Must Be Filled Out Completely!

 

How Did You Hear About Us? Drive By††† Newspaper††† Apt. Guide††† Internet††† Word of Mouth††† Used To Live Here††† Other†††††††

Can you explain in more detail where you heard about us?_____________________________________________________________________

Personal Information

 

Full Name_______________________________________________ †† Home Phone #__________________Cell#_______________________

Social Security #__________________________________________††††††† Date of Birth___________________E-Mail_______________________

Driverís License #_________________________________________††††††† Make/Model Vehicle_________________________________________

†††††††††††† In Case Emergency, Notify__________________________________††††††† Phone____________________Relationship______________________

How many people including yourself will be occupying the apartment?††††††† ________________

Other Occupants Name:____________________________________†††††† Age/Relationship:___________________________________________

Other Occupants Name:____________________________________†††††† Age/Relationship:___________________________________________

†††††††† ††† Other Occupants Name:____________________________________†††††† Age/Relationship:___________________________________________††† ††††††††††††

†††††††††††† Do You Have Any Pets & How Many?_________________________††††††† Type of Pet(s):_____________________________________________

†††††††††††† Co-Applicant_____________________________________________††††††† Home Phone #__________________Cell#_______________________

†††††† ††††† Social Security #__________________________________________††††††† Date of Birth____________________E-Mail______________________

††††††† †††† Driverís License #_________________________________________††††††† Make/Model Vehicle_________________________________________

Residence History

 

Current Address_________________________________________††††††††† How Long There?___________________________________________

††††††††††† ††††††††††††††††††††††††† _________________________________________††††††††† Reason For Leaving_________________________________________

Current Landlord_________________________________________††††††††† Phone_____________________Monthly Rent____________________

Previous Address________________________________________†††††††††† How Long There?___________________________________________

††††††††††††††††††††††††††††††††††††††† _________________________________________††††††††† Reason For Leaving_________________________________________

Previous Landlord________________________________________††††††††† Phone _____________________Monthly Rent____________________

Employment Information

 

Present Employer________________________________________†† ††††††††How Long There?______________Work #_______________________

Address________________________________________________††††††††† Title/Position_______________________________________________
Address(Town)__________________________________________†††††† ††††Supervisorís Name__________________________________________

Gross Monthly Salary______________________Full-Time/Part-Time†††††††† Other Income______________________________________________

Co-Applicant Employer____________________________________††††† †††††How Long There?_____________Work #________________________

Address________________________________________________††††††††† Title/Position_______________________________________________
Address (Town)__________________________________________†††††††† Supervisorís Name__________________________________________

Gross Monthly Salary_______________________Full-time/Part-time††††††††† Other Income______________________________________________

 

Have You or Co-Applicant Ever:Been Sued For Non-Payment of Rent?YesNo††††† Been Evicted?YesNo

Declared Bankruptcy? Yes No†††† Have You Ever Been Convicted of or Pleaded Guilty To a Felony Including Sexual Misconduct? YesNO

If Any Checked Yes, Please Explain______________________________________________________________________________________†††††††††††† ††

I hereby make application for an apartment and certify that this information is correct.I authorize you to contact any listed references.

†††††††††††† I also authorize you to obtain my consumer credit report from your credit reporting agency.An application fee of $35.00 is required, which is

non-refundable.I understand that personal property insurance is my responsibility because the lessor does not insure my personal property.

For Office Use Only

Unit____________Rent____________

Move In Date____________________

Term___________________________

Approved By____________________

 

 
 


Date_________________________ Applicant________________________________________________

 

Date_________________________Applicant________________________________________________