TENANT INFORMATION:
Last Name:  First:  Middle:
Social Security Number:  Date of Birth:
Driver's License #:  State:  Expiration:
Spouse Name:  SSN:  DOB:

RESIDENCY HISTORY:
Current Address:  Apt #:
City:  State:   Zip:   Your Phone #:
Name of Landlord/ Apartment Complex:  Phone #:
Rent Amount:   Residency Dates From:  to:

EMPLOYMENT HISTORY:
Current Employer:  Phone #:
Address:  Supervisor:
Position:  Monthly Income:  Dates Employed:  to:
Additional Income (describe):

BANK REFERENCE:
Name of Bank:  Branch Location:  Phone #:  
Checking Acct. #:  Savings Acct. #:   How Long:

List the individuals who will be occupying the apartment:

Name:                                                  Relationship:                               D.O.B.:

Have you broken a rental agreement?                    Yes No
Have you been convicted of a drug-related crime? Yes No
Have you been evicted?                                        Yes No
Have you been convicted of a felony?                    Yes No
Will there be any pets in the apartment?                 Yes No

Name:                     Type:                    Weight:         License Number:       Color:


Vehicle Make:         Model:                  Year:       Color:             State:            Licenses:



In case of emergency, notify:

Name:                        Address:                              Relationship:                Phone#:



CO-SIGNOR INFORMATION:
Last Name:  First:  Middle:
          Social Security Number:  Date of Birth: 
          Relationship to Tenant:  Phone:
          Address:
          Place of Employment:  Phone:
Last Name:  First:  Middle:
          Social Security Number:  Date of Birth: 
          Relationship to Tenant:  Phone:
          Address:
          Place of Employment:  Phone:

PLEASE READ CAREFULLY:

Applicant represents that all of the above statements are true and complete, and hereby authorizes verification of above information, references and credit records. False information given above shall entitle overn to (1) reject this application, (2) retain the application fee(s), and (3) terminate resident's right of occupancy. Applicant acknowledges that management may not be able to complete comprehensive action of this Agreement before move in. Management reserves the right to verify application information after move-in and may convert the proposed Rental Agreement to a month- to month term if misleading information in contained in this Application. In any lawsuit relating to this application, application agreement or rights under statute or government regulations, the prevailing party is entitled to recover attorney's fee and all other costs of litigation from the non-prevailing party. This application is preliminary only and does not obligate owner or representative to execute a lease or deliver possession of the proposed premises.

________________________________________________________________________
Applicant's Signature                                                                                                Date

________________________________________________________________________
Co-Signor's Signature                                                                                               Date

________________________________________________________________________
Co-Signor's Signature                                                                                               Date