Apply — LADYBUG

APPLICATION

Thank you for your interest in one of our properties! Please open the application to complete and submit, and we will get back to you soon.

If you would prefer to print and fill out a physical application, you may download the form here. After the form is complete, please scan and submit via email to info@urbanfocusllc.com

All data is secure and SSL certified. Your information will not be tampered with or available to any third party.

Application

Which property are you submitting an application for?

Please specify name of listing. ex. 1234 Avenue rd.

Applicant Information

Name

First Name

Last Name

Date of Birth

Phone

(###)

###

####

SSN

Current Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Own or Rent?

Select status of current address

Current Monthly Payment or Rent

How long?

Previous Address

*Required if at current address less than 3 years

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Own or Rent?

Select status of previous address

Monthly Payment or Rent

*Required if at current address for less than 3 years

How long?

Employment Information

Current Employer

Employer Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

How long?

Employer Phone

(###)

###

####

Employer Email

Position

Pay type

Please select one

Annual Income

Emergency Contact

Emergency Contact (not residing with you)

First Name

Last Name

Phone

(###)

###

####

Emergency Contact Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Relationship

Co-Applicant Information

Co-Applicant Name

First Name

Last Name

Date of Birth

Phone

(###)

###

####

SSN

Current Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Own or Rent?

Select status of current address

Monthly Payment or Rent

How long?

Previous Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Own or Rent?

Select status of previous address

Monthly Payment or Rent

How long?

Co-Applicant Current Employer

Employer Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

How long?

Employer Phone

(###)

###

####

Employer Email

Position

Pay type

Please select one.

Annual Income

References

Reference 1 Name

Relationship

Phone

(###)

###

####

Reference 2 Name

First Name

Last Name

Relationship

Phone

(###)

###

####

Reference 3 Name

First Name

Last Name

Relationship

Phone

(###)

###

####

Signature

Confirmation

I authorize the verification of the information provided on this form as to my credit and employment. I have received a copy of this application.

Signature of Applicant

Type full name

Date

YYYY

Signature of Co-Applicant

Type full name

Date

YYYY