Application - PAM Investments

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- 309 Main St – Richland Center
- 517 Darcy DR – HIllsboro
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Rental Application

Rental Application

Please fill out the rental application and provide as much information as you can to help speed up the rental process.
We will conduct a background check so please be honest! Any false information will be automatic disqualification from being considered

Name of Primary Applicant (required) *

First

Middle

Last

Please include your middle initial

Date of Birth (required) *

Highest Level of Education Completed

Additional Educational Information

Please check all that apply.

I have been evicted in the past five years. (Please provide when and where in the box below)
I have a pet(s). (Please provide type, breed, sex, and size in the box below)
I am a smoker.
I have outstanding judgements for unpaid bills within the past 5 years. (please provide when and where)
I have been late paying rent in the past 2 years
I been convicted of crimes relating to violence (including domestic abuse), disorderly conduct, or drug possession and/or distribution. (please provide when and where)

Please check the box if the answer is “YES” and provide any relative information in the “Additional Information” box below.

Additional Information

Name of Co-Applicant (spouse/partner/friend/family member)

First

Middle

Last

Please include your middle initial

Co-Applicant Date of Birth

Co-Applicant Highest Level of Education Completed

Additional Educational Information

Co-applicant: Please check all that apply.

I have been evicted in the past five years. (Please provide when and where in the box below)
I have a pet(s). (Please provide type, breed, sex, and size in the box below)
I am a smoker.
I have outstanding judgements for unpaid bills within the past 5 years. (please provide when and where)
I have been late paying rent in the past 2 years
I been convicted of crimes relating to violence (including domestic abuse), disorderly conduct, or drug possession and/or distribution. (please provide when and where in the box below)

Please check the box if the answer is “YES” and provide any relative information in the “Additional Information” box below.

Co-applicant: Additional Information

Primary Contact Number (no dashes) – required *

Phone Messaging

This number can receive texts

Primary Contact Email Address (required) *

Current Address (required) *

Please provide your current address, name of landlord, landlord’s phone number and length of occupancy. If length of occupancy is under 5 years, please fill out “Previous Address” box.

Previous Address

Please provide your previous address, name of landlord, landlord’s phone number and length of occupancy.

Current Employer (list employer for all employed occupants) – required *

Please provide Employer name, address, phone number and length of employment.

Previous Employer (if with current employer less than 5 years)

Please provide previous employer’s name, address, phone number if you have been with your current employer less than 5 years.

Monthly Income (include income from all employed occupants) – required *

Please provide your income after taxes and whether it is weekly, bi-weekly or monthly.

Occupants* (include age, sex, and relationship to applicant) – required *

Please list all persons that will be occupying the apartment and their ages and relationship to the applicant.
Only the above listed individuals will be allowed to occupy the premises.

Anything else you would like us to know?

Authorization (required) *

By checking the box, the applicant authorizes the landlord to contact past and present landlords, employers, creditors, credit bureaus, neighbors and any other sources deemed necessary to investigate applicant. All information is true, accurate and complete to the best of applicant’s knowledge. Landlord reserves the right to disqualify tenant if information is not as represented.

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