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_______________________
Driver’s 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______________________
Driver’s
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)__________________________________________ Supervisor’s
Name__________________________________________
Gross Monthly Salary______________________Full-Time/Part-Time Other
Income______________________________________________
Co-Applicant
Employer____________________________________ How Long There?_____________Work
#________________________
Address________________________________________________
Title/Position_______________________________________________
Address (Town)__________________________________________ Supervisor’s
Name__________________________________________
Gross Monthly
Salary_______________________Full-time/Part-time Other
Income______________________________________________
Have You or Co-Applicant Ever:
Been Sued For Non-Payment of Rent?
Yes No Been Evicted? Yes No
Declared Bankruptcy? Yes
No Have You Ever Been Convicted of or Pleaded
Guilty To a Felony Including Sexual Misconduct? Yes NO
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________________________________________________