FOR OFFICE USE ONLY

Date of Application: {dateOf177}

Apt No: {aptNo}

Unit type: {unittype2}

  Move-in date: {projectedMovein27}

NON-REFUNDABLE FEES

Application ${application} Admin ${admin} Transfer ${admin172} Pet ${pet11} Total ${total12}

REFUNDABLE DEPOSIT AMTS.

Security ${security} Pet ${pet30} Remote ${enrollmentFee} Key POB ${key} Total ${pet}

TOTAL RENTAL AMOUNT

Apt rent ${security34} CAM ${cam} Storage ${garage} Waterfront ${waterfront}  Total ${total}

APPLICATION FOR APARTMENT

Name of applicant {fullName2}

Date of birth {dateOf} 

Marital status {maritalStatus}

Phone# {pleaseEnter} Email {email2}

 Driver's license# {driverLicense}

State of Issuance: {stateOf179}

Expiration Date: {expirationDate180}

SSN {socialSecurity44}

Name of Spouse (if applicable) {nameOf52}

Date of birth {spousesDate} Phone# {phone151}

 Driver's license# {spousesDriver} SSN {spousesSocial}

ANY OTHER PERSON TO OCCUPY APARTMENT? {typeA141}

Name: {name} Relation: {relation} Age: {age}

Name: {name68} Relation: {relation65} Age: {age66}

Name: {name69} Relation: {relation70} Age: {age71}

DO YOU HAVE ANY PETS? {anyOther}

Name: {name76} Breed: {breed} Weight: {weight} Height: {height}

Name: {name146} Breed: {breed147} Weight: {weight148} Height: {height149}

Name of Veterinarian: {nameOf}

 

DO YOU HAVE A CAR? {anyOther152}

Make:{typeA153} Model:{typeA154} Color:{typeA155}

Year:{typeA156} License plate# {typeA157}

State of Issuance:  {stateOf}     Expiration Date:  {expirationDate}

TO NOTIFY IN CASE OF EMERGENCY

Name: {name81} Relation: {relation82} Phone# {phoneNumber}

Address: {address84}

RENTAL HISTORY 

Community or Landlord: {landlordsComplex}

Phone#: {landlordsPhone}

Present address: {presentAddress}

 From {from} To {to}

Monthly payment: ${monthlyPayment92} 

 

PREVIOUS ADDRESS

Community or Landlord: {landlordsComplex95}

Phone# {landlordsPhone96}

Previous address: {previousAddress}

 From {from97} To {to98}

Monthly payment ${monthlyPayment}  

EMPLOYMENT HISTORY 

Present employer: {presentEmployer}   Phone#: {phone108}

Type of work: {typeOf}  How long? {howLong109}

Gross monthly income ${grossMonthly} Supervisor: {supervisor}

Address: {address107}

Previous employer: {previousEmployer}

Phone# {phone115} How long? {howLong113}

Address: {address114}

SPOUSE'S EMPLOYMENT HISTORY

Present employer: {spousesPresent}  Phone#: {phone119}

Type of work: {typeOf117}  How long? {howLong120}

Gross monthy income ${grossMonthly121} Supervisor: {supervisor122}

Address: {address118}

Previous employer: {previousEmployer123}

How long? {howLong124} Phone # {phoneNumber126}

Address: {address125}

NOTICES

THIS APPLICATION IS PRELIMINARY ONLY AND DOES NOT OBLIGATE OWNER AND/OR OWNER'S REPRESENTATIVE TO EXECUTE A LEASE OR DELIVER POSSESSION OF THE PROPOSED PREMISES.

APPLICANT REPRESENTS AND WARRANTS THAT ALL OF THE ABOVE STATEMENTS ARE TRUE AND COMPLETE AND HERE- WITH AUTHORIZES VERIFICATION OF ABOVE INFORMATION, REFERENCES, AND CREDIT RECORDS. APPLICANT ACKNOWLEDGES THAT THE INCLUSION OF ANY FALSE INFORMATION HEREIN SHALL CONSTITUTE GROUNDS FOR REJECTION OF THIS APPLICATION, TERMINATION OF ANY RENTAL AGREEMENT AND RIGHT OF OCCUPANCY, AND/OR FORFEITURE OF THE GOOD FAITH DEPOSIT.

The applicant applies for and offers to execute a Lease at a monthly rental amount of ${total}. Type of unit desired {unitType129}. A good faith deposit in the amount of ${security} is submitted with this application. When application is approved, this good faith deposit will be applied toward payment of applicant’s security deposit of ${security}, and this deposit after the applicant has been approved becomes non-refundable. If applicant fails to execute a lease agreement or refuses to occupy the premises on the assigned date, the applicant will be responsible for damages in the amount equal to the one month’s rent stated above.Applicant may cancel this application within 24 hours and receive a full refund of the good faith deposit.

In addition to the good faith deposit, an application fee of ${total12} is submitted to cover Lessor's cost of procuring a consumer credit report, Landlord references, and employment verifications and other processing costs. This fee is not refundable under any circumstances. Applicant understands and acknowledges that, as part of normal processing procedures, an investigative consumer report may be obtained, typically containing information as to my/our credit history and worthiness. Management reserves the right to reassign selected apartment # to a similar or like apartment.

NOTICES
Authorization to Fax, Telephone Call, Text, E-mail. (a) Notwithstanding anything herein or otherwise to the contrary, Applicant hereby permits and authorizes the Landlord and its affiliates and other related parties (i) to send fax notices, advertisements and solicitations and any other com- munications by fax machine to the fax machine(s) with the fax number(s), and to Applicant and the person or persons and the entity or entities at the fax number(s), that Applicant has provided or will provide to the Landlord or its affiliates or related parties; (ii) to make telephone and text solicitations and other calls and messages to Applicant, and to the person or persons and the entity or entities, at the telephone and text number or numbers that Applicant has provided or will provide to the Landlord or its affiliates or related parties and (iii) to send e-mail notices, advertisements and solicitations and other types of e-mails to Applicant, and to the person or persons and the entity or entities, at the e-mail address or addresses that Applicant has provided or will provide to the Landlord or its affiliates or related parties. Applicant hereby certifies, represents and warrants to the Landlord and its affiliates or related parties that Applicant is the recipient who will be receiving such communications, telephone calls, text messages and e-mails and/or that Applicant is authorized by the recipient or recipients to grant the above authorizations. Without limiting any of the foregoing and notwithstanding anything herein or otherwise to the contrary, Applicant hereby authorizes Landlord and its affiliates and related par- ties to provide Applicant with notices and communications by any customary or reasonable method of providing notice or communication, which methods include without limitation by e-mail sent to the e-mail address, or by text messages to any phone number or fax sent to any fax machine, for Applicant as provided in any way or as Applicant will provide to the Landord or its affiliates or other related parties in any way.