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This form is for your convenience. The online application is a shortened version of the final application. If you are approved for occupancy, you may be required to complete the full application. If you are uncomfortable sending this information online, simply contact us and we can either fax or mail you an application, or click here to download a printable application. After you've printed and filled it out fax or mail it to us. Applicant Information First Name Middle Name Last Name Social Security Number Date of Birth Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Driver License Number Driver License State Select a State... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Driver License Expiration Date Home Phone Work Phone Ext Mobile Phone Fax Number Email Address Spouse Information Spouse First Name Spouse Middle Name Spouse Last Name Social Security Number Date of Birth Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Driver License Number Driver License State Select a State... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Driver License Expiration Date Home Phone Work Phone Ext Mobile Phone Fax Number Email Address Current Address Information Current Address Apt/Unit Number City State Select a State... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Own or Rent Select... Own Rent Manager/Landlord Name Manager/Landlord Phone Ext Move In Date Move Out Date Current Monthly Rent Reason for Move Previous Address Informationa Previous Address Apt/Unit Number City State Select a State... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Manager/Landlord Name Manager/Landlord Phone Ext Move In Date Move Out Date Monthly Rent Reason for Move Pet Information Pets Select... Yes No If yes, describe pets (male, female, breed, spayed/neutered, age) Employment Information Self Employed Select... Yes No Employer Address City State Select a State... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Date Hired Position Supervisor's Name Employer Phone Ext Monthly Income before taxes Spouse Employment Information Spouse Self Employed Select... Yes No Employer Address City State Select a State... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Date Hired Position Supervisor's Name Employer's Phone Ext Monthly Income before taxes Other Income Information Other Source of Income Monthly Amount Person to Verify Amount Phone Ext Total Monthly Income From All Sources Other Occupants Please list all proposed occupants in addition to yourself and your spouse. Name Age Name 2 Age Name 3 Age Name 4 Age Name 5 Age Name 6 Age Please answer the following questions: Have you or any occupant ever broken a lease? Select... Yes No If yes, date If yes, details Have you or any occupant ever convicted of a felony? Select... Yes No If yes, date If yes, details Have you or any occupant ever removed from a rental by forcible action or any other legal action? Select... Yes No If yes, date If yes, details Please enter the information of the property you wish to lease: Address City Date you wish to occupy home Agreement "I authorize the verification of the information provided on this form as to my credit, employment, and criminal background to be made by the property owner, its agents, directly or through a credit reporting agency. The applicant fee per adult (18+) is $25. Upon move-in, application fee may be waived, and amount(s) paid will be applied to the first month's rent. All applicants further agree that any amounts collected for application fees and/or a holding deposit are not refundable, if the applicant is approved and fails to take occupancy of the unit. This application will be incorporated by reference as a part of my rental agreement, and any false statements will be grounds for termination of tenancy."

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