APPLICANT:
**Full Name: **E-mail:
  Date of Birth:
CO-APPLICANT:
Full Name: E-mail:
  Date of Birth:
APPLICANT CONTACT INFORMATION:
Home Phone: Work Phone:
Cell Phone: Fax:
CO-APPLICANT CONTACT INFORMATION:
Home Phone: Work Phone:
Cell Phone: Fax:
OTHER OCCUPANTS:
Occupant #1 Name:  
DOB: Relationship:
Occupant #2 Name:  
DOB: Relationship:
Occupant #3 Name:  
DOB: Relationship:
Applicant Marital Status:  
Have you ever leased from Sexton Associates, Inc. ?:   
If yes, when?:
Does anyone who will be occupying the home Smoke?:   
Do you have any pets?:      How many?:
If yes, what breed, weight, and age?: 
What is the pet(s) name? 
Are they spayed/neutered?    Are they inside pets?   
CURRENT ADDRESS:
Street Name: House or Duplex#:
City: Zip Code:
Rent or Mortgage Payment: $
How Long:
Phone: Date Moved Out:
Landlord Name: Landlord Phone:
Reason for moving:
PREVIOUS ADDRESS:
Street Name: House or Duplex#:
City: Zip Code:
Rent or Mortgage Payment: $
How Long:
Phone: Date Moved Out:
Landlord Name: Landlord Phone:
Reason for moving:

ANNUAL INCOME:

ANNUAL INCOME OF APPLICANT:   
ANNUAL INCOME OF CO-APPLICANT: :   
APPLICANT'S EMPLOYER:
Employment Type:
Employer Name: Address:
How Long: Phone:
Person to call to verify employment?
CO-APPLICANT'S EMPLOYER:
Employment Type:
Employer Name: Address:
How Long: Phone:
Person to call to verify employment?
BANKING INFORMATION:
Checking Account
Bank Name:  
Address: City/State/Zip:
Savings Account
Bank Name:  
Address: City/State/Zip:
PERSONAL REFERENCES:
Reference #1 Name: Relationship:
Address: City/State/Zip:
Phone:  
Reference #2 Name: Relationship:
Address: City/State/Zip:
Phone:  
Reference #3 Name: Relationship:
Address: City/State/Zip:
Phone:  
DRIVERS LICENSE INFORMATION:
Applicant Driver's License#:
State:
Expires:
Co-Applicant Driver's License#:
State:
Expires:
VEHICLE INFORMATION:
Vehicle #1
Make: Year:
License/Tag#: State:
Vehicle #2
Make: Year:
License/Tag#: State:
HAVE YOU EVER?
Have you ever filed bankruptcy?: 
Have you ever been evicted?: 
Have you ever refused to pay rental payments when due? 
Have you ever been late making rental payments? 
Have you ever damaged any of your landlord's property while renting? 
Have you ever broken a lease agreement for any reason? 
Have you ever been convicted of a felony, sexual, or violent offence? 
If you answered YES to any of the above, Please EXPLAIN: