Co-signer Application | Moser Properties

A co-signer is a party that signs the rental agreement in addition to the Tenant and becomes responsible for the obligation if the Tenant should default.

All applications with income verification are to be dropped off or emailed to above address.

Co-Signer:

Date:

Last Name

First Name

M.I.

Social Security #

Date of Birth:

Home Phone

Work Phone

Cell Phone

Email:

Driver’s License #:

State Issued

TENANTS you will be co-signing for:

Full Name

Relationship

Age

Occupation

Full Name

Relationship

Age

Occupation

Full Name

Relationship

Age

Occupation

Co-Signer’s Present Personal Residence:

Current Address:

City

State

Zipcode:

Rent or Own:

Rent

Own

Phone:

Monthly Rent or Mortgage Amount:

Dates Occupied:

Owner/Manager:

Phone:

Co-Signer’s Employment History:

Current Occupation:

Employer:

Address:

City:

State:

Zipcode:

Supervisor’s Name:

Supervisor’s Phone:

Length of Employment:

Est. Annual Income

Co-signer’s Household Income Information:

1. Your Gross Monthly Income (before deductions):

2. Average Monthly Amounts of Other Income(Specify Sources)

A. Are you receiving AFDC/PUBLIC Assistance?

Yes

No

If “Yes”, Enter Amount:

B. Are you receiving Unemployment?

Yes

No

If “Yes”, Enter Amount:

C. Are you receiving Food Stamps?

Yes

No

If “Yes”, Enter Amount:

D. Are you receiving Child Support?

Yes

No

If “Yes”, Enter Amount:

3. Other:

4. Total Monthly Household Income (sum of lines 1, 2, 3):

Miscellaneous (for Co-signers):

Have you or the tenant ever been convicted of a felony?

Yes

No

If “Yes”, when and what was the conviction:

Have you ever:

Filed for Bankruptcy?

Yes

No

Been Sued?

Yes

No

Been Evicted?

Yes

No

If you answered “Yes” to any of the above, please explain:

Emergency Contact (For Co-signer):

Name:

Relationship:

Address:

Phone

I certify that all the information given above is true and correct and understand that my Rental Agreement may be terminated by Landlord if I have made any misrepresentation in this application. I hereby authorize you to contact any listed references and run a credit report. I understand that this application will be retained regardless of approval.

The undersigned, for the consideration of the execution of a rental agreement and for other valuable consideration, the receipt of which is hereby acknowledged, hereby guarantees that the tenant will pay all rent when due and will perform all terms and conditions on the tenant’s part to be performed under the rental agreement and upon the tenant’s failure to do so, the undersigned will perform the same.

Full Name

Today’s Date