Harris Group Realty, Inc. Simply Superior Service In Colorado Springs

Online Rental Application

Please complete this application in its entirety. All fields are required to be completed. Applications with blank fields will not be processed. If the question does not apply to you, use "N/A". Applications will not be processed until the $40 application fee per applicant is received by our office. One person per application. Please call our office at (719) 227-9900 Monday through Friday 9am-4pm (MST) for details on paying your application fee.

Personal Information
Address of property you are applying for*
Start date desired for rental*

Are you applying with another person?
Name of other applicant
Type of Pet
List pets by type of animal gender breed age and weight

Legal First Name*
Legal Middle Name
Legal Last Name*
Social Security Number (xxx-xx-xxxx)*
Date Of Birth (mm/dd/yr)*
Drivers License Number
Drivers License State
Drivers License Expiration
Daytime Phone Number (with area code)*
Evening Phone Number (with area code)
Email Address*

Current Address & Landlord Info
Current Street Address*
City*
State*
Zip Code*
How long have you lived there?*
Do You Rent or Own This Address?
Is Your Name On The Lease?
Have You Given Written Notice To Vacate?
When Does The Lease Expire? (mm/dd/yr)*
Monthly Rent/Mortgage*
Landlord Name/Management Company*
Landlord Phone Number (with area code)*
Landlord Fax Number (with area code)
Landlord Email
Landlord Address*
Landlord Zip Code*

Previous Address & Landlord Info If Current Address Less Than 2 Years
Previous Address*
City*
State*
Zip Code*
How Long Did You Live There?*
Did You Rent or Own This Address?
Was Your Name On The Lease?
Did You Give Written Notice To Vacate?
Date Lease Expired (mm/dd/yr)
Monthly Rent Amount
Name of Landlord/Mgmt Company
Landlord Phone Number (with area code)
Landlord Fax Number (with area code)
Landlord Email
Landlord Address
Landlord Zip Code

Current Employer Info
Start Date (mm/dd/yr)*
Company Name/Military Branch*
Company Address*
Company Zip Code*
Position/Job Title/Rank*
Monthly Salary*
Manager Name
Work Phone Number*
How Long Employed Here*

Emergency Contact
Name (First and Last)*
Relationship*
Phone Number (with area code)*
Address*
Zip Code*

Nearest Relative Not Living With You
Name (First and Last)*
Relationship*
Phone Number (with area code)*
Address*
Zip Code*

References
1. Name (First and Last)*
1. Address (with zip)*
1. Phone Number (with area code)*
2. Name (First and Last)*
2. Address (with zip)*
2. Phone Number (with area code)*
3. Name (First and Last)*
3. Address (with zip)*
3. Phone Number (with area code)*

Financial Info
Source Of Any Additional Income
Checking Account (Bank Name)
Savings Account (Bank Name)
Auto Loan (Lender)
Auto Loan (Monthly Payment)
Other Debt (Company/Bank)
Other Debt (Monthly Payment)

Miscellaneous Info
Please list all people who will occupy this rental and their relationship to you*
1. Vehicle Make Model Year Color License Plate Number & State*
2. Vehicle Make Model Year Color License Plate Number & State
3. Vehicle Make Model Year Color License Plate Number & State

Have You Ever...
been convicted or asked to move out?
broken a lease or rental agreement?
been sued for damage of a rental unit?
been sued for nonpayment of rent?
declared bankruptcy?
been convicted of a felony?
If convicted of felony what was the charge date of conviction County and State?
Are you currently listed as a sex offender?
If yes where are you listed as a sex offender? (County/State)

Notice To Applicant
In compliance with State and Federal laws this is to inform you that a consumer investigation involving statements made on this application is being initiated. Information may be obtained regarding your character general reputation credit mode of living and criminal background as well as your employment occupation credit history verification of present address and contact with previous landlords. Please initial to acknowledge.*

Applicants Verification & Authorization
**Applications will NOT be accepted for tenants planning to grow marijuana for medical or any other use. Please initial to acknowledge.
* I authorize Landlord or Landlord's agent(s) to obtain credit reports character information verification of rental history employment history bank information public records and personal references as necessary to verify all information set forth in this application. Please initial to acknowledge.*
* I authorize and instruct any entity or person contacted by Landlord or Landlord's agent(s) to release any and all such information about me to them. Please initial to acknowledge.*
* I certify that the information in this application is complete and accurate. I understand that false misleading or incomplete information can be grounds for denial of tenancy or for eviction. Please initial to acknowledge.*

Please share any additional information for our property management department

By typing your full name you acknowledge that the information in this application is complete and accurate. I understand that false misleading or incomplete information can be grounds for denial of tenancy or for eviction.*
Date Application Completed*

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