Co-Signer Application For your convenience, we have provided an online Co-Signer application below that you will need to review and complete. If you would prefer to view or download a printable version, click here. Note: If you choose to print and complete, you will need to scan and email to leasing@vintageblackman.com or deliver in person to our leasing office. Please enable JavaScript in your browser to complete this form. Unit ________________ App Fee $___________ Date *Co-Signer InformationCo-Signer Name *FirstMiddleLastDate of Birth *MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Social Security Number *###-##-####Marital Status *MarriedSingleDivorcedSeperatedLayoutPhone *Type of Phone: *HomeMobileWorkEmail *Name, Age, & Relationship of Applicant(s) you are co-signing for:Applicant *FirstLastApplicantFirstLastApplicantFirstLastApplicantFirstLastApplicantFirstLastApplicantFirstLastAge *AgeAgeAgeAgeAgeRelationship *RelationshipRelationshipRelationshipRelationshipRelationshipPresent Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeHow Long Did You Stay or Have Stayed at This Address? Select Below. *1-3 months3-6 months6 months-1 year1-2 years2 years +Monthly Rent/Mortgage * Landlord/Management/Mortgage Company *Phone *Reason for moving *Previous AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeHow Long Did You Stay at This Address? Select below.1-3 months3-6 months6 months-1 year1-2 years2 years +Monthly Rent/Mortgage Landlord/Management/Mortgage CompanyPhoneReason for movingLayoutHas Co-Signer ever been evicted from tenancy? *NoYesIf yes, explainLayout (copy)Has Co-Signer ever refused to pay rent when due? *NoYesIf yes, explainLayout (copy) (copy)Has Co-Signer ever filed for bankruptcy? *NoYesIf yes, explainLayout (copy) (copy) (copy)Has Co-Signer ever been convicted of a crime? *NoYesIf yes, explain (copy)Layout (copy)Drivers License # *State *Emploment InformationLayoutCurrent Employer *Supervisor *Phone *Employer Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeLayoutPosition Held *How Long *Gross Salary *Salary per: *WeekMonthYearLayoutPrevious EmployerPosition HeldBy signing below, I agree with the following: “I hereby make application for a home/apartment and certify that this information is correct, and I have read and understand the Resident Selection Criteria. I authorize landlord/agent to contact any references that I have listed and to obtain my consumer credit report from a credit reporting agency, which will appear as an inquiry on my file. I also understand that in the event I choose to pay a security deposit and admin fee, and I later determine I do not wish to occupy the property, my deposit and admin fee will be forfeited. I further understand that the application fee is not refundable even if this application is declined.” Co-Signer Applicant Signature *Clear SignatureDate *Agree to Terms and Conditions *I hearby agree to the terms and conditions and verify the information I have detailed to be correct at the time of submission.Submit