Application | F & M Investments

Full Name

First

Middle

Last

Suffix

Birth Date

Drivers License #

Phone #

Email Address

Do you have any pets?

Yes

No

Type and Number of Pets

Do you have a water bed?

Yes

No

Do you have water bed insurance?

Yes

No

Current Address

Address

City/Town

State/Province

ZIP/Postal Code

Name of Landlord

Landlord Phone #

Move in date

Move out date

Monthly Rent

Did you Rent or Own?

Rent

Own

Indicate One

Mortgage Company

Apartment Community

Other

Previous Address

Address

City/Town

State/Province

ZIP/Postal Code

Name of Landlord

Landlord Phone #

Move in date

Move out date

Monthly Rent

Did you Rent or Own?

Rent

Own

Indicate One

Mortgage Company

Apartment Community

Other

Previous Address

Address

City/Town

State/Province

ZIP/Postal Code

Name of Landlord

Landlord Phone #

Move in date

Move out date

Monthly Rent

Did you Rent or Own?

Rent

Own

Indicate One

Mortgage Company

Apartment Community

Other

Employer

Position

Employer Phone #

Gross Monthly Salary

Employed From

Employed To

Previous Employer

Position

Employer Phone #

Gross Monthly Salary

Employed From

Employed To

Additional Source of Income

Amount

Per (choose one)

Month

Year

Bank or Saving and Loan

Branch Address

Branch Phone #

Account #

Vehicle Make and Model

License Plate #

State Registered

Car Payment Made to

Monthly Auto Payment

Name of Nearest Relative

Relationship

Phone #

Address

Name of Second Nearest Relative

Relationship

Phone #

Address

Name of Emergency Contact

Phone #

Address

Have you ever been convicted of any criminal offence?

Yes

No

Have you ever been evicted for non-payment of rent?

Yes

No

Have you ever declared bankruptcy?

Yes

No

Type your full name to sign this application

We/I certify that to the best of my/our knowledge all statements made herein are true and correct. I/We understand that false, fraudulent or misleading information disclosed may be grounds for denial of tenancy or
subsequent eviction, I hereby release all persons, companies and corporations as well as this Landlord from all liability and responsibility that may result from providing information about me/us and my/our history.