• Fax it to MRM Industries Fax #  Email us for the number

• Copy and paste the form below, complete it and then mail it to the address given to you 

• Email it to mrm@olypen.com 

 Instructions at the bottom

Please only copy from below here.

• MRM Industries

• Fax #  Email us for the number     

• ATTN: ______________________

Neatly complete all information below. All applicants over the age of 18 must complete and sign their own application.

 Primary Applicant  

Full Name ____Phone #____ DOB____

 Social Security #_____Drivers License #_____State ____Exp.______

 Current Address ______City _____State _____Zip______

 Current Landlords Name _______ Phone # _______

How long at this address _____ Reason for leaving ______

Previous Address ______City _____State _____Zip_____ 

 Previous Landlords name ______Phone #_______

How long at this address ____Reason for leaving _____

 Employment  

 Present Employer ____Your Position _____ Phone #______

 Employers Address _____City ______State _____Zip _____

 Phone #_____How long at this job _____  Mo Income_____

 Other Income/sources_____

 Co-applicant  

Full Name ______ DOB______

 Social Security # _____ Drivers License # ______State ______Exp._______

 Present Employer  ______ Position _____ Phone # ______

 Employers Address _________City ________State ____Zip ______

 Phone # _______How long at this job ____Mo Income _________

Other Income/sources _____

Have either of you ever been party to an eviction? [   ] Yes  [   ] No

Have either of you ever been arrested? [   ] Yes  [   ] No                         

If Yes Explain ______

Total number of children living with you under the age of 18____ 

Names_____

 Names and relationships________

IN CASE OF EMERGENCY – PLEASE NOTIFY  

Name ____ Phone # ____

Address___ City ___ State___ Zip___

 CREDIT REFERENCES

Bank ______ Type of account _____ Account  # _____

Telephone #_______ City _____ State_____

Bank ______ Type of account _____ Account  # _____

Telephone #_______ City _____ State_____

Bank ______ Type of account _____ Account  # _____

Telephone #_______ City _____ State_____

Assets  

Auto Yr. ___Make ____Model ____ License plate #____ State_____

Auto Yr. ___Make ____Model ____ License plate #____ State_____

Other ____

 PERSONAL REFERENCES

Name ____ Phone # ____

Address___ City ___ State___ Zip___

 Name ____ Phone # ____

Address___ City ___ State___ Zip___

 Name ____ Phone # ____

Address___ City ___ State___ Zip___

NEAREST TWO RELATIVES NOT LIVING WITH YOU

Name ____ Relationship _____  Phone # ____

Address___ City ___ State___ Zip___

Name ____ Relationship _____  Phone # ____

Address___ City ___ State___ Zip___

 INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED!

I CERTIFY that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for tenet screening as may be necessary in arriving at a tenant decision. I understand that the landlord may terminate any rental agreement entered into for any misrepresentation made above.

Signature_________________________________________________________Date_____________

Signature_________________________________________________________Date_____________

Received from applicants the non-refundable sum of $_______dollars to pay for tenant screening services.

Do not copy below here or this portion

This application can be submitted the following ways

·         Fax it to MRM Industries #  Email us for the number

·         Mailing it to the address given to you.

·         Email it to mrm@olypen.com 

NOTICE  -- You may need to add spaces after your answers.

It is important that your application is clear and easy to read for it to be considered.

Please be sure it is before sending it.   Thank you!