Jackson Lake Application Form

Please note that vou will need to sign a one-vear (12 month) Lease. There is a $30.00 screening fee per applicant.

Qualiflcation: To qualify for residency at the Jackson Lake Apartments, all parties must have good credit and a gross monthly income of at least three (3) times the rent. Title Vlll of the CIVIL RIGHTS AGT OF 1968: as amended makes discrimination based on race, color, religion, sex, national origin, handicap or familial illegal in connection with the rental of most housing.

Equal Credit Oportunltv Act - The Federal Equal Credit Opportunity Act prohibits creditors from discrimination against credit applications based on sex or marital status.

Documentation: You will need to submit the following documentation with your application. We will make copies of all originals and return them to you.

1. Drivers License or Picture lD

2. Two most recent paychecks stubs

3. Current bill showing current name and address. Questionnaire: Please fill out the following short questionnaire. Please note that we will not process your application unless all the questions are answered. Thank you!

Name*

First NameMiddle NameLast Name

Other names used in the last 10 years

First NameMiddle NameLast Name

Social Security Number*

No Dashes - only Numbers

Birth Date*

MonthDayYear

Home Phone Number*

Area CodePhone Number

Mobile phone number*

Area CodePhone Number

Email

example@example.com

Driver's License Number

Expiration date*

Date

State*

Other ID

When do you need to move in?:*

MonthDayYear

How many residents will live in the apartment?*

Number of residents

What is your current rent?*

Do you need parking?

YesNo

Do you carry auto insurance?

YesNo

If yes, with whom?

Do you have pets?

YesNo

If yes in above, What type of pet?

Size of pet?

If yes, how many pets?

Have you ever broken a lease

YesNo

If Yes in above, why?

Explain

How did you hear about Jackson Lake Apartments?

Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Date in*

Date

Date Out*

Date

Manager/Owner Name

Manager Phone

Area CodePhone Number

Reason for Moving:*

Previous Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Date in*

Date

Date Out*

Date

Manager/Owner Name

Manager Phone

Area CodePhone Number

Reason for Moving:*

Occupation

Company

Manager Name

Manager Phone

Area CodePhone Number

Current Gross Income

Automobile Make

Automobile Model

Year

License Number

Automobile Make

Automobile Model

Year

License Number

Other Vehicles

Have you ever filed for bankruptcy?

YesNo

Have you ever been evicted or asked to move ?

YesNo

Applicant represents that all the above statements are true and correct and hereby authorizes verification of the above items including, but not limited to, the obtaining of a credit report and agrees to furnish additional credit references upon request Applicant consents to allow Owner/Agent to disclose tenancy information to previous or subsequent Owners/Agents.

JACKSON LAKE RENTAL APPLICATION

Current Rental Information

Employment Information