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Please
Tell Us About Yourself
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| Full Name:
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MI
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| Driver's license # and State
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| Social Security Number:
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| Date of Birth (mm/dd/yy):
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Married
Single
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| E-mail:
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| Work Number:
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| Home Number:
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Apartment Information
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# of Bedrooms
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Approximate Lease Start Date:
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| List all persons, other than yourself, that will occupy the apartment:
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1.
2.
3.
4.
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| Please Give
Your Residence History for the Past Three Years: Present
Address
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| Street Address:
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| Owner or Agent/Phone/Monthly Payment:
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-
-
$
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| City/State:
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| Zip/Postal Code:
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-
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Previous Address (If Within Three Years)
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| Street Address:
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| Owner or Agent/Phone/Monthly Payment:
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-
-
$
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| Start/End Dates of residence: (mm/yy):
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| Reason for leaving:
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| City/State:
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| Zip/Postal Code:
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-
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Previous Address (If Within Three Years)
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| Street Address:
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| Owner or Agent/Phone/Monthly Payment:
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-
-
$
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| Start/End Dates of residence: (mm/yy):
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| Reason for leaving:
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| City/State:
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| Zip/Postal Code:
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-
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Please Give Us Your
Employment History
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| Your Status:
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Employed Full-Time
Employed Part-Time
Student
Retired
Not Employed
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| Current Employer (Or Most Recent):
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| Employer's Phone #:
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| Employer's Address:
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| Job Position/Type of Work Performed:
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| Start/End Date (mm/yy):
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| Previous Employer:
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| Previous Employer's Phone #:
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| Previous Employer's Address:
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| Previous Job Position/Type of Work Performed:
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| Previous Job Start/End Date (mm/yy):
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| Gross monthly Salary:
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$
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| Household Gross monthly Salary:
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$
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| Please list any other sources of income you would like us to consider:
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$
Sources
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Please List Your Credit and Bank References
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| Credit Card Accounts
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Card #
Card #
Card #
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Exp.
Exp.
Exp.
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| First Bank Account
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| Bank Name:
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City and State:
Account #
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| Second Bank Account
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| Bank Name:
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City and State:
Account #
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Please List Your Vehicle Information
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| Total Number of Vehicles (Including Company Vehicles)
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Make/Model:
Year:
Color:
License:
St:
Make/Model:
Year:
Color:
License:
St:
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Please check one for each of the following questions.
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| Have you or a co-applicant been sued for non-payment of rent?
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Yes
No
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| Have you or a co-applicant been evicted or asked to move out?
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Yes
No
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| Have you or a co-applicant broken rental agreement or lease?
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Yes
No
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| Have you or a co-applicant been sued for damage to rental property?
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Yes
No
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| Have you or a co-applicant declared bankruptcy?
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Yes
No
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Student Applicants Only
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| School:
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| Major:
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| Year in School:
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| GPA:
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Parent or Nearest Relative Information (This information may be used as an emergency contact.)
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| First Name:
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| Last Name:
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| Street Address:
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| City/State:
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| Zip/Postal Code:
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-
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| Home Number:
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Character References
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| First Name:
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| Last Name:
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| Street Address:
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| City/State:
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| Zip/Postal Code:
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-
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| Home Number:
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| Years acquainted
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Agreement and Waiver
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| By submitting this form, I represent to you that I have read this entire application and that all of the information is true and correct. I further represent that my
rental and credit records are in good standing with no judgements or liens against me. If any of the above information is false, I hereby agree that my entire deposit may be forfeited to you.
I also agree that if I am accepted and fail to complete this transaction by submitting your lease, my entire deposit will be forfeited to you. I understand that this application is subject to your approval.
If for any reason whatsoever you are unable to make the apartment which is the subject of this application available at the beginning of the lease term, I hereby waive any and all rights to seek to recover any damages whatsoever against you, including
without limitation, actual, punitive or consequential damages. IT IS POLICY NOT TO DISCRIMINATE ON THE BASIS OF RACE, CREED, COLOR, NATIONAL ORIGIN, RELIGION,
AGE OR SEX. Provisions of the Fair Credit Reporting Act are applicable. You are hereby authorized to make any investigation of my/our personal and financial and credit record through any
investigative or credit agencies or bureaus of your choice and hold them harmless from any information they may find.
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Application for Lease