Lease Application « Burnham Rentals

First Name *

Middle Name *

Last Name *

Email Address *

Cell Phone ###-###-####

Date of Birth *

Social Security Number ###-##-####

Current Address *

City *

State *

Zip Code *

If you are a full-time student, which school, what year and what major? (ex. IU-JR-business; Ivy Tech-nursing; IU-first year law)

Name(s) of anticipated roommate(s):

RENTAL HISTORY

Please provide information regarding your current rental or housing situation, including if you currently reside in university housing.

Current/Previous Landlord:

Phone Number: ###-###-####

What is/was the rental address?

When did you rent at this address?

What is/was your monthly rent amount?

Have you ever been evicted from a rental unit? *

Yes

If yes, for what reason?

I am currently living with a parent/guardian/family member and have never rented. *

Yes

GUARANTOR

Undergraduate or unemployed applicants are required to have a guarantor on the lease. Graduate students, retirees, or those with a solid rental reference and/or employment history will not need a guarantor.

Name of Guarantor

Relationship to Applicant

Address

City

State

Zip Code

Phone Number: ###-###-####

Email Address:

EMPLOYMENT INFORMATION

If you are not a student, please provide the following information regarding your employment history.

Name of Employer

Immediate Supervisor

Address

City

State

Zip Code

Phone Number: ###-###-####

Date of Hire:

Annual Salary

EMERGENCY CONTACT

Please provide an additional contact (not your guarantor) that we could contact in case of an emergency.

Emergency Contact Name *

Relationship to Applicant *

Address *

City *

State *

Zip Code *

Phone Number: ###-###-####

Email Address: *

Basic Leasing Conditions

Please the leasing conditions as outlined below and verify that you agree before completing the online application.

Paragraph Text

1. All leases with Burnham Rentals are for the time frame stated on the lease, unless otherwise denoted.
2. Rental occupancy is limited to the named individuals and number specified in the lease.
3. Applicants may be required to have a parent or guardian cosign the lease.
4. The damage deposit paid at lease signing is not to be considered as rent payment by the Lessee. All rents must be paid within five (5) days of its due date.
5. The rent specified in the lease is the obligation of all persons signing the lease. In the event the full rent is not paid, all parties signing the lease will be held responsible, regardless of any partial payments made.
6. No loud noises, instrumental or vocal practicing, or large parties in rental units. All rentals units have a quiet hours provision. If you cannot abide by the quiet hours provisions, you should not rent from us. All units shall be kept quiet enough as to not disturb neighbors. Violation of this clause is cause for eviction.
7. It is understood that all Burnham Rentals properties prohibit smoking inside the rental unit.
8. No pets or visiting pets allowed.
9. The rental unit may not be subleased without the specific written permission of Burnham Rentals. Subleasing the rental unit will not relieve the original Lessee(s) from their obligation for rental payments until the expiration of the original lease term. Lessor reserves the right to charge a sublease fee of $75. A rental unit may only be subleased once during the term of the contract. Conditions and terms for subleasing are available upon request from Burnham Rentals or their website.
10. At the check-out inspection, the rental unit must be left in as good as or better condition as documented during the check-in inspection. After the check-out inspection is completed, the balance of the damage deposit will be returned to the person(s) paying the deposit within 45 days of lease expiration.
11. In the event that Burnham Rentals (either through court action or agreed terms with the Lessee(s)) requires the Lessee(s) to vacate the rental unit prior to the expiration of the lease, the Lessee(s) is/are responsible for any rent (past, current or future) and any unpaid utilities due under the terms of the lease.

I have read the above application and understand that the conditions specified above are not inclusive, and there are other conditions in the lease itself. I understand that the lease is available to view online at burnhamrentals.com. It is understood that any misrepresentation of information provided by the applicant on this form will automatically disqualify the applicant from signing a lease with Burnham Rentals. The completion of this application creates no legal obligation on the part of Burnham Rentals or the applicant. *

I Agree

Authorization & Signature

I hereby authorize, for verification purposes, the release of any information provided to Burnham Rentals in this application.

End Section

Signature of Applicant *

Date

Number

Captcha

If you are human, leave this field blank.