PO Box 1892 Brentwood, TN 37024-1892

NEW URBAN VILLAGE DEVELOPMENT, INC.
PO Box 1892 Brentwood, TN 37024-1892
Application for Residency at Parkview Midtown Apartments
Date

Month Day Year
Date
Apartment Type
Apartment #
Move In Date

Month Day Year
Date
Monthly Rent
Lease Term
Applicant/Co-Applicant
Applicant's Name
Date of Birth

Month Day Year
Date
Phone Number
Monthly Payment
Email
Applicant: 12 Months of resident history required
Address

Present Address

Street Address Line 2

Zip Code
Dates From/To

Month Day Year
Date
Present Landlord/Apartment Community/Phone Number
Reason for Moving
Previous Address
Prior Landlord/Apartment Community/Phone Number
Monthly Payment
Reason for moving
Have you ever been convicted of a felony?
No
Yes
Applicant/Co-Applicant 12 Months of employment history including student status required
Applicant's Employer
Position
Business Address
Supervisor
Employment Phone Number
Length of Employment
Business Address Phone# Length of Employment
Income
Applicant Annual Salary (including fees, tips, commissions and bonuses)
Co Applicant Annual Salary/Income
Additional Income (child support, parental support, investments etc.)
Source
Total Anticipated Income
*Note: If applicant or co-applicant is self-employed a copy of the most recent tax return is required.
Pet Disclosure
Do you own any pets
If so, Breed
Weight
Color
By my signature below, I am stating that the information I have provided in this Application is true, correct and complete. All persons and firms named in the Application may freely give any information concerning me that is required and I waive all rights of action that I may have for any consequences resulting from such information. By signing below, I authorize New Urban Village Development, Inc. (NUVD) to release information contained in this Application on my behalf and for my benefit.

Notice of Resident Selection Criteria. I acknowledge and authorize that NUVD to obtain a background report in connection with

my Application and that such report may include information on my current income, credit, rental and criminal histories. I also acknowledge that my application may be rejected based on information contained in such reports. If I do not meet the selection criteria, or if I provide inaccurate or incomplete information. I further acknowledge that my application may be rejected and my Non-Refundable Application Fee will not be refunded. Application fees are separate from the Reservation Fee. Residential Screening of applicant is provided by Tenant Background Check.

Reservation Fee. I acknowledge NUVD requires a Non- Refundable Reservation Fee, equal to the monthly rent of the

apartment, and that upon payment of that NUVD agrees to hold the apartment for me until the Lease Agreement is signed. I

understand that once I fulfill my commitment by signing the Lease Agreement that the Reservation fee will be credited to the

Refundable Security Deposit of $1,000 and non-refundable move-in fee of $250. when Lease is signed .
Applicant's Signature

Clear
Date

Month Day Year
Date
This Application is not a Lease Agreement
New Urban Village Development, Inc. PO Box 1892, Brentwood, TN 37024-1892

Authorization for New Urban Village Development, Inc. To Process Bank Draft Withdrawal
1. Application Fee
2. Reservation Fee:
Name:
Apartment Number
700 Wedgewood Park Nashville TN
Daytime Phone Number
I authorize New Urban Village Development, Inc. to draft the checking or savings account listed above for payment as selected with the understanding that the reservation fee will be withdrawn from my account upon the credit application approval This authorization is valid for application fee and reservation fee only

This payment method is available for monthly rent payments. To use this service for rent payments only requires additional authorization via email to
Signature of Depositor

Clear
Date

Month Day Year
Date
Should be Empty:

PO Box 1892 Brentwood, TN 37024-1892

Applicant/Co-Applicant

Income

Pet Disclosure