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Each applicant and guarantor must fill out an individual online application. However, if you plan to live with roommates or family members, please list them all below your name, date of birth, and social security number. Application fee is $15 per person; no application fee for guarantors.

Your Information

Your Full Name:
Email:
Current Phone:
Your Date of Birth:
Your SSN:
Your Spouse's Name:

Do you have a pet?	Yes No

Preferred Apartment Size:	1 Bedroom 2 Bedroom 3 Bedroom

Desired Move-in Date:

How did you hear about us?

N/ARoommate Information

Full Name:
Date of Birth:
SSN:

Full Name:
Date of Birth:
SSN:

Full Name:
Date of Birth:
SSN:

Rental History

Current Address:
City:
State:
Zip:

Landlord Name:
Landlord Phone:

Leased From:
Leased Until:
Monthly Lease Rate:

Utilities Included?	Yes No

Notice Given?	Yes No

N/ASchool Information (for students only)

Current Year in School:
Name of School:

Advisor Name:
Advisor Phone:

N/AEmployment Information (optional if applicant is student with guarantor)

Employer Name:
Employer Phone:

Your Occupation:
Employed Since:
Annual Salary/Hourly Pay:

Supervisor's Name:
Supervisor's Phone:

N/ACredit Information: Monthly Obligations

Car Payment:
Car Insurance:
Medical Bills:
Student Loans:
Alimony/Child Support:

N/AGuarantor Information (for students only)

Name:
Relationship:
Home Phone:
Email:

Employer:
Work Phone:
Annual Salary/Hourly Pay:

Home Address:
City:
State:
Zip:

Mailing Address: (if different from above)

Personal Reference

Name:
Relationship:
Phone:
Email:

Address:
City:
State:
Zip:

N/AVehicle Information

Make & Model:
Year:
Color:
License Plate:
State:

Emergency Contact Information

Name:
Relationship:
Phone:
Email:

Address:
City:
State:
Zip:

Legal Questions

Do you have a criminal record?	Yes No

Any judgments against you?	Yes No

Have you been sued?	Yes No

Collections proceedings against you?	Yes No

By submitting this application, it becomes part of applicant's lease, if approved. Applicant understands that the giving of false information may, at Landlord's option, constitute a breach, thereby voiding any subsequent lease. Applicant authorizes Landlord to verify all references, including credit bureaus and database organizations for purposes of securing a credit report, housing history report, or any other background checks, including criminal.

I have read the disclosure statements and terms and verify that the information included in this application is accurate to the best of my knowledge.