APPLICATIONFORRESIDENCY

PropertyAddress Applicant(s)toOccupyUnit 1 2 3 4 EmailAddress 1 HousingReferences(2yearsworth) 1.CurrentAddress Landlord'sName ReasonforLeaving PreviousAddress Landlord'sName ReasonforLeaving 2.CurrentAddress Landlord'sName ReasonforLeaving PreviousAddress Landlord'sName ReasonforLeaving Employment 1.PresentEmployer Address 2.PresentEmployer Address Income 1.MonthlyIncome VehicleDescription 1.Make 2.Make EmergencyContact 1.Name 2.Name Pets Type RentAmt DateofBirth MoveInDate Relationship Telephone

2 DatesRented Landlord'sTelephone# DatesRented Landlord'sTelephone# DatesRented Landlord'sTelephone# DatesRented Landlord'sTelephone# RentPd RentPd RentPd RentPd

Position Position 2.MonthlyIncome Year Year Relationship Relationship Weight LicensePlate LicensePlate Telephone# Telephone# Age

Telephone LengthEmployed Telephone LengthEmployed

Receiptofearnestdepositinthesumof$___________paidby_____________________________isherebyacknowledged:depositto bereturnedifapplicationisnotapproved:Ifapproved,thissumistobeappliedtosecuritydepositand/ormonth'srent.Ifapplicant refusestosignleaseafterbeingapproved,ordoesn'ttakeoccupancy,theyforfeittheirdeposit.Applicant'sconsentstoroutine inquiryofreferencesandcreditagenciestoprovideapplicableinformationconcerningapplicant'scharacter,creditworthiness, reliability,andincomeamount.Falsificationofinformationwillresultinautomaticdenialofapplication.

1.Signature 2.Signature

SocialSecurity# SocialSecurity#

Date Date