APPLICATION FOR RESIDENCY

Property Address:
Apt #:
   
Applicant's Information
*Title:
*First Name:
Middle Init:
*Last Name:
*Birthdate:
mm/ dd/ yyyy		 / /
*Social Security #:
xxx-xx-xxxx
Cell Phone #:
(xxx) xxx-xxxx
Home Phone #:
(xxx) xxx-xxxx
Work Phone #:
(xxx) xxx-xxxx
Driver's License #:
Email Address:
Applicant's Emergency Information
*Party to notify in case of emergency:
*Relationship:
*May the emergency contact be allowed in your apartment by Owner in your absence?
*Emergency Contact Phone Number:
(xxx) xxx-xxxx
Alternative Phone:
(xxx) xxx-xxxx
Applicant's Auto Information
Auto 1
Make:
Model:
Year:
Color:
Lic.Plate #:
Auto 2
Make:
Model:
Year:
Color:
Lic.Plate #:

Applicant's Residency Information
Current Address  
*Street Address:
*City:
*State:
*Zip:
*Rent or Own?
*How Long?  Years  Months
*Mo. Payment:
$xxxx.xx		 $
*Reason for Moving:
*Landlord's Name:
*Phone #:
(xxx) xxx-xxxx
Previous Address  
Street Address:
City:
State:
Zip:
Rent or Own?
How Long?  Years  Months
Mo. Payment:
$xxxx.xx		 $
Reason for Moving:
Landlord's Name:
Phone #:
(xxx) xxx-xxxx
*Have you ever been evicted?
*Have you ever been convicted of a felony?
*What is your source of income?
*Will any additional parties be living with you:
* How did you hear about our properties?



   

Applicant agrees that we may contact those parties given as references, criminal background and credit reporting agencies in connection with verification of the representation herein made by the Applicant. If Applicant is accepted for occupancy, Applicant agrees that Owner may order updates of criminal background and credit check during the Lease term and such check may be used by Owner in determining whether a Lease renewal will be offered. Applicant also agrees that this form may be faxed or mailed to given references and/or employer(s).

The undersigned applicant hereby declares that the representations of fact contained in the foregoing application are considered part of the Lease and are true and correct. Applicant(s) agree that if any information herein contained is false, the Applicant may be declared in default under the Lease and the Lease made in the strength of this application may, at the option of the Owner, be terminated at any time due to such default.

*
*Name:
*Date: