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For Apt #

Rent Amt $

Lease Term # of months:

Move-In Date:

Personal Information:

Last Name:

First Name

Middle Name:

Other Names/Nicknames:

S.S. #

DOB:

Drivers License State/Number:

Height:

Weight:

Eye Color:

Hair Color:

Marital Status:

Contact Phone:

Your Email

Current Information:

Address:

Apt #:

From:

To:

City:

State:

Zip:

Monthly Rent or Mortgage Payment $:

Other Person(s) on Lease:

Landlord/Manager:

Phone:

Why are you leaving your current residence?

Prior Address: (must complete if at current address for less than two (2) years)

Address:

Apartment Number:

From:

To:

Monthly Rent:

City:

State:

Zip:

Other Person(s) on Lease:

Landlord/Manager:

Phone:

Vehicle Information: Only two (2) vehicles per apartment. Each vehicle must fit into one (1) parking space.

Vehicle 1 Make:

Model:

Year:

Color:

License Plate Number:

State:

County:

Vehicle 2 Make:

Model:

Year:

Color:

License Plate Number:

State:

County:

Employment: (If Self-employed, Applicant Must Submit Proof of Income with Application)

Employer:

Work Phone:

Position:

Address:

City:

State:

Zip:

From:

To:

Monthly Income (Gross)

(Net)

Supervisor

Any additional income:

Please list any and all facts, of which applicant is aware, which might lead to the loss of employment, income, or assets:

Prior Employment: (List if you have been on your current job less than 2 years)

Employer:

Work Phone:

Position:

Address:

City:

State:

Zip:

From:

To:

Monthly Income (Gross):

(Net):

Supervisor:

List Other Persons to Reside in Apartment: (Include age/school attending of all children. Cannot exceed two (2) people per bedroom. Any person over the age of 18 at time of lease or renewal must fill out a separate application.)

Name:

D.O.B.

Relationship:

Grade / Age:

___

Name:

D.O.B.

Relationship:

Grade / Age:

___

Name:

D.O.B.

Relationship:

Grade / Age:

Personal Reference: (age 21 or older; not anyone who will reside in the apartment)

Name:

Address:

Phone:

Years Known:

___

Name:

Address:

Phone:

Years Known:

___

Name:

Address:

Phone:

Years Known:

Pet Information: (Non -Refundable Pet Fee per pet & $35 per month, per pet added to rent. Pets must be approved and a photograph of each animal must be provided to the office. Limit of two (2) approved pets per apartment.)

Type:

Breed

___

Type:

Breed

___

In Case of Emergency Please Notify: (not anyone who would reside in the apartment)

Name:

Relationship:

Cell Phone:

Address:

Home Phone:

Work Phone:

City:

State:

Zip Code:

Family Doctor:

Phone:

___

Rental History: Click “Yes” or “No” for each of the items below:

Have you or any other person who will be residing in the apartment:

Been evicted or asked to move out of a dwelling?
YesNo

Moved out of a dwelling before the end of the signed lease term without the consent of the owner / landlord or management of the dwelling?
YesNo

Had a roommate / landlord / manager sue for amounts owed related to a previous residence?
YesNo

Declared bankruptcy?
YesNo

Owed money to any landlord due to property damage?
YesNo

If any of the above are marked “Yes”, please explain. Include name and addresses of the applicable property(s). Dates and name listed on the leases:

Criminal History: Click “Yes” or “No” on the line of the items below:

Have you, or any other person who will be residing in the apartment full or part time:

Been charged, detained or arrested for a felony offense that was resolved by conviction, probation deferred adjudication, court ordered community supervision, or pretrial diversion?
YesNo

Been charged, detained or arrested for any sexual offense that was resolved by conviction, probation deferred adjudication, court ordered community supervision, pretrial diversion or is still unresolved?
YesNo

Been charged, detained or arrested for a charge related to illegal drugs that was resolved by conviction, probation deferred adjudication, court ordered community supervision, or pretrial diversion?
YesNo

Been charged with a violent felony?
YesNo

If any of the above are marked “Yes”, please list the location, type and date of any of the above other than those resolved by dismissal or acquittal, as well as any explanation you wish for us to take into account. We may require more information before approving your application.

____

Correct Information: (Please Read Carefully)
Applicant certifies that all of the above information is true and complete, and hereby authorizes verification of this information, references and credit record, and hereby releases all parties from any and all liability for any damage(s) that may result from furnishing this information or any pertinent information, be it personal or otherwise. Contacts, including Emergency and work contact information may be used to communicate with an applicant. Applicant acknowledges that false, incomplete, or misleading information, or failing to produce requested documents, forms, or other papers, herein may be grounds for refusal or grounds for termination of any subsequent lease after approval. Furthermore agrees to inform management within seven (7) days of any change of information either during the approval process or once the applicant becomes a resident. Applicant understands that other applications may be or may have been received and the management reserves its right to approve the most suitable applicant based on the above information or information that it may acquire during the approval process. Applicant also understands that this application in no way reserves the apartment(s) applied for or constitutes any priority status and/or pre-approval. Applicant acknowledges that approval may take up to five (5) regular business days and it is his/her responsibility to contact Tanyard Park Apartments for status. Applicant acknowledges that the credit check fee and application fee are non-refundable and that Tanyard Park Apartments reserves the right to refund the deposit, and rent to the next qualified applicant. In order to be approved, more information from employer and / or previous landlord / management may be required. APPLICATION FEES, DEPOSITS & RENTS PAID TO RESERVE AN APARTMENT WILL NOT BE REFUNDED IF, AFTER APPROVAL, APPLICANT DECIDES NOT TO EXERCISE THE RESERVATION. NO EXCEPTIONS.
Current Landlord Selection Criteria is available for viewing in the office upon request. Copies of the current Landlord Selection Criteria will be provided, upon request, for $1.00 per printed page (or side of page).

I, the applicant, certify that I have read, understand, and Agreed to and with the above statement.

APPLICANT'S SIGNATURE

DATE