PLEASE PRINT OUT APPLICATION AND MAIL TO:

N. B.& B. PROPERTIES

900 GELLATLY ST.

WENATCHEE WA. 98801

OR FAX TO: 1-509-663-2846

RENTAL APPLICATION FEE

There is a one-time non-refundable application fee of $17.00 per person. No application will be processed until application fee is received.

PLEASE PRINT CLEARLY

NAME: _____________________________________DATE____________

HOME PHONE NUMBER_____________________________

WORK OR MESSAGE PHONE________________________

REQUESTED MOVE IN DATE_________________________

SOCIAL SECURITY NUMBER: ________________________

DRIVERS LICENSE NUMBER: ________________________

DATE OF BIRTH: ______________________________

PRESENT ADDRESS: ____________________________________

CITY: __________________ STATE: ______. ZIP: _____________

HOW LONG HAVE YOU LIVED AT THIS ADDRESS ?___________________________________________

NUMBER OF PEOPLE THAT WILL BE LIVING WITH YOU . ___________

DO YOU HAVE A PET __________WHAT KIND ?_______________

NAMES AND AGES OF EVERYONE THAT WILL BE LIVING WITH YOU: _________________________________________________________

_______________________________________________________________________________________

HAS ANYONE IN YOUR PARTY APPLYING FOR A RENTAL EVER BEEN CONVICTED OF A FELONY?______________ (If yes explain on back)

HAVE YOU OR ANYONE IN YOUR PARTY EVER BEEN EVICTED FROM A RENTAL?_______

SPOUSE'S NAME: _______________________________________

SPOUSE'S DATE OF BIRTH: ______________________________

SPOUSE'S SOCIAL SECURITY NUMBER: ________________________________

SPOUSE'S DRIVERS LICENSE NUMBER: ________________________

NAME OF PRESENT LANDLORD: _________________________________

LANDLORD'S PHONE NUMBER: ___________________________________

HOW LONG HAVE YOU RENTED FROM THIS LANDLORD_____________________________

AMOUNT OF MONTHLY RENT: ___________________________

FORMER LANDLORD: _________________________________

FORMER LANDLORD'S PHONE NUMBER_____________________________

FORMER ADDRESS: __________________________________________________________________________

HOW LONG DID YOU LIVE AT THIS ADDRESS? ____________________

AMOUNT OF MONTHLY RENT ___________________________

REASON FOR LEAVING: ___________________________________________________________________________________

PRESENT EMPLOYER: ________________________________

EMPLOYER'S PHONE NUMBER: ___________________________________

SPOUSE'S EMPLOYER: ________________________________

PHONE NUMBER OF SPOUSE'S EMPLOYER: ___________________________________

TAKE HOME PAY:

PRINCIPAL: (YOU) $ ______________ / MONTH

SPOUSE: $ ________________________ / MONTH

BANK AND CREDIT REFERENCES: BANK: _________________________________________________

ACCOUNT NUMBER: ________________________________

CITY: ______________________________ STATE: __________

BANK PHONE NUMBER: ___________________________________

PERSONAL REFERENCES OR NEAREST RELATIVE:

1. ______________________________________________________

PHONE NUMBER: ___________________________________

2. ______________________________________________________

PHONE NUMBER: ___________________________________

3. ______________________________________________________

PHONE NUMBER: ___________________________________

I declare that the above statements are true and correct. I hereby authorize verifiction of any or all references. I further authorize N.B.& B. Properties to request a credit report and a criminal history report.

Signature: ____________________________________

Date: ________________________________________