APARTMENT ADDRESS _____________________________________________________
Name: _________________________________________________________________
SS#__________________________ Date of Birth_______________________________
Email address: __________________________________________________________
Present Address_________________________________________________________
City________________________________ State______ Zip Code_________________
Cell Phone Number _______________________________________________________
Present Landlord ______________________________ Phone #___________________
Parent or Guardian: ______________________________________________________
Address: _______________________________________________________________
City________________________________ State______ Zip Code_________________
Telephone Number: ______________________________________________________
Where did you hear about us?  ________DI  _________ Internet _______ Building Signs

Friend _______ whom can we thank? ________________________________________

Who was your leasing 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.

______________________           ___________________________________________
Date                                                                       Signature of Applicant