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**Items In Red Are Required**

MODEL WANTED

MODEL
BEDROOMS
BATHROOMS
SqFt
PRICE
A
1 BR
1 Bath
783 or 832 Sq. Ft

B
2 BR
2 Bath
1000 Sq. Ft.

C
2 BR
2 Baths
1180 Sq. Ft. (approximate)

D
2 BR w/ A Large Den
2 Baths
1280 Sq. Ft.

E
3 BR
2 Baths
1280 Sq. Ft.

PERSONAL INFORMATION
APPLICANT #1 - NAME (LAST, FIRST, MIDDLE) SOCIAL SECURITY NUMBER ARE YOU AT LEAST 18 YEARS OF AGE?
    YES / NO
DRIVERS LICENSE #
STATE OF ISSUE BIRTH DATE
PRESENT ADDRESS (APT., STREET, CITY, STATE & ZIP CODE)
TELEPHONE NUMBER
How Long There? (MOS.)
OWN / RENT
AMT. PRESENT RENT LEASE EXP. DATE PRESENT LANDLORD
PRESENT LANDLORD'S ADDRESS
PRESENT LANDLORD'S TELEPHONE NUMBER
PRIOR ADDRESS (APT, STREET,CITY, STATE & ZIP CODE) PRIOR LANDLORD'S NAME
 

 
APPLICANT #2 - NAME (LAST, FIRST, MIDDLE) SOCIAL SECURITY NUMBER ARE YOU AT LEAST 18 YEARS OF AGE?
    YES / NO
DRIVERS LICENSE #
STATE OF ISSUE BIRTH DATE
PRESENT ADDRESS (APT., STREET, CITY, STATE & ZIP CODE)
TELEPHONE NUMBER
How Long There? (MOS.)
OWN / RENT AMT. PRESENT RENT LEASE EXP. DATE PRESENT LANDLORD
   
PRESENT LANDLORD'S ADDRESS
PRESENT LANDLORD'S TELEPHONE NUMBER
PRIOR ADDRESS (APT, STREET,CITY, STATE & ZIP CODE) PRIOR LANDLORD'S NAME
 

 
DESIRED MOVE IN DATE:
TOTAL NUMBER OF PERSONS WHO WILL LIVE IN UNIT
 
PLEASE LIST BELOW ALL OCCUPANTS NOT MENTIONED ABOVE:
 
OCCUPANT'S NAME
 
1.
AT LEAST 18 YEARS OF AGE?
2.
AT LEAST 18 YEARS OF AGE?
3. AT LEAST 18 YEARS OF AGE?
 

 
EMPLOYMENT INFORMATION
  APPLICANT #1 APPLICANT #2
PRESENT PREVIOUS PRESENT PREVIOUS
EMPLOYER'S NAME
EMPLOYER'S ADDRESS
HOW LONG EMPLOYED?
POSITION
DEPARTMENT
TELEPHONE & EXTENSION
ANNUAL INCOME XXXXXXXXXXXX XXXXXXXXXXXX
SUPERVISOR'S NAME
SUPERVISOR'S TITLE
SUPERVISOR'S TELEPHONE
 


REFERENCES
 
   
BANK NAME
BRANCH
TYPE OF ACCOUNT
ACCOUNT NUMBER
1.
BANK NAME
BRANCH
TYPE OF ACCOUNT
ACCOUNT NUMBER
2.
 


VEHICLE INFORMATION
 
  
YEAR MAKE MODEL COLOR LICENSE NUMBER

RECREATIONAL VEHICLES
 
TYPE LICENSE NUMBER
 
ABSOLUTELY NO PETS PERMITTED WITHOUT THE PRIOR WRITTEN CONSENT OF LANDLORD.
DO YOU HAVE PETS?
NO. OF PETS
DESCRIPTION OF PETS
 HOW DID YOU LEARN ABOUT THIS PROJECT? (SPECIFY)

 
   
 

 
I (we) hereby certify that I am (we are) the person(s) making this application and that all information contained herein is true and correct in every particular. I (we) understand that while processing this application, an investigative report may be made whereby information may be obtained as to character, general reputation, personal characteristics, and mode of living (I have a right to make written request for a complete and accurate disclosure to the nature and scope of any such investigative report.)

I (we) hereby consent to allow landlord, itself or through its designated agents or employees, to obtain a consumer report and criminal record information on me (us) and to obtain and verify my (our) credit and employment information for the purpose of determining whether to lease an apartment or house to me (us). I (we) also agree and understand that landlord and its agents or employees may obtain additional consumer reports and criminal record reports on me (us) in the future to update or review my (our) account. Upon my (our) request, you will inform me (us) whether consumer reports or criminal record reports were requested and the names and addresses of any consumer reporting agency that provided such reports.


If this application is rejected, the application deposit will be refunded in full by the owner. I (we) understand that in the event I (we) choose not to enter into the lease, the application deposit will be forfeited and will be considered liquidated damages, whether or not the unit is subsequently rented. This is an arms length contractual agreement and I (we) acknowledge that it is not subject to applicable real property laws. This application shall be attached to and shall constitute a part of the lease hereby applied for.