RENTAL / RESIDENCE HISTORY

    Current Residence

    Previous Residence

    Prior Residence

    Street Address

    States

    City

    Zip Code

    Last Rent Amount Paid

    Owner/Manger and Phone Number

    Reason For Leaving

    Is / Was Rent Paid In Full?

    Did you gave notice?

    Where you asked to move?

    Name(s) in which your utilities are now billed:

    From/To

    From/To

    From/To

    Date of Residency

    EMPLOYMENT HISTORY

    Current Employment

    Previous Employment

    Prior Employment

    Employed By

    Address

    Employer's Phone

    Occupation

    Name of Supervisor

    Monthly Gross Pay

    From/To

    From/To

    From/To

    Date of Employment

    CREDIT HISTORY

    Bank / Institution Name

    Balance on Deposit or Balance Owed

    Saving Account

    Checking Account

    Credit Card

    Auto Loan

    VEHICLES (Include vehicles belonging to other proposed occupants also)

    Make

    Model

    Color

    Year

    License Plate

    REFERENCES AND EMERGENCY CONTACT

    Doctor

    Lawyer

    Nearest Relative Living Elsewhere

    Name

    Street Address

    City

    State & Zip

    Phone Number

    By signing the application you grant us permission to communicate with all the contacts listed in this section in the event we can't locate you. Furthermore, If you abandon the apartment for any reason then you grant us permission to allow your relative listed above to remove all contents of the dwelling on your behalf

    GENERAL INFORMATION


















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    Agreement & Authorization Signature

    I believe that the statement i gave made are true and correct.i hereby authorize a credit and/or criminal check to be made,verification of information I provided and communication with any and all names listed on this application.I understand that any discrepancy or lack of information may result in the rejection of the application.I understand that this is an application for an apartment and does not constitute a rental or lease agreement in whole or part.I further understand that there is a non-refundable fee to cover the cost of processing my application and i am not entitled to a refund even if i don't get the apartment.any questions regarding reject application must be submitted in writing in and accompanied by a self-addressed stamp envelope.

    The amount to be charged is $35.