UGO Property Management


Applicant Personal Information

Name			DOB	SSN #

Marital Status		Phone	E-mail

Residence History For Last Two Years

Current Residence
Address			Address2
City		State	Zip
Rent			Landlord Name	Landlord Phone
Moved In		Moved Out
Reason for Leaving


Previous Residence
Address			City	State
Rent	$		Landlord Name	Landlord Phone
Moved In		Moved Out
Reason for Leaving

Other Residents Living With You

Do you have children? YES NO (if yes please enter information below)
Name				DOB (mm/dd/yyyy)
Name				DOB (mm/dd/yyyy)
Name				DOB (mm/dd/yyyy)
Will you have a pet? YES NO (if yes please enter information below)
Pet's Name		Pet Type	Describe Pet

Employment Information

First Employment Record
Company Name				How Long
Address			City	State
Position		Income	Supervisor	Phone

Credit References

Name of Reference				Telephone
Name of Reference				Telephone

Personal References

Name of Reference				Telephone
Name of Reference				Telephone

Transportation

Type Of Auto		Color	Tag No.	County, ST
Type Of Auto		Color	Tag No.	County, ST

Emergency Contacts

Name		Phone	Address
Name		Phone	Address


Have you ever filed a petition in bankruptcy? Have you ever been evicted from tenancy? Have you ever willingly refused to pay rent when due? I declare the foregoing to be true under penalty of perjury. I agree that the landlord may terminate any agreement entered into in reliance on any mistatement above. I hereby grant consent for investigation of my credit history or any other history deemed necessary to qualify me as a tenant.