Bankier Apartments Online Lease Application
 Please fill in all fields
Applicant Name
Date of birth
SS #
Cellphone number
Drivers license number
email
Current address
Street
State Zip Phone
Years at this address Current rent
Total occupants
Name of current landlord
Phone number
Prior address
Are you a student?

(if yes, please fill out Section A only)
(if no, please fill out sections A&B)
Section A Bank name
Address
Bank phone
Section B Credit card 1
Issuing bank
Name on card
Credit card 2
Issuing bank
Name on card
Name(s) of parent
Parent address
City
State Zip
Phone
Employer
Employer phone
Current salary
Credit reference 1
Name
Address
City
State Zip
Credit reference 2
Name
Address
City
State Zip
Personal reference
Name
Address
City
State Zip
Been evicted or had payment problems?



If yes, please explain
In case of emergency notify
Phone number
Do you have a pet?



Do you have a waterbed?



How did you hear about Bankier Apartments?
I hereby agree that if any information herein contained is false, the lease made on the strength of this application, may, at the option of the owner and/or agent, be terminated at any time. This application is taken subject to approval of the owner and/or agent. I authorize Bankier Apartments to run any credit or previous landlord checks they feel necessary.