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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? _________________________________ Showing Agent__________________

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.

Signature of Applicant___________________________________________ Date________________