* denotes required field

PERSONAL INFORMATION
________________________________________

Your Full Name: *

Your Maiden Name: *

Your Main Phone: *

Your Marital Status: *
SingleMarriedDivorced
I am a Co-Signer: *
 Y N
Your Relation, if Co-Signer:

Your Email: *

Your Date of Birth: *

DRIVERS LICENSE
________________________________________

Drivers License #: *

State: *

Expiration Date: *

OTHER OCCUPANTS
________________________________________

Other Occupant (1) Full Name:

Other Occupant (1) DOB:

Other Occupant (1) Relation:

Other Occupant (2) Full Name:

Other Occupant (2) DOB:

Other Occupant (2) Relation:

Other Occupant (3) Full Name:

Other Occupant (3) DOB:

Other Occupant (3) Relation:

Other Occupant (4) Full Name:

Other Occupant (4) DOB:

Other Occupant (4) Relation:

CURRENT EMPLOYMENT
________________________________________

Current Employer: *

Current Supervisor: *

Date Employed: *

Work Phone: *

Position: *

Gross Salary/Month: *

PREVIOUS EMPLOYMENT
________________________________________

Previous Employer: *

Previous Supervisor: *

Date Employed: *

Work Phone: *

Position: *

Gross Salary/Month: *

RESIDENTIAL HISTORY
---- Current Residence
________________________________________

Current Address: *

Current Apt# (if applicable):

Current City: *

Current State: *

Current Zip: *

Current Monthly Payment: *
$
Current From Month/Year (Lease begin date): *

Current To Month/Year (Lease end date): *

Current Complex/Management Company Name: *

Current Complex/Company Phone:

Why are you leaving your current residence? *

Was your lease or account in any other name?: *
 Yes No
If you answered yes, name on lease:

RESIDENTIAL HISTORY
---- Previous Residence
________________________________________

Previous Address:

Previous Apt# (if applicable):

Previous City:

Previous State:

Previous Zip:

Previous Monthly Payment:
$
Previous From Month/Year (Lease begin date):

Previous To Month/Year (Lease end date):

Previous Complex/Management Company Name:

Previous Complex/Company Phone:

EMERGENCY CONTACT * Contact cannot be an occupant.
________________________________________

Name of Contact: *

Contact Full Address: *

Contact Phone: *

Contact Relationship: *

CLOSEST RELATIVE
________________________________________

Relative Name:

Relative's Full Address:

VEHICLE 1 INFORMATION
________________________________________

Vehicle 1 Year:

Vehicle 1 Make:

Vehicle 1 Model:

Vehicle 1 Color:

Vehicle 1 Plate#:

Vehicle 1 Registered to:

Vehicle 1 Registered State:

VEHICLE 2 INFORMATION
________________________________________

Vehicle 2 Year:

Vehicle 2 Make:

Vehicle 2 Model:

Vehicle 2 Color:

Vehicle 2 Plate#:

Vehicle 2 Registered to:

Vehicle 2 Registered State:

PET INFORMATION
________________________________________

Pet 1 Type/Breed:

Pet 1 Weight:
lbs
Pet 1 Age:
Yrs
Pet 1 Color:

Pet 2 Type/Breed:

Pet 2 Weight:
lbs
Pet 2 Age:
Yrs
Pet 2 Color:

This is to advise you that part of our procedure for processing your application may include an investigation report whereby information is obtained through personal interviews with 3rd parties, such as business associates, financial sources or friends. This inquiry includes information as to your character, general reputation, and mode of living. You have the right to make a written request within a reasonable period of time for a complete disclosure of information concerning the nature and scope of the investigation.

Your Reservation Deposit will not be refundable, unless Notification of Cancellation of the Application is made within 48 hours of signing the Application.

How did you learn of these apartments?:

What attracted you to these apartments?:

Have you ever been evicted?: *
 Yes No
Have you or occupants been convicted of a felony or had adjudication withheld?: *
 Yes No
Date Possesion Desired:

Lease Term Desired:

If you have spoken to a leasing specialist, the following information may be completed.

Leasing Specialist Name:

Agreed Rental Amount:

Apartment Type:

Apartment #:

Security Deposit Amt:

** Submission Clause **
By submitting this application online, Applicant represents that all of the above statements are true and complete and hereby authorizes verification of the above information, references and credit records. Applicant acknowledges that false information herein may constitute grounds for rejection of this application, termination of right of occupancy and/or fees charged and may constitute a criminal offense under the laws of this state.

Initials must be entered in order to submit online application.: *

By submitting this online application, I hereby affirm that I have read the application and statement of rental policy (link above form) and that I understand all the terms and all charges due.

NOTE: TO AVOID SPAMMING, YOU ARE REQUIRED TO ENTER THE LETTERING BELOW IN ORDER TO SUBMIT YOUR FORM.

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