Rental Application
Your Information
First Name:Middle Name:Last Name:
Birthday:SSN:DL #:
Premise: Date:Move-In:
Phone:E-mail:
Other Persons:Pets:
Spouse Information
First Name:Middle Name:Last Name:
Birthday:SSN:DL #:
Phone:E-mail:
Current Address
Street:Apartment:City, State, ZIP:
From:To:Rent:
Landlord:Phone:
Employment (If self-employed, please email proof of income after submitting your application.)
Employer:Work Phone:Position:
Address:From:To:
Income (gross):Income (net):Supervisor:
Additional Income:
Prior Employment (List if you have been at your job for less than a year.)
Employer:Work Phone:Position:
Address:From:To:
Income (gross):Income (net):Supervisor:
Signature
Signed Name:Date:
Applicant certifies that all of the above information is true and complete, and hereby authorizes verification of this information, references, criminal history and credit record, and hereby releases all parties from any and all liability for any damage(s) that may result from furnishing this information. Applicant acknowledges that false, incomplete, or misleading information may be grounds for termination of any subsequent lease after approval. Approval generally takes three business days. Reservation of unit is determined by making of deposit and not by application.

DEPOSIT PAYMENTS MADE TO RESERVE AN APARTMENT WILL NOT BE REFUNDED AFTER TWENTY-FOUR (24) HOURS IF, AFTER APPROVAL, APPLICANT DECIDES NOT TO EXERCISE THE RESERVATION. REFUNDABLE DEPOSIT PAYMENTS WILL BE REFUNDED WITHIN SEVENTY-TWO (72) HOURS OF APPLICANT'S REQUEST FOR REFUND.

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