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For a form to fax or mail, click here to download.

I am interested in the property located at:


APPLICANT #1
Applicant Name: 
Date of Birth: 
Home Phone #: 
Cell Phone #: 
LL Phone #: 
Current Address (City, State, Zip): 
Length of time at Address: 
Drivers License #: 
Marital Status: Married   Single
Current rent paid: 
Have you been convicted of a crime
(misdemeanor or felony)?		 Yes   No
Name of Employer: 
Employer Contact: 
Employer Phone #: 
Address of Employer (City,State): 
Length of Employment: 
Occupation: 
Salary: 
Salary Paid: Weekly   MonthlyBi-Weekly
Avg hours per week: 
List any additional income: 
Source: 
Do you pay child support?: Yes   No
If yes, how much per month: 


APPLICANT #2
Applicant Name: 
Date of Birth: 
Home Phone #: 
Cell Phone #: 
LL Phone #: 
Current Address (City, State, Zip): 
Length of time at Address: 
Drivers License #: 
Marital Status: Married   Single
Current rent paid: 
Have you been convicted of a crime
(misdemeanor or felony)?		 Yes   No
Name of Employer: 
Employer Contact: 
Employer Phone #: 
Address of Employer(City,State): 
Length of Employment: 
Occupation: 
Salary: 
Salary Paid: Weekly   MonthlyBi-Weekly
Avg hours per week: 
List any additional income: 
Source: 
Do you pay child support?: Yes   No
If yes, how much per month: 
Name(s) and age(s) of additional persons who will occupy the house:
 
Are you current pet owners? Yes   No
Please list what type of animal and their weight (Required, if yes)

Pet deposit and monthly fee may apply. Max no. of pets is 2 w/max weight limit of 25 pounds each. Breed restrictions apply.
 
Any previous foreclosures, evictions, or bankruptcy?
Foreclosure   Evictions   Bankruptcy   None
If yes, please list date(s) of occurrence:

Foreclosure, eviction or bankruptcy does not mean disqualification through this program.
 
ALL APPLICANTS:
By signing this application, you consent to permit Star Home Management and its related companies to perform a criminal background check utilizing your name, social security number and/or date of birth. By signing this application, you further acknowledge and accept our policy to deny applications based on the findings from such background check.

In case of emergency, call: 
Phone #: 
Relationship: 
Address: 
 
Any additional information you feel that should be disclosed?
 
Applicant #1 Signature: 
 
Applicant #2 Signature: 
 
Email Address (required) : 
 
By submitting this application, I authorize Star Home Management, Inc. or their agents or various entities to verify the information I am providing and to access my credit for the sole purpose of qualifying me for their purchase and/or rental program. This information is confidential and will not be used for any other purpose. Falsification/misrepresentation of any information provided by applicant(s) on this application will be cause for immediate denial of application.





      

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