EACH ADULT APPLYING FOR UNIT MUST COMPLETE A SEPARATE APPLICATION

PLEASE PRINT- All information must be completed. All blanks must be filled in. The decision to rent to you will depend in great part on your credit history and references. Only clean, responsible people who pay rent on time need apply.

How did you find out about us? Sign [___] Newspaper [___] Friend [___] Other [___]

Full Name_____________________________ Phone (____)_____________ Work Phone (____)________________

Social Security Number ______-_____-_______ Current Driver’s License #_______________________ State_______

Present Address ________________________________________City_____________ State______ Zip____________

How Long?________ If renting, Apartment name/location_________________________ Phone (____)______________

Landlord/Manager name_______________________________ Alternative Phone (____)_____________________

Why are you leaving? ____________________________________________________________________________________

________________________________________________________________________.

Current Rent $_________________

Previous Address _______________________________________City_____________ State______ Zip____________

How long?______ If renting, Apt. name/location _________________________________Phone (___)_____________

Landlord/Mgr’s name________________________________________ Alternative Phone (___)___________________

Why did you leave?______________________________________________________________________________________

________________________________________________________________________.

Present employer__________________________ Position_____________________ How long?__________

Address_____________________________________________________Phone (____)____________________

Gross Monthly Income before deductions $______________ Other Income $____________ Source______________

Former Employer_____________________________Position______________________ How long?_________

Address_____________________________________________________________Phone (____)_______________

Why did you leave?______________________________________________________________________________________

This may include store credit cards Rental stores, car loans, small loans etc.

Bank_______________________________ Acct# (s)____________________ Branch______________________

Checking Savings Loan(s)

City ____________________State__________ Approx. Balance $____________ How long?___________

Other Active Credit Ref.____________________ Account #_________________ Exp. Date______________

Type of Account_____________ Credit Limit $________ How long _______ Are all payables current ?______

Other Active Credit Ref.___________________ Account #____________________ Exp. Date__________

Have you ever been evicted? YES [ ] NO [ ].
Have you ever had a foreclosure/repossession? Yes [ ] No [ ]

Date ______________If yes , explain____________________________________________________.

Have you ever filled for bankruptcy? Yes [ ] No [ ]. If yes, Chapter 7 [ ], Chapter 13 [ ]

Explain ________________________________________________________________________________________________

Have you ever been convicted of a crime, other than a traffic violation ? Yes [ ] No [ ].

If yes, explain _________________________________________________________________________________________

(List 3 persons, OTHER THAN YOUR RELATIVES, that we may contact to verify your character.)

Name_______________________________ Relationship___________________ Phone (____)________________

Address____________________________________City_____________________ State _________Zip _______

Name_______________________________ Relationship___________________ Phone (____)________________

Address____________________________________City_____________________ State _________Zip _______

Name_______________________________ Relationship___________________ Phone (____)________________

Address____________________________________City_____________________ State _________Zip _______

Page 2 of 2 Application for Rental

(In an emergency you may contact- List 2 starting with nearest relative first.)

Name_______________________________ Relationship___________________ Phone (____)________________

Address____________________________________City_____________________ State _________Zip _______

Name_______________________________ Relationship___________________ Phone (____)________________

Address____________________________________City_____________________ State _________Zip _______

(Other persons, including children who will live in the dwelling unit)

Name________________________________________ Name________________________________________

Name________________________________________ Name________________________________________

Name________________ Type___________ Weight______ Name ____________Type ________Weight_____

*NOTE: No pets are allowed at any time on the premises without prior Management consent and payment of fees. NO EXCEPTIONS.

Date of desired occupancy_____________________ Anticipated length of stay______________

Do you own: Vacuum cleaner [ ] Lawn mower [ ] Waterbed [ ] Musical inst. [ ] Smoker yes [ ] No [ ]

LIST ALL MOTOR VEHICLES, INCUDING RECREATIONAL TO BE KEPT AT THE PROPERTY

A non-refundable application fee of $_______ and a reservation fee of $_________ are required for processing this application, and is being paid herewith. The undersigned expressly agrees that if this application is approved applicant herewith agrees to rent this property. Applicant further agrees that if applicant is accepted by Management and then decides not to move into the premises, then all monies paid herewith shall be retained as liquidated damages since other prospective tenants may have been turned away and it may be necessary for Management to re-advertise the property and evaluate other applicants. Processing of application shall be as timely as possible and the results may be delivered via telephone, fax or mail. Once approved, applicant agrees to pay the balance of funds and complete the paperwork within 48 hours, otherwise management will assume that applicant has decided to forfeit the reservation/earnest money payment made herewith and will begin re-marketing the property. If applicant is not approved, all monies given herewith, less application fee shown above shall be returned to the applicant.

A PHOTOSTATIC COPY OF MY DRIVER’S LICENSE OR PICTURE ID CARD, SOCIAL SECRUITY CARD, LATEST PAY CHECK STUB(S) AND LAST YEAR’S W-2 (s) OR COPY OF LAST YEARS INCOME TAX RETURN ARE ATTACHED TO THE APPLICATION ( ), OR WILL BE PROVIDED ( ). I declare that the application is complete, true and correct and I herewith give my permission for anyone contacted to release the credit or personal information of the undersigned applicant to Management or their authorized agents, at any time, for the purposes of entering into and continuing to offer or collect on any agreement and/or credit extended. I further authorize Management or their Authorized Agents to verify the application information including but not limited to obtaining criminal records, contacting creditors, present or former landlords, employers and personal references, whether listed or not, at the time of the application and at any time in the future, with regard to any agreement entered into with Management. Any false information will constitute ground for rejection of the application, or Management may at any time immediately terminate any agreement entered into in reliance upon misinformation given on this application.

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Applicant’s Authorization

_____________________
Date