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Apartment Address
________________________________________________________

Name
________________________________________________________

SS#
________________________________________________________

Date of Birth
________________________________________________________

Email Address
________________________________________________________

Present Address
_____________________ City_______________ State____ Zip_____

Cell Phone Number
_______________________________________________________

Present Landlord
______________________________Phone____________________

Parent or Guardian
_______________________________________________________

Address
___________________City_____________State____Zip_________

Telephone Number
_______________________________________________________

Where did you hear about us? ____DI ____Internet ____Building Sign ____Friend
Whom can we thank? ___________________

There is a $15.00 processing fee payable with this application.

The undersigned warrants and represents that all statements herein are true and agree to execute upon presentation a lease in usual form, a copy of which the applicant has had occasion to examine, which lease may be terminated by the Lessor if any statement herein made is incomplete or not true.
The undersigned authorizes management to contact any references listed, including past and present landlords, employers, and obtain a current credit check. Before we can process this application we will need to obtain a copy of a picture ID.

All persons will be treated fairly and equally without regard to Race, Color, Religion, Sex, Handicap, Familiar Status or National Origin in compliance with the Fair Housing Act.