Today's Date

Date of Anticipated Move in

Property interested in? Property interested in?StonegateCreeksideVillage HillsSaddle CreekWoodview

Monthly Rent

Security Deposit

Pet Deposit

Applicant

Full Name of Applicant

Present Address

Telephone Number

Email Address

D.O.B.

Social Security

Driver's License

Applicant's Employment

Name of present employer

Address

Position

Date started

Monthly Income

Supervisor's Name

Phone

Name of previous Employer

Address

Position

Date Started

Monthly Income

Supervisor's Name

Phone

Other sources of income

Co-Applicant/Spouse

Full Name of Spouse

Present Address

Telephone Number

D.O.B.

Social Security #

Drivers license

Co-Applicant/Spouse Employment

Name of present employer

Name of present employer

Address

Position

Date Started

Monthly income

Supervisor's Name

Phone

Other source of Income

Present Landlord or mortgage company (Last 3 years)

Present Landlord or mortgage company

Monthly rent or mortgage payment

Telephone Number

Date of move-in

Date of move-out

Previous landlord or mortgage company

Previous landlord or mortage company

Telephone Number

Monthly Rent or Mortgage Payment

Date of move-in

Date of move-out

Personal References

Name

Phone

Address

Name

Phone

Address

Emergency

In Case of Emergency Contact

Relationship

Phone

Occupants

List all occupants

Pets

List any pets

Type

Breed

Weight

Age

List Any Pets

Type

Breed

Weight

Age

Vehicles

List Vehicles to be parked on premises

Year

Make

Model

Year

Make

Model

Credit/Criminal History

Bank Name

Phone

Address

Checking Account Number

List all credit obligations with minimum monthly payment

Have any of the occupants listed above ever been: Have any of the occupants listed above ever been: convicted of a felony? received deferred adjudication for a felony? been evicted? broken a lease? declared bankruptcy? None

The above listed applicant declares that all statements made in this application are true and complete. Applicant hereby authorizes the Property Owner (as owner) or their designated agent (as agent) to verify all of the information in this application and obtain credit reports on the above listed applicant and/or applicant's. If applicant or applicant's spouse has given any false information Landlord is entitled to reject the application, and retain all application fees as liquidated damages for Landlord's time and expenses in processing this application. Applicant shall give Landlord a nonrefundable application fee in the amount of: $ In consideration of my application, I hereby give authorization to conduct any inquiries deemed necessary to verify the accuracy of the information submitted. This Authorization allows verification through public and private sources. Names and dates of previous employers, reasons for termination, work experience, accidents, and any other related information may be verified. I further understand that if I am denied occupancy based upon credit, I will be furnished with and may examine my credit records used in making said determination and will receive a "Letter of Adverse Action" which will allow me to gain free access to those records directly from the file keeper of the information. I have read the information on this page and understand my rights under the Fair Credit Reporting Act and my right to privacy. I allow this verification freely and voluntarily. I AUTHORIZE, WIHTOUT RESERVATION, ANY PARTY OR AGENCY CONTACTED BY LANDLORD OR THEIR DESIGNATED AGENT TO FURNISH THE ABOVE-DESCRIBED INFORMATION; A COPY OF THIS AUTHORIZATION MAY BE ACCEPTED AS AN ORIGINAL. The above listed applicant declares that all statements made in this application are true and complete. Applicant hereby authorizes the Property Owner (as owner) or their designated agent (as agent) to verify all of the information in this application and obtain credit reports on the above listed applicant and/or applicant's. If applicant or applicant's spouse has given any false information Landlord is entitled to reject the application, and retain all application fees as liquidated damages for Landlord's time and expenses in processing this application. Applicant shall give Landlord a nonrefundable application fee in the amount of: $ In consideration of my application, I hereby give authorization to conduct any inquiries deemed necessary to verify the accuracy of the information submitted. This Authorization allows verification through public and private sources. Names and dates of previous employers, reasons for termination, work experience, accidents, and any other related information may be verified. I further understand that if I am denied occupancy based upon credit, I will be furnished with and may examine my credit records used in making said determination and will receive a "Letter of Adverse Action" which will allow me to gain free access to those records directly from the file keeper of the information. I have read the information on this page and understand my rights under the Fair Credit Reporting Act and my right to privacy. I allow this verification freely and voluntarily. I AUTHORIZE, WIHTOUT RESERVATION, ANY PARTY OR AGENCY CONTACTED BY LANDLORD OR THEIR DESIGNATED AGENT TO FURNISH THE ABOVE-DESCRIBED INFORMATION; A COPY OF THIS AUTHORIZATION MAY BE ACCEPTED AS AN ORIGINAL. Check yes to acknowledge that you have read and agree to the terms above.

Signature of applicant

Signature of Spouse

Signature of Landlord or Landlord's Agent

After signing and submitting application and placing deposit on unit- deposit will be forfeited after 24 hours