Rental Property Street Address: 

Applicant #1

Applicant #2

Full Name

Social Security Number
(last 4 digits of your SSN here, we will get the full number by phone)

Date Of Birth

Driver's License #

Address

City

State/Zip

I CERTIFY that answers given herein are true and complete to the best of my knowledge.  I (we) authorize the landlord (Bill Lyon, Ed Lyon, Phil Lyon or Brandon Lyon) to obtain my consumer credit report and public records and to investigate any personal information on me necessary to arrive at an applicant decision.  I understand that the landlord may terminate any rental agreement entered into for any misrepresentation made above.  An application fee of $20-$45 (per adult) is due before this application is processed.  (You will be contacted and the exact amount determined before the application is processed.) You must bring a copy of your latest paycheck stub when you sign the application! (at property viewing)

Signature

_________________

_______________

Date

/        /

/        /

Email Address

Home Phone

Work Phone

Cell Phone

Desired Move-In date

Length of stay

Landlord/Mortgage Holder

Phone

Address

Current Address

How long

Reason for leaving

Previous address

How long

Reason for leaving

Present Employer

Position

Monthly Income

How long at job

Address

Phone

Other Income

Criminal Record? Explain

Pet Types & How many

Smoker

Waterbed

Other Remarks