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Note: All fields marked with a * are required. * Type of Apartment Wanted: * Desired Move in Date: PERSONAL INFORMATION * Applicant's Full Name: * Date of Birth: Email Address: Name of Co-Resident (if any): Co-Resident Date of Birth: Name of Second Co-Resident (if any): Second Co-Resident Date of Birth: * Pets?: RESIDENCE HISTORY * Present Address: * City: * State: * Zip: * Telephone: * Length of Time at Present Address: * Present Landlord or Mortgage Holder: * Landlord Telephone: * Amount of Rent $: * Reason for Moving: * Previous Address: * City: * State: * Zip: * Length of Time at Previous Address: * Previous Landlord or Mortgage Holder: * Telephone: * Amount of Rent: * Reason for Moving: APPLICANT EMPLOYMENT INFORMATION * Employed by: * How Long?: * Employer's Address: * Telephone: * Position Held: * Social Security Number: * Supervisor: * Supervisor's Telephone: CO-RESIDENT'S EMPLOYMENT INFORMATION Employed by: How Long?: Employer's Address: Telephone: Position Held: Social Security Number: Supervisor: Supervisor's Telephone: BANKING AND CREDIT REFERENCES * Bank: * Branch: * Checking Account Number: Savings Account Number: Credit Reference: Account Number: Address: OTHER INFORMATION * Annual Household Income: Additional Comments or Remarks: Credit Report Fee and Credit Investigation. I agree to pay when I submit this Application a credit report fee of $35.00, WHICH SHALL BE NON-REFUNDABLE, REGARDLESS OF WHETHER THIS APPLICATION IS APPROVED OR REJECTED. I/WE hereby authorize the owner or owner's agent to whom this Application is made and any credit bureau or other investigative agency used by such owner or owner's agent to investigate and to report and disclose to the owner and the owner's agent the results of the references herein listed, statements and other data obtained from me or from any other person pertaining to my credit, employment, rent history and financial responsibility.
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