(This form cannot be processed without a $50.00 application fee)MOVE-IN DATE* MM slash DD slash YYYY WE REQUIRE A DRIVER’S LICENSE OR PHOTO IDENTIFICATION IN ORDER TO PROCESS YOUR APPLICATION. Each applicant of the household who is not related by blood, marriage or adoption, and each guarantor must complete a separate application form.APARTMENT REQUIREMENTSApartment Complex Requested* Requested move-in date?* MM slash DD slash YYYY Number of bedrooms needed?* Where did you hear about us?* PERSONAL INFORMATIONFull name of applicant* Date of Birth* MM slash DD slash YYYY Social Security #* Driver’s License #*State Issued:*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificCell Phone Number:*Email address:* Year* Freshman Sophomore Junior Senior Graduate Law School Involvement / Greek:* List all others who will be occupying the apartmentNameRelationship HOUSING INFORMATIONAddress* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Apartment community name (if applicable)* Apt. #* Monthly rent* Date moved in and lease expire date* MM slash DD slash YYYY Name of property owner/manager/landlord* Owner/manager/landlord phone #*What is your reason for leaving?* Is the lease in your name* Yes No GUARANTOR INFORMATIONParents Name:* Phone:*Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cell phone number:*Kind of work:* OTHER MATERIAL INFORMATIONHave you, your spouse, or any other occupant listed above ever: Been denied an apartment? Been evicted or asked to move out? Broken a rental agreement or lease contract? Been sued for damages to rental property? Filed bankruptcy? Been convicted of a felony? Had legal action taken against you for nonpayment of a bill or rent? If you answered checked any of the above boxes, please explain.In case of any emergency, notify: Relationship: Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home phone number:*Cell phone number:*In the event of serious illness or death of resident, the above person ____ enter, remove and/or store all contents found in the dwelling, common areas, or mailbox. may may not enter, remove and/or AGREEMENTI/We certify that answers given herein are true and complete to the best of my knowledge. I/We authorize verification or investigation of all statements contained in this application via consumer credit reports, rental history reports, criminal history reports and other means. Such authorization does not require the owner or its agents to make verifications or investigations. Failure to answer any of the above inquiries shall entitle the owner to reject this application. False information given above shall entitle owner to 1) reject this application, 2) retain the application fee(s) and deposit(s) as liquidated damages for owner’s time and expenses of processing this application, and 3) terminate resident’s right of occupancy. Owner reserves the right to regularly and routinely furnish information to consumer reporting agencies about performance of lease obligations by residents. Such information may be reported at any time and may include both favorable and unfavorable information regarding a resident’s compliance with the lease, rules, and financial obligations. Owner and/or Property Manager have no duty to provide emergency care or give notice of emergency to any person and shall not be liable to applicant, Resident, any occupant, or any guest for failure to do so. THIS APPLICATION IS NOT A RENTAL AGREEMENT, CONTRACT OR LEASE. ALL APPLICATIONS ARE SUBJECT TO THE APPROVAL OF THE OWNER OR MANAGING AGENT.Signature of Applicant*Date* MM slash DD slash YYYY CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.
