Valerio Online Application
Applicant Personal Information
your name DOB SSN #
unit address: phone cell
e-mail
Residence History For Last Two Years
current residence
address moved in
line 2    
city     rent
state     landlord name
zip     landlord ph.
        reason for leaving
previous residence
address moved in
line 2     moved out
city     rent
state     landlord name
zip     landlord ph.
        reason for leaving
Other Residents Living With You
will you have roomates? YES NO (if yes please enter information below)
name     DOB (mm/dd/yyyy)
name     DOB (mm/dd/yyyy)
will you have a pet? YES NO (if yes please enter information below)
pet's name     describe pet
Employment Information
company name position
address income how long
city     supervisor phone
state            
Personal References
name of reference   phone
  relationship
name of reference   phone
  relationship
Transportation
type of auto1   tag no.
color   county, st
type of auto2   tag no.
color   county, st
Emergency Contacts
name   phone
  relationship
name   phone
  relationship

"I understand that the validity of a lease is contingent upon the approval of this application by Valerio Properties. I hereby make this application for the above rental property and certify that the information provided is true and correct. By submitting this application either in person or via the internet, I authorize Valerio Properties to run a credit history report and/or contact any references I have listed."