Damar Village Application Damar Village Application If you are human, leave this field blank. The Damar Villages on Decatur Blvd, Indianapolis, IN 46241 For inquiries about the rental property, please contact Katie McCoy at: Email Address: katiem@damar.org Phone: 317-954-5497 APPLICANT'S PERSONAL INFORMATION Full Name * Email * Phone Number * Date of Birth * Desired Move-In Date: Co-Applicant's Personal Information (if applicable) Full Name Email Phone Number Date of Birth Desired Move-In Date OTHER OCCUPANTS' INFORMATION (if applicable) Full Name of Other Occupant #1 Relation to Applicant Date of Birth Full Name of Other Occupant #2 Relation to Applicant Date of Birth Full Name of Other Occupant #3 Relation to Applicant Date of Birth RENTAL HISTORY Current Address * How long have you been residing at this address? * Monthly Rent * Landloard's Name * Landloard's Contact Number * Reason for leaving this property * Previous Address How long did you reside at this address Monthly Rent Landlord's Name Landlord's Contact Number Reason for leaving this property Have you ever been evicted from a rental residence? * Yes No Have you missed two or more rental payments in the past 12 months? * Yes No Have you ever refused to pay rent when due? * Yes No If you have answered YES to any of the above, please state your reasons and/or circumstances PROOF OF INCOME Employment Status * Full-Time Part-Time Student Unemployed Retired Current Employer Supervisor's Name Phone Job Title Date of Hire Monthly Income * Other Sources of Income Previous Employer (if applicable) Supervisor's Name Phone Job Title: Period of Employment EMPLOYMENT DETAILS The applicant will be required to provide proof of their income. Acceptable documentation includes pay stubs, employer's letter/certificate, bank statements or copies of the previous year's tax return CREDIT HISTORY AND BACKGROUND CHECK AUTHORIZATION Have you declared bankruptcy in the past seven (7) years? * Yes No Do you consent to a credit check? * Yes No Is there anything that we may find in our credit check that you want to comment on? CRIMINAL BACKGROUND CHECK AUTHORIZATION Do you consent to a criminal background check? * Yes No Is there anything that we may find in our criminal check that you want to comment on? ADDITIONAL INFORMATION I. PETS The Landlord does not allow pets in the rental property. II. SMOKING The Landlord does not allow smoking of cigarettes in the rental property. III. WATERBEDS The Landlord does not allow the use of waterbeds on the premises. I declare that the information I have provided is true and correct, and contain no misrepresentations. If misrepresentations are found after a residential lease agreement is entered into between the Landlord and Applicant, the Landlord shall have the option to terminate the residential lease agreement and seek all available remedies. The Applicant authorizes the Landlord to verify all references and facts, including but not limited to current and previous landlords, employers and personal references. The Applicant understands that incomplete or incorrect information provided in the application may cause a delay in processing or may result in the denial of application. Applicant's Signature * Date * Co-Applicant's Signature * Date * Submit