Apply To apply for an apartment you may either fill out this form, or download the application PDF and email your completed application to firstname.lastname@example.org All applicants and co-applicants 18 years & over must complete a separate application form. Spouses may submit a single application. *Items marked with an asterisk are required How did you hear about us? * Who referred you OR I... ---www.bancroftrentals.comRental websiteDrive byBillboard/posterWord of mouthOther 1. About You Please print information exactly as on driver's license or government ID card. * Full Name * Email * Phone Number * Date of Birth * SSN * Driver's License # * Current Address * City, State, Zip Why are you leaving your current residence? * Will you or any occupant have an animal? List type, weight, age, and if neutered or declawed. Gender Maiden Name Alt Phone * US Citizen ---YesNo Marital Status ---SingleMarriedDivorcedSeparatedWidowed * Do you or any occupant smoke? ---YesNo Name of previous apt. Previous owner/Manager's name Their Phone Number Date Moved In Date Moved Out 2. Your Work * Present Employer Position * Address * Phone Number Supervisor * Their Phone Number * Yearly Income * Date You Began Work Previous Employer Position Address Phone Number Supervisor Their Phone Number Yearly Income Date You Began Work Date You Ended Work If there are any other sources of income that you would like to disclose with this application, please list below. You DO NOT have to reveal alimony, child support, or spouse's annual income unless you want us to consider it with this application. Please list amount, interval, and source. 3. Your Credit History If you have past credit problems and would like to explain: please use a separate page. Your bank's name, city, and state List major credit cards: 4. Your Rental/Criminal History * Check if any apply. You represent the answer is "no" to any item below that is not checked. Have you, your spouse, or any occupant listed in this application ever: Been evicted or asked to move out? Moved out before the end of the lease term without the owner's consent? Declared bankruptcy? Been sued for rent? Been sued for property damage? Been charged, detained, or arrested for a felony, misdemeanor involving a controlled substance, violence to another person, destruction of property, or a sex crime that was resolved by conviction, probation, deferred adjudication, court ordered community supervision or pretrial diversion? Been charged, detained, or arrested for a felony, misdemeanor involving a controlled substance, violence to another person or destruction of property, or a sex crime that has not been resolved by any method ? Please indicate below the year, location, and type of each felony or misdemeanor involving a controlled substance, violence to another person, destruction of property or sex crime other than those resolved by dismissal or acquittal. We may need to discuss more facts before making a decision. 5. About your Spouse If you are not applying with a spouse or partner, please leave blank. Full Name Email Phone Number SSN Driver's License # Date of Birth Gender Maiden Name Alt Phone Any other sources of income you would like to disclose? Please list amount and source. US Citizen ---YesNo Current home address Present Employer Position Address Phone Number Supervisor Their phone Number Yearly Income 6. Occupants *Total number of occupants Names of persons under 18 and other adults who will occupy the unit without signing the lease: Name Gender Date of Birth SSN Relationship Name Gender Date of Birth SSN Relationship Name Gender Date of Birth SSN Relationship * Have any occupants been arrested/convicted of an offense? If yes, please explain offense. 7. Emergency Contacts Name Relationship Phone Number Name Relationship Phone Number By submitting this form, applicants authorize the owner to contact past and present landlords, employers, creditors, credit bureau, neighbors, and/or any other sources deemed necessary to investigate applicants. All information is true, accurate, and complete to the best of the applicant's knowledge. Owner reserves the right to disqualify tenant if information is not represented. ANY PERSON OR FIRM IS AUTHORIZED TO RELEASE INFORMATION ABOUT THE UNDERSIGNED UPON PRESENTATION OF THIS FORM OR PHOTOCOPY OF THIS FORM AT ANY TIME. ***Bancroft Luxury Apartments is committed to equal housing opportunity. We will not discriminate against applicants on any legally- recognized basis including, but not limited to, veteran status, race, color, religion, national origin, sex, orientation, age, disability, or medical condition. ***Any person who knowingly provides false or misleading information on a rental application or intentionally conceals or omits information for the purpose of obtaining a residential lease approval is guilty of a Federal and State offense, punishable by up to 10 years imprisonment and a $100,000.00 fine.