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Property Location

Type of Apartment you are Applying for

Lease Information

Applicant Information

Applicant Identification

Last name First name Middle name Social Security # Phone Birthdate E-mail Address

Driver's License Number

Student Status

Full Time Student? School Name:

Present and Previous Addresses

Present Address

Address State City Zip Code Monthly Rent / Mortgage Landlord/Property/Mortgage Co. Landlord Address

Landlord Phone How Long At Address?

Permanent Address

Address City Zip Code

Roommates

(All persons / roommates who will occupy apartment)

Person 1

Person 1 Name Sex M/F Age Phone Number Email Address Relationship to you

Person 2

Person 2 Name Sex M/F Age Phone Number Email Address Relationship to you

Person 3

Person 3 Name Sex M/F Age Phone Number Email Address Relationship to you

Person 4

Person 4 Name Sex M/F Age Phone Number Email Address Relationship to you

Employment Income

Complete if applying to be your own guarantor

Employer 1

Employer Name Employer Address Annual income Date of employment Position Employer phone number

Supervisor name

Employer 2

Employer Name Employer Address Annual income Date of employment Position Employer phone number

Supervisor name

Other Income

Complete if applying to be your own guarantor. List all other types of income such as Financial Aid, Alimony, Child Support, Social Security, Pensions, Disability Compensation, Unemployment Compensation, Welfare, SSI or Recurring Contributions or Gifts Regularly Received or Investments, etc.

Resident name 1 Type of Income Annual Amount

Resident name 2 Type of Income Annual Amount

Guarantor Information

(Required if no income information is provided)

Name Address Relationship Phone Number E-mail Address

Pet Information

Some Pets are allowed, restrictions apply. Please contact us for more details.

Rental / Criminal History

Have you ever... (check all that apply)

Been evicted or asked to move out?
Broken a rental agreement or lease contract?
Declared bankruptcy?
Been sued for nonpayment of rent?
Been sued for damage to rental property?
Been convicted of a felony?
Received deferred adjudication for a felony?

Please indicate the year, location and type of each felony. We may need to discuss more facts before making a decision.

Vehicle Information

List all vehicles to be parked by you (including cars, trucks, motorcycles, trailers, etc.)

Check here if more than two vehicles

Vehicle 1

Make and color of vehicle Model year of vehicle License Plate ID State of License

Vehicle 2

Make and color of vehicle Model year of vehicle License Plate ID State of License

Emergency Contact and Medical Information

Emergency Contact

Name Address City/State/Zip Phone Number (work) Phone Number (home) Relationship

Medical Info (applicant)

Allergies (applicant) Family Physician Phone #

If you are seriously Ill, missing, or in jail or penitentiary according to an affidavit of the above person, or if you die, you authorize (check one or more):

The above emergency contact person Your spouse Your parent

to enter your dwelling to remove all contents, as well as your property in the mailbox, storerooms, and common areas. If you are seriously ill or injured, you authorize us to send for an ambulance at your expense or provide the information above. We're not legally obligated to do so.

Lease Provisions

Applicant hereby agrees as follows:

Applicant will owe and pay an activity fee in the amount of $200 and a non-refundable application fee in the amount of $50 due immediately upon signed execution of this Application.

Applicant understands that, in consideration of this Application, Landlord has taken a rental space off of the market and reserved it specifically for Applicant pending the processing of this Application and, unless the Application is rejected, pending the execution and return of all lease documents.

Guarantor Form shall be completed, executed and returned to Landlord within 10 days after Applicant submits activity fee and application. Landlord may cancel this Application and retain the full activity fee as liquidated damages in the event Applicant fails to return the properly executed documents within such 10 day period.
Landlord shall have a reasonable time after receipt of the executed documents to verify that they are properly completed and to investigate the Applicant's proposed guarantor. Within 5 days after notice from Landlord, which notice may be in person or by telephone, or in writing. Applicant shall have any incomplete or improperly completed and executed documents completed and any unacceptable guarantor replaced with an acceptable guarantor. Otherwise, Landlord may cancel this Application and retain the activity fee as liquidated damages.

Applicant may not take possession of the apartment until: (a) all lease documents including, but not limited to, Guarantor Form, are properly executed by all parties and delivered to Landlord; (b) rent is paid to Landlord in accordance with Lease; and (c) apartment/bedroom is available.

Applicant understands and acknowledges that a specific apartment and bedroom will not be assigned until all roommates are approved by Landlord. If applicable, the Applicant will hereby certify that he/she is the legal guardian of a minor(s) and hereunder identifies the name(s) and date(s) of birth of each in order to assist in roommate matching. Indicate N/A if no minor(s) will be residing with the Applicant.

The information provided in this Application is true, correct and complete. Any misstatement or omission of fact in this Application may result in termination of my Lease for cause.

Time is of the essence with respect to the agreements set forth in this Application.

The undersigned hereby authorize Landlord to obtain credit reports and conduct such other investigations of Applicant and /or Guarantors, as Landlord deems necessary in connection with this Application and leasing of the Apartment to Applicant.

Some of our communities may charge an application fee. The community will contact you regarding any fees to be paid so that we can process your application promptly.

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