    
 
OCCUPANTS
Name Age Relationship
Name Age Relationship
Name Age Relationship
Name Age Relationship
 
PETS
Type of Pet
 Breed
 Pet Name
 Age
 Weight at Maturity
 Color
Type of Pet
 Breed
 Pet Name
 Age
 Weight at Maturity
 Color

Note: Copies of current veterinary records and a photo of your pet(s) may be required at move-in.

 
CONSECUTIVE RESIDENT HISTORY (Minimum 3 Years)
Present Address Apt # City
State Zip Move-In Date
Monthly Rent$ Are you a Leaseholder? (yes/no) Monthly Mortgage$
Are you an Owner? (yes/no) If you are an Owner, is the home paid in full?  
Landlord Name/Management/Mortgage Company Phone#
       
Previous Address       Apt #   City
State        Zip Move-In Date Move-Out Date
Monthly Rent$ Were you a Leaseholder? (yes/no) Monthly Mortgage$
Were you an Owner? (yes/no)  
Landlord Name/Management/Mortgage Company Phone#
       
Previous Address       Apt #   City
State   Zip Move-In Date Move-Out Date
Monthly Rent$ Were you a Leaseholder? (yes/no) Monthly Mortgage$
Were you an Owner? (yes/no)  
Landlord Name/Management/Mortgage Company Phone#
       
 
PERTINENT QUESTIONS
Do you have a legal right to be in the United States?
 Yes, because I am a United States citizen.  
 
 Yes, because I have valid documentation from the United States Citizenship and Immigration Services (USCIS), (formerly the Bureau of Citizenship and Immigration Services or the U.S. Immigration and Naturalization Service) or from the State Department.  
 
 
 No.  
Yes / No
Have you ever applied or lived at an A.J. Dwoskin & Associates, Inc. community? If yes, when? and what property?
Have you ever foreclosed on a home or are you currently in the process of having a home foreclosed? If yes, when?
Have you ever been evicted or are you currently in the process of being evicted from any leased premises?
Have you ever owed monies to a prior landlord? If yes, when? Is the amount paid in full? If yes, when was it paid?
Have you ever filed bankruptcy? If yes, when? Please provide written proof of the discharge or dismissal upon request.
NOTE: If yes was answered for any of the questions within this section, please provide a written explanation in the space below.
 
EMPLOYMENT HISTORY
Employer at Time of Move-In Full Work Address City State Zip Code Employed Since
 
Position Human Resources Phone # Gross Monthly Salary $ HR E-Mail Address
               
EMERGENCY CONTACT / CLOSEST RELATIVE NOT LIVING WITH YOU
Name Full Street Address
 
City, State, Zip Relationship to You Phone #(including area code)
 
APPLICATION FEE AND RESERVATION FEE / AMENITY FEE

Applicant has remitted the sum of $95 which is a non-refundable payment for processing this application. Such sum is not a rental payment or security deposit. Applicant submits with this application the sum of $325 which shall be held by Management to reserve an apartment/townhouse. Unless applicant in writing withdraws application by the close of the next business day (see office hours) , the Reservation Fee will be deemed non-refundable. Lease is to be signed by applicant(s) within five (5) days of notification of acceptance or move-in, whichever occurs first. Upon the execution of the Lease, this payment will be treated as a non-refundable Amenity Fee as described in the Lease (initials by applicant)

I authorize A.J. Dwoskin & Associates, Inc. or their agents, to investigate my qualifications and consumer reports, and/or any and all references given or discovered. I realize this information will be used by A.J. Dwoskin & Associates, Inc. and/or their agents, to evaluate my qualifications and consumer reports prior to their approval or disapproval of my rental application.

NOTICE: BY SIGNING THIS APPLICATION, YOU DECLARE THAT ALL YOUR RESPONSES ARE TRUE AND COMPLETE AND AUTHORIZE OWNER TO VERIFY THIS INFORMATION. ANY FALSE STATEMENT ON THIS APPLICATION WILL LEAD TO REJECTION OF YOUR APPLICATION OR IMMEDIATE TERMINATION OF YOUR LEASE.

NOTE: Keeping pets requires consent of management, payment of applicable fees/deposits, and execution of Pet Addendum. Service animals are not considered pets.

The Civil Rights Act of 1968, as amended by the Fair Housing Amendments Act of 1988, prohibits discrimination in the rental of housing based on race, color, religion, sex, handicap, familial status or national origin. The Federal Agency, which administers compliance with this law, is the U.S. Department of Housing and Urban Development.

The undersigned applicant and/or co-signer represents that all of the above statements are true and correct and hereby authorizes verification of the above information. If such information proves to be false or misleading, Owner shall have the right to deny this application. The undersigned applicant and/or co-signer hereby consents to allow AJ Dwoskin ("Owner"), itself or through its designated agents or employees, to obtain a consumer report and criminal record and to obtain and verify credit and employment information for the purpose of determining whether to lease an apartment to me. The undersigned applicant or co-signer agrees and understands that Owner and its agents and employees may obtain additional consumer reports and criminal record in the future to update or review my account. Upon my request, Owner will tell me whether consumer reports or criminal records were requested and the names and addresses of any consumer reporting agency that provided such reports. The undersigned applicant and/or co-signer understand that the application fee is non-refundable.
   
Applicant's signature as GUARANTOR :     Date :
Your electronic signature constitutes a legal signature. Please type in your initials and the last 4 digits of your Social Security or IRS Tax Payer ID# to verify your electronic signature.