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FIA PROPERTIES LLC
1168 James Avenue, Saint Paul, MN 55105
PHONE: 612-223-4559
PLEASE FILL OUT COMPLETELY
Property Address:
Last Name
First FULL Name
Marital Status
Date of Birth
Home Phone
Work Phone
Cell Phone
Do You Text
Yes
No
Must have last 5 years of residence. If more space is needed, please use the back of the page
Present Address
City
Rent
State
ZIP
Present Landlord/Apartment Complex Name
Rent
State
Former Landlord/Apartment Complex Name
Employer
Own
State
Monthly Rent
How long at Present Address?
Pres. Landlord City/State/Zip
From
To
Own
ZIP
How long at Former
Address?
FL Phone
From
To
Monthly Rent
Apt. #
Former Landlord Complete Address
Employer Address
Position/Title
PL Phone
Monthly Rent
Apt. #
Former Landlord Complete Address
Rent
Former Landlord/Apartment Complex Name
To
Apt. #
ZIP
Former Address (2)
City
From
Present Landlord Address
Former Address (1)
City
Own
How long at Former
Address?
FL Phone
Employer Phone
Gross Monthly Salary
From
To
Immediate Supervisor Name and Title
Supervisor’s Phone
Number of Vehicles
State of Issue
Driver License Number
Vehicle(s) Make and Model
License Plate Number (1)
License Plate Number (2)
Additional Income (describe source)
Personal Reference (Name)
Complete Address
Phone Number
Relationship to Applicant
In Emergency Notify (Name of nearest relative)
Complete Address
Phone Number
Relationship to Applicant
HAVE YOU EVER BEEN CHARGED WITH OR CONVICTED OF A FELONY?
Yes
No
HAVE YOU EVER BEEN CONVICTED OF A SEXUAL OFFENSE?
Yes
No
HAVE YOU EVER BEEN CONVICTED FOR POSESSION, USE OR SALE OF ILLEGAL SUBSTANCES?
Yes
No
HAVE YOU EVER BEEN EVICTED OR HAD YOUR LEASE TERMINATED IN LIEU OF AN EVICTION?
Yes
No
Do you have any pets_______________ Type(s)________________Breed(s)_________________________ Weight(s)__________
LIST ALL OTHER OCCUPANTS WHO WILL RESIDE IN HOME? (All occupants over 17 must file separate applications)
1 Name:_______________________________ Age:________
2 Name:_______________________________ Age:_________
3 Name:________________________________ Age:________
4 Name:_______________________________ Age:________
Your Email Address
ALL RENTS ARE DUE AND PAYABLE ON THE FIRST DAY OF EACH MONTH IN ADVANCE.
Pursuant to Fair Housing Laws, the management shall neither refuse to rent or lease an apartment to any person
because of race, color, creed religion, national origin, ancestry, handicaps, or familial status of the applicant nor
discriminate in the terms offered or the services rendered.
The undersigned warrants and represents that all statements herein are true and permits verification.
Should it be determined prior to or at any time during the subsequent tenancy that information given was
false, Landlord reserves the right to terminate said tenancy immediately. The undersigned agrees to
provide documentation necessary to substantiate present or prior earnings which are to be considered as
a basis for payment of rent.
The undersigned further agrees to execute upon presentation a lease in usual form on the terms and
conditions stated. The lease may be terminated by the Lessor if any statement herein made is not true.
The application and deposit are taken subject to previous applications. The management is not
responsible for loss by fire, smoke, or water.
I hereby give permission to obtain information on my credit, rental history, criminal history, income
verification, and other references as stated above for the purpose of this application.
__________________________________________________________
Prospective Resident Signature
Date
___________________________
Desired Move in Date
_______________________________________
Printed Name
PLEASE INCLUDE A COPY OF YOUR DRIVERS LICENSE
(This property will stay on the market until all completed applications and
deposit(s) are submitted to Fia Properties LLC)