Rental Application | Gage Management

Step 1 of 6

Applicant Information
First Name*
Middle*
Last Name*
Social Security Number*
Date of Birth*
Date Format: MM slash DD slash YYYY
Driver's License Number*
Driver's License State*
Automobile Year, Make, Model, Color*
Automobile License Plate Number*
Home Phone
Work Phone
Mobile Phone*
Fax
Email*

Current Address Information
Address*
Street Address Address Line 2 City State ZIP Code
Own or Rent?*
- Own
- Rent
Manager/Landlord Name
Manager/Landlord Phone
Move In Date
Date Format: MM slash DD slash YYYY
Move Out Date
Date Format: MM slash DD slash YYYY
Current Monthly Rent
Reason for moving?
Previous Address Information
Address*
Street Address Address Line 2 City State ZIP Code
Own or Rent?
- Own
- Rent
Manager/Landlord Name
Manager/Landlord Phone
Move In Date
Date Format: MM slash DD slash YYYY
Move Out Date
Date Format: MM slash DD slash YYYY
Previous Monthly Rent
Reason for moving?

Pet Information
Pets?*
- Yes
- No
If yes, describe pets (male, female, breed, spayed/neutered, age)
Other Occupants
Name
First Last
Age
Name
First Last
Age
Name
First Last
Age
Name
First Last
Age

Employment Information
Self Employed?*
- Yes
- No
Employer Name*
Employer Address
Street Address City State ZIP Code
Date Hired
Date Format: MM slash DD slash YYYY
Position
Supervisor's Name
Employer Phone
Monthly Income*
Before Taxes
Other Income
Source*
Monthly Amount*
Person to Verify Amount
Phone
Total Monthly Income*
From all sources

Lease Information
Desired Move In Date*
Date Format: MM slash DD slash YYYY
Requested Address*
Street Address City ZIP / Postal Code
Lease Agreement*
- I Agree to the Following Terms
By submitting this application, you are accepting the following terms. You are declaring that all of the information on this application is true and correct. You hereby acknowledge that submitting false information on this application constitutes a breach of any resulting Rental Agreement and is grounds for immediate termination of the Rental Agreement. You hereby authorize all corporations, companies, law enforcement agencies, academic institutions and current and former employers or landlords to release information they may have about yourself and release them from any liability for doing so. You hereby give permission to request a report from a credit reporting agency.

The application fee is $40.00 per adult and it is non-refundable. After sending your information you will be directed to a page to pay the fee by PayPal or you may drop the fee off at our office. Applications will be processed after the fee is received.