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Every application MUST be submitted with a $50 nonrefundable application fee. Every occupant 18 or older MUST fill out a separate application (even if married). Every application MUST be submitted with a $35 nonrefundable application fee. After submission, a copy of applicant’s driver’s license or state-issued photo ID and last two payment stubs, must be emailed or brought to our office.

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Desired Property Information

Desired Property

No. of Bedrooms

No. of Bathrooms

No. of Occupants

Move-In Date

Building Type

Floor Level

Parking

Rent Min

Rent Max

Desired Location and/or Amenities

Please list

Rank Most importance (1) to least importance (4)

Location

Amenities

Price

Pet Friendly

Personal Information

First Name

Middle Name

Last Name

Name you go by

List additional names under which credit was received

Social Security No.

Date of Birth

Cell Phone

Home Phone

Driver's License No.

License Plate No.

License State

Citizenship(s)

Best form of Communication

Current Residence

Street Address

City

State

Zip

Own or Rent

Monthly Payment

Landlord Name

Landlord Phone

Length of Time

Reason for Leaving

If less than 3 years, Previous Address

Street Address

City

State

Zip

Own or Rent

Monthly Payment

Landlord Name

Landlord Phone

Length of Time

Reason for Leaving

Additional Occupants

First Name

Last Name

SSN

Date of Birth

Relationship

First Name

Last Name

SSN

Date of Birth

Relationship

First Name

Last Name

SSN

Date of Birth

Relationship

First Name

Last Name

SSN

Date of Birth

Relationship

First Name

Last Name

SSN

Date of Birth

Relationship

Vehicle Information

Make

Model

Year

Color

Plate No.

State

Second Vehicle

Make

Model

Year

Color

Plate No.

State

Employment & Income

Current Employer

Employer

Position/Title

Length of Employment

Hours per Week

Supervisor

Supervisor's Phone

Work Phone

Street Address

City

State

Zip

Monthly Salary (after taxes)

Second Current Employer

Second Employer

Position/Title

Length of Employment

Hours per Week

Supervisor

Supervisor's Phone

Work Phone

Street Address

City

State

Zip

Monthly Salary (after taxes)

If less than 3 years, list previous employer

Previous Employer

Position/Title

Length of Employment

Hours per Week

Supervisor

Supervisor's Phone

Work Phone

Street Address

City

State

Zip

Monthly Salary (after taxes)

Reason for Leaving

Additional Monthly Income

Amount

Source(s)

Emergency Contacts

First Contact

First Name

Last Name

Home Phone

Cell Phone

Work Phone

Relation

Street Address

City

State

Zip

Second Contact

First Name

Last Name

Home Phone

Cell Phone

Work Phone

Relation

Street Address

City

State

Zip

References

First Reference

First Name

Last Name

Home Phone

Cell Phone

Work Phone

Relation

Street Address

City

State

Zip

Second Reference

First Name

Last Name

Home Phone

Cell Phone

Work Phone

Relation

Street Address

City

State

Zip

Pets

Do you have any pets?

Questionnaire

Is the first & last month's rent + security deposit available now?

Do you smoke?

How did you hear about us?

Have you ever been sued for bills?

Have you ever been bankrupt?

Have you ever been arrested for a felony that was resolved by conviction, probation, deferred adjudication, court-ordered community supervision, or pretrial diversion?

Have you been arrested for a felony that has not been resolved by any method?

Have you ever breached a lease?

Have you ever been brought to court by a landlord?

Have you ever been locked out of a dwelling by a sheriff?

Have you ever moved out owing rent?

Have you ever moved out having damaged your dwelling?

Have you ever had fleas?

Have you ever had roaches?

Have you ever had bed bugs?

Notes/Additional Information

Acknowledgement + Consent

Applicant authorizes management (the owner or owner's agent) to conduct a credit and background check and to contact past and present landlords, employers, creditors, credit bureaus, neighbors and any other sources deemed necessary to investigate applicant. Applicant acknowledges that false information contained in this application may constitute grounds for rejection of this application, termination of applicant's right of occupancy, and retention of all deposits paid. Applicant understands that application fees and advance reservation deposits are non-refundable. Any person or firm is authorized to release information about the undersigned upon presentation of this form or a photocopy of this form at any time.

Full Name

Date

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