Select the type of accomodations you are interested in:
1 Bedroom (starting at $875/mo) 2 Bedrooms (starting at $1150/mo) 3 Bedrooms (starting at $1300/mo) 4 Bedrooms (starting at: $1500/mo) 5 Bedrooms (starting at: $1700/mo) 6 Bedrooms (starting at $2100/mo) 8 Bedrooms w/8 private baths (starting at $3400/mo)
Please select one or more of the following:
Furnished
Unfurnished
Short-term lease (< 12 mos)
12 months or longer
House
Apartment
When are you looking to move?
As soon as possible
Next month
Flexible (any time over the next few months)
Other (please specify):
Full Name (exactly as it appears on driver's license or gov't ID card:
Your E-mail address:
Former last names (maiden and married)
Home Phone #
Cell Phone #:
Beeper #
Your Social Security #:
Driver's license # and state:
Birth Date:
Sex:
Marital Status:
Single
Married
Divorced
Widowed
Separated
Current address where you live:
Monthly rent: (specify utilities included)
Current owner or manager's name:
Their phone:
Date moved in:
Why are you leaving your present residence?
Your previous home address (street/city/state/zip):
Apartment name:
Name of above owner or manager:
Previous monthly rent:
Date you moved out:
Names and ages of children/occupants that will occupy apartment with you:
Present employer:
Employer address (street/city/state/zip):
Work phone:
Position:
Your gross monthly income is:
Date you began this job:
Supervisor's name and phone:
Previous employer:
Previous employer address (street/city/state/zip):
Gross monthly income was:
Dates job began and ended:
Previous supervisor's name and phone:
List any other income:
List all regular monthly payments: (car payments, phone bills, credit cards, insurance, utilities, medical, etc)
Car Payment:
Credit Cards:
Child Support:
Alimony:
Car Insurance:
Other Insurance:
Mobile Phone:
Home Phone:
Other Payments:
Have you, your spouse, or any occupants listed above ever (check any that apply):
Been evicted or asked to move out?
Broken a rental agreement or lease contract?
Declared bankruptcy?
Been sued for nonpayment of rent?
Been sued for damage to rental property?
If you checked any of the above items, please provide a brief explanation here:
Ever been convicted of a felony?
Received deferred adjudication for a felony?
If you checked either of the above items, please provide a brief explanation here:
Make and color of vehicle:
Year:
License:
State:
Name:
Address (street/city/state/zip):
Home phone:
Relationship:
If you are seriously ill, missing, or in jail or penitentiary according to an affidavit of the above person, or if you die, you authorize (check one or more): the above person, your spouse, and / or your parent to enter your dwelling to remove contents, as well as your property in the mailbox, storerooms, and common areas. If you are seriously ill or injured, you authorize us to send for an ambulance at your expense. We're not legally obligated to do so.
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