Micron USA Management Residential Tenant Application Form

Micron USA Management LLC

399 Camino gardens Blvd, Suite 300, Boca Raton, FL, 33432
Residential Rental Application Form

(Co-Tenant or Guarantor must file separate application)
Please read this statement carefully. This application is designed to be filled out by either a single tenant applicant or combined spousal tenants. If you are a single tenant applicant please fill out all required fields in the "Spouse" section of the form with "N/A". If you are a combined spousal tenant applicant please fill out all required fields accordingly. Non spousal Co-Tenants and Guarantor's must still submit a separate application.
1) Personal Information - Primary

(Primary Applicant of Lease)
Full Name:
Home Address:
City:
State:
Zip Code:
Mobile Number:
Home Phone Number:
Fax Number:
Email:
Driver License Number:
Driver License State:
Social Security Number:
Date of Birth:
1) Personal Information - Spouse

(Spouse of Lease)
Full Name:
Home Address:
City:
State:
Zip Code:
Mobile Number:
Home Phone Number:
Fax Number:
Email:
Driver License Number:
Driver License State:
Social Security Number:
Date of Birth:
2) Employment Information - Primary
Current Employment
Current Employer:
Job Title:
Annual Income:
Years at Company:
Company Phone Number:
Supervisor Name:
Previous Employment
Previous Employer:
Job Title:
Annual Income:
Years at Company:
Company Phone Number:
Supervisor Name:
2) Employment Information - Spouse
Current Employment
Current Employer:
Job Title:
Annual Income:
Years at Company:
Company Phone Number:
Supervisor Name:
Previous Employment
Previous Employer:
Job Title:
Annual Income:
Years at Company:
Company Phone Number:
Supervisor Name:
3) Criminal Background History
Have you or any other person including in this application ever been convicted of a Felony or major crime within the last 10 years? If yes, please provide the nature of the offense, date of conviction, and any relevant details.
Please note a conviction does not result in automatic rejection as applications are reviewed on a case by case basis.
4) Tenant History
Have you or any principal of the business been subject to an eviction, unlawful detainer, or lease default resulting in removal within the past 10 years? If yes, please provide the property address, date, and outcome (e.g., dismissed, settled, judgment, satisfied).
Please note a eviction does not result in automatic rejection as applications are reviewed on a case by case basis.
5) Character References - Primary
1st Reference
Name:
Relationship:
Phone Number:
2nd Reference
Name:
Relationship:
Phone Number:
5) Character References - Spouse
1st Reference
Name:
Relationship:
Phone Number:
2nd Reference
Name:
Relationship:
Phone Number:
6) Current / Previous Landlord References - Primary
1st Reference
Name:
Property Address:
Phone Number:
Rent Amount:
Rent Period:
2nd Reference
Name:
Property Address:
Phone Number:
Rent Amount:
Rent Period:
6) Current / Previous Landlord References - Spouse
1st Reference
Name:
Property Address:
Phone Number:
Rent Amount:
Rent Period:
2nd Reference
Name:
Property Address:
Phone Number:
Rent Amount:
Rent Period:
7) Documents Upload - Primary
Applicant Driver License:

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Last Three Months of Bank Account Statements:

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Employer W-2 Form:

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Additional Documents:

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7) Documents Upload - Spouse

Please re-upload primary applicant documents if no spouse.
Applicant Driver License:

Cancelof
Last Three Months of Bank Account Statements:

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Employer W-2 Form:

Cancelof
Additional Documents:

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8) Application Fee and Authorization For Release of Personal, Business, and Credit Information For Landlord - Primary

(Read and Sign Statement Below)
I, Type Name Here* hereby authorize the release of information concerning my employment, credit, residential information, and any other information that may appear on my rental application to any credit bureau and Micron USA Management LLC as agent for the owner. I understand that this information is to be used as part of an investigative consumer report and credit report. Furthermore I and any other co-applicant waive any and all privileges I may have with respect to disclosure of said information to the aforesaid parties. I have no Real Estate representative and in the event I need one I'll be responsible for paying any commission owed.
Applicants First Name:
First Name
Applicants Middle Name:
Middle
Applicants Last Name:
Last
Social Security Number:
Date of Birth:
Today's Date:
Signature:
8) Application Fee and Authorization For Release of Personal, Business, and Credit Information For Landlord - Spouse

(Read and Sign Statement Below)
I, Type Name Here* hereby authorize the release of information concerning my employment, credit, residential information, and any other information that may appear on my rental application to any credit bureau and Micron USA Management LLC as agent for the owner. I understand that this information is to be used as part of an investigative consumer report and credit report. Furthermore I and any other co-applicant waive any and all privileges I may have with respect to disclosure of said information to the aforesaid parties. I have no Real Estate representative and in the event I need one I'll be responsible for paying any commission owed.
Applicants First Name:
First Name
Applicants Middle Name:
Middle
Applicants Last Name:
Last
Social Security Number:
Date of Birth:
Today's Date:
Signature:
9) Rental Application Payment
Micron USA Management
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Application & Screening Fee
$80.00 Quantity
Item subtotal:$0.00

Total

$0.00
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Micron USA Management LLC

Residential Rental Application Form

1) Personal Information - Primary

1) Personal Information - Spouse

2) Employment Information - Primary

Current Employment

Previous Employment

2) Employment Information - Spouse

Current Employment

Previous Employment

3) Criminal Background History

4) Tenant History

5) Character References - Primary

1st Reference

2nd Reference

5) Character References - Spouse

1st Reference

2nd Reference

6) Current / Previous Landlord References - Primary

1st Reference

2nd Reference

6) Current / Previous Landlord References - Spouse

1st Reference

2nd Reference

7) Documents Upload - Primary

7) Documents Upload - Spouse

8) Application Fee and Authorization For Release of Personal, Business, and Credit Information For Landlord - Primary

8) Application Fee and Authorization For Release of Personal, Business, and Credit Information For Landlord - Spouse

9) Rental Application Payment

Micron USA Management*

Payment Methods

Micron USA Management