Apartment List Questionnaire
Second Chance Leasing Dallas/Houston Questionnaire www.secondchanceleasingdallas.com 
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1. What are the First & Last Current Legal Name/s of all adult/s over 18 going on your lease? *
2A. Email? *
2B. Cell Phone Number? *
Rental History and Background
3A. Do you have any broken leases? *
3B. What Month & Year did each broken lease happen? Please estimate. If no broken leases exist, please type none. *
3C. What is the amount owed on each broken lease? Please estimate. If no broken leases exist, please type none. *
4A. Do you have any evictions? *
4B. What Month & Year did each eviction happen? Please estimate. If no evictions exist, please type none. *
4C. What is the amount owed on each eviction? Please estimate. If no evictions exist, please type none. *
4D. Do you have any rental history since the broken lease or eviction? *
4E. How is your payment history with your current apartment? *
5. What is your credit score? (Optional, but important)
6. Please select all additional credit history information that applies. *
Required
7A. Felony or Misdemeanor? *
Required
7B. If criminal history exists, please list name of all charges, dates occurred, and probation status/length. If none, please type no charge. *
8. Additional 2nd chance comments-Please explain your situation here (Reason for broken lease or eviction, Cleaning fee/damages fee date/amount, bankruptcy open or close date, Utility debt fee/date, AD# interested in. If you don't have 2ndchance needs type "None" *
Employment/Income
9A. Current job length? *
9B. Household Monthly income? *
Apartment Areas Requested
Please select all of the specific areas/cities you want to live in from the 4 major rental markets below.
10 A. Metro Area *
10 B. Specific Areas- Cities, Suburbs and specific neighborhood areas. Please be sure to list at least 4-5 areas with names to receive a wide array of apartment options. *
11 A. What is your Max Price range needed? (If Section 8 Is needed, please mention in this box). Please be aware apartments require renters to make 3 times the rent. EX) Rent=$1000/month then Income=$3000/month *
11 B. What size apartment do you need? *
12. What is your exact move in date? *
13. Please remember to write down Bryan Williams @ Spirit Real Estate on the guest card and application as your referral source. Please send a screenshot/photo of my name/company written down on the application as your referral source so we can forward it to your apartment as proof we are working together. This is how the apartments pay us and makes our service free to you!  Please check spam and junk box for your list. Please select Agree to let us know you agree to these terms. *
14. Once you view your list please email your favorite 5 apartments so I can call them to verify they can approve you. Please text/call me at (972)-748-3705 once approved, the apartments will not notify me. Thanks so much!  *List may not work on all cellular devices* Please select Agree to let us know you agree to these terms. *
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