SIMPLY MANAGED, A BRYSON SMITH TEAM COMPANY
By completing this form, you hereby certify that you are at least 18 years of age and that all information given on this application is true and correct. You authorize the Landlord and it's agents to obtain and investigate consumer credit report including but not limited to, credit history, OFAC search, landlord/tenant court record search, criminal record search, and registered sex offender search. You authorize the release of information from previous or current landlords, employers, bank representatives, and personal references. You agree to furnish additional credit and/or other personal references upon request. Your understand incomplete or incorrect information provided in this application may cause a delay in processing which may results in denial of tenancy. This investigation is for resident screening purposed only and is strictly confidential. You hereby hold the Landlord and it's agents free and harmless of any liability for any damages arising out of any improper use of this information.

IMPORTANT INFORMATION ABOUT YOUR RIGHTS UNDER THE FAIR CREDIT REPORTING ACT:
  • You have the right to request disclosure of the nature and scope of the investigation.
  • You must be told if information in your file has been used against you.
  • You have a right to know what is in your file, and this disclosure may be free.
  • You have the right to ask for a credit score. (There may be a fee for this service.)
  • You have the right to dispute incomplete or inaccurate information. Consumer reporting agencies must correct inaccurate, incomplete, or unverifiable information.
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Email *
Property Address: (Rental Property You Are Interested In) *
Timeframe for Moving? *
Applicant's Full Name: *
Applicant's Date of Birth: *
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Applicant's Phone Number: *
Applicant's Email Address: *
Are there any additional occupants? (Names of minors must be listed. Any adult occupants must complete application.) *
Name/Age of Additional Occupants: (Enter N/A if None) *
Applicant's Current Residence: (Enter Full Address) *
Applicant's Current Rental Rate:  *
Applicant's Current Residence Landlord: (Include Name/Contact Information) *
Reason for Moving from Current Residence:  *
Previous Residence: (Enter Full Address) *
Previous Residence Rental Rate:  *
Previous Residence Landlord: (Include Name/Contact Information) *
Reason for Moving Previous Residence: *
Current Employer: (Include Employer Name & Company Address) *
Current Employment: (Include Role & Title) *
Current Employment Compensation *
Current Employee Supervisor: (Include Direct Supervisor Name & Contact Information) *
Previous Employer: (Include Employer Name & Company Address) *
Previous Employment: (Include Role/Title & Compensation) *
Previous Employee Supervisor: (Include Direct Supervisor Name & Contact Information *
Do You Have Pets? *
Occupant Pet Information (Include Quantity, Breed, Age) *
Applicant Primary Vehicle: (Include Make, Model, Year, Color, & Plate) *
Applicant Secondary Vehicle: (Include Make, Model, Year, Color, & Plate) *
Applicant References: (Include 3 Non-Family References, Name & Contact Information) *
Applicant Eviction: Have you ever been evicted or been a defendant in an eviction action? *
Applicant Bankruptcy: Have you ever filed, or are in the process of filing bankruptcy? *
Applicant Balances to Landlord: Do you have any outstanding balances with any past landlords? *
Applicant Lease Violations: Have you ever been asked to move from a property for a lease violation? *
Applicant Crime Screening: Have you ever been convicted of a crime? *
Additional Input: Anything Else We Should Know?
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