| Full Name: | E-mail address: | ||||||||
| Apartment Address: | Unit: | ||||||||
| Net Rent: $ | Security Deposit: $ | ||||||||
| Social Security # : | Date of Birth: | ||||||||
| Driver's License: | Maiden Name: | ||||||||
| Present Address: | |||||||||
| Telephone: | Present Landlord: | Telephone: | |||||||
| Monthly Rent: | Dates at Address: | From: | To: | ||||||
| Previous Address: | |||||||||
| Previous Landlord: | Telephone: | ||||||||
| Monthly Rent: | Dates at Address: | From: | To: | ||||||
| Employer: | |||||||||
| Address: | |||||||||
| Dates Employed: | From: | To: | |||||||
| Monthly Gross Income: | Position: | Supervisor: | |||||||
| Work Telephone: | Other Income: | ||||||||
| Nearest Relative: | Phone: | Relationship: | |||||||
| Reference Name: | Phone: | Relationship: | |||||||
| Reference Name: | Phone: | Relationship: | |||||||
| Have you ever
been a party to a Landlord/Tenant court action?
|
Describe circumstances:
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Name(s) of others who will share apartment with you (including pets): |
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| Automobile Make: | Year: | Model: | Color: | ||||||
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PLEASE NOTE: We require a $25 application fee, in advance, before we can process this "Print and Fax" Apartment Application. You may provide your Credit Card information here or you may send a check under separate cover. If you choose to mail a check, it will delay the application process by several days. If you choose to pay via credit card, your signature below will be our authorization to charge your card with a one-time-only $25 application fee. Card Type:_____________ Card Number:____________________________ Expiration Date:_________ |
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I understand and hereby
authorize
agent/owner and any consumer or credit
reporting agency or bureau
employed
by it to investigate my character, general reputation, mode of
living, credit
and financial responsibility, ability to pay rent, and the
information provided
with this application, and to inquire and check with the persons and
references
named herein. This application shall become a part of any lease for
this
apartment. I agree to the application and security deposit policy
at http://www.leestreet.com/application/index.php
as though fully set forth herein.
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Signature: ______________________________ Date: _______________ |
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