Winn Leasing

Residential Lease Application

Please complete the following information to the best of your ability. If you cannot complete one of the questions for whatever reason please move on to the questions you can answer, we will contact you if additional information is required.

You may submit this application electronically or you may print it out and submit it by fax to 260-333-9962. Please don't hesitate to contact us with any questions you may have at 260-726-5166 or by email dion@firstafc.com. Thank you for choosing Winn Leasing.

What qualifications do we require for the Primary Applicant?

Job Stability - Must have same employer for last 12 months or more. No employment gaps of more than 30 days in last 12 months.
Landlord Reference - Must have satisfactory landlord references for the last 12 months. No payments more than 15 days past due in last 12 months.
Checking or Savings Account - We require rent payments to be auto debited from a checking or savings account.

We are looking for stable and responsible residents that pay their rent on time and take care of the property they occupy. If this is you, let us know :)

Personal Information

* Applicant Full Name You must enter your full name. (Applicant Name)

Co-Applicant Full Name

Applicant Date of Birth

Co-Applicant Date of Birth

Applicant Email

Co-Applicant Email

Applicant SSN

Co-Applicant SSN

Applicant Drivers License #

Co-Applicant Drivers License #

Applicant State Licensed

Co-Applicant State Licensed

Applicant Street Address

Co-Applicant Street Address

Applicant City

Co-Applicant City

Applicant State

Co-Applicant State

Applicant Zip Code

Co-Applicant Zip Code

* Applicant Phone Number
() - You must enter your area code. You must enter the first three digits of your phone number. You must enter the last four digits of your phone number.

Co-Applicant Phone Number
() -

Applicant Mobile Phone Number
() -

Co-Applicant Mobile Phone Number
() -

Applicant Monthly Rent Payment

Co-Applicant Monthly Rent Payment

Applicant Time at Current Address

Co-Applicant Time at Current Address

Applicant Reason for Moving

Co-Applicant Reason for Moving

Applicant Landlord Name

Co-Applicant Landlord Name

Applicant Landlord Phone

Co-Applicant Landlord Phone

Applicant Previous Street Address

Co-Applicant Previous Street Address

Applicant Previous City

Co-Applicant Previous City

Applicant Previous State

Co-Applicant Previous State

Applicant Previous Zipcode

Co-Applicant Previous Zipcode

Applicant Time at This Address

Co-Applicant Time at This Address

Applicant Previous Landlord

Co-Applicant Previous Landlord

Applicant Previous Landlord Phone Number

Co-Applicant Previous Landlord Phone Number

Has Applicant Ever Been Evicted?

Has Co-Applicant Ever Been Evicted?

Has Applicant Ever Filed Bankruptcy?

Has Co-Applicant Ever Filed Bankruptcy?

Has Applicant ever been arrested for or convicted of a felony that has not been expunged?

Has Co-Applicant ever been arrested for or convicted of a felony that has not been expunged?

Applicant Emergency Contact

Co-Applicant Emergency Contact

Applicant Emergency Contact Phone

Co-Applicant Emergency Contact Phone

Employer Information

* Applicant Current Employer You must enter your current employer. (Applicant Employer)

Co-Applicant Current Employer

Applicant Date Started

Co-Applicant Date Started

Applicant Employer Phone #

Co-Applicant Employer Phone #

Applicant Supervisor

Co-Applicant Supervisor

Applicant Gross Weekly Income

Co-Applicant Gross Weekly Income

Applicant Previous Employer

Co-Applicant Previous Employer

Applicant Previous Employer Phone

Co-Applicant Previous Employer Phone

Additional Income

Applicant Details of Additional Income Received

Co-Applicant Details of Additional Income Received

Bank Reference

Applicant Bank Name

Co-Applicant Bank Name

Applicant Bank Phone #

Co-Applicant Bank Phone #

Applicant Bank Account Type

Co-Applicant Bank Account Type

Applicant Bank Account #

Co-Applicant Bank Account #

Personal References

Applicant Reference Name

Co-Applicant Reference Name

Applicant Reference Phone #

Co-Applicant Reference Phone #

Applicant Reference Name

Co-Applicant Reference Name

Applicant Reference Phone #

Co-Applicant Reference Phone #

Automobile Information

Applicant Make & Model of Vehicle

Co-Applicant Make & Model of Vehicle

Applicant Vehicle Year Please enter only 4 digits for the vehicle year.

Co-Applicant Vehicle Year Please enter only 4 digits for the vehicle year.

Applicant Vehicle Financed?

Co-Applicant Vehicle Financed?

Applicant Vehicle Payment Please enter at most 100 characters for the vehicle payment.

Co-Applicant Vehicle Payment Please enter at most 100 characters for the vehicle payment.

Other Information

Applicant Owns a Pet?

Co-Applicant Owns a Pet?

Applicant Pet Type/Description

Co-Applicant Pet Type/Description

Does Applicant smoke tobacco?

Does Co-Applicant smoke tobacco?

Please list name and age of others that will be living at the rented property

Name

Age

Name

Age

Name

Age

Name

Age

I/We hereby authorize all persons and entities in the categories listed below to release without liability, information regarding my/our employment, income, rental history, criminal background, credit history, and/or assets to WINN LEASING for the purpose of verifying information on my/our rental application.

INFORMATION COVERED

I/We understand that previous or current information regarding me/us may be needed. Verifications and inquiries that may be requested include: personal identity; rental history; employment history; income; assets; medical or child care allowances; credit history; and criminal background. I/we understand that this authorization cannot be used to obtain information about me that is not pertinent to my eligibility for and continued participation as a qualified tenant.

ENTITIES OR INDIVIDUALS THAT MAY BE ASKED

Past & Present Employers	Welfare Agencies	Veteran's Administration
Previous Landlords	Public Housing Agencies	Retirement Systems
Social Security Administration	Banks & Financial Institutions	Support & Alimony Providers
Medical & Child Care Providers	Criminal Records Database	Credit Reporting Agencies

CONDITIONS

I/We agree that a photocopy of this authorization may be used for the purposes stated above. The original of this authorization is on file and will stay in effect for twelve (12) months from the date signed. I/We understand I/we have a right to review and correct any information that is incorrect.

By checking this box, you indicate that you have read and agree to the terms of the Tenant Release and Consent. You must check this box to have your application processed. This gives us permission to verify your information.

By submitting this form I agree that all the information listed is accurate to the best of my/our knowledge.

EqlHosOpp.gif (2137 bytes)

Winn Leasing

Residential Lease Application

Personal Information

Employer Information

Additional Income

Bank Reference

Personal References

Automobile Information

Other Information

**Please list name and age of others that will be living at the rented property**

Please list name and age of others that will be living at the rented property