Personal Information

Applicant's Full Name		Social Security No.
Email Address		Phone
Present Address		Date of Birth
Emergency Contact Name		Emergency Contact Phone
Do you own a pet?	Yes No

Have you ever been convicted of a felony? Yes No

If so, explain nature of conviction

Employment Status

Persons to Occupy Apartment in Addition to Applicant

Rental Reference

1. Prices subject to change without notice pending full Lease execution.
2. No pets of any kind are permitted in the leased premises without prior written approval.
3. Upon the signing of this application, payment of the deposit and subsequent approval of applicant by landlord, applicant requests that the type of rental unit described below, be removed from those units available for rental. Applicant understands that this application becomes part of the Lease Agreement even in the event the Lease Agreement is not signed. If the applicant cancels the reservation of the unit being held off the market, management will return the deposit less a pro-rated fee based on the total rent amount for each day the unit was held off the market. If the application does not meet the landlords qualifying guidelines, the reservation deposit will be returned to the applicant.
4. I/We certify that I/We are above legal age and the above information is true and correct to the best of my/our knowledge. I/We understand that any Lease Agreement made on the basis of the above information may be terminated at any time at owner/agent’s option if information is found to be false.
5. If anyone named as an occupant is deaf or hearing impaired, arrangements may be made through the management office for a visual smoke detector.
6. Applicants must be of eighteen years of age or older. All persons intending to rent and /or occupy apartment and are eighteen years of age or older, must complete rental application and be a leaseholder.
7. I/We authorize Park Properties Management, Co. to verify all information on the rental application by all available means, including consumer reporting agencies, public records, current and previous rental property owners, employers and personal references. Re-verification or investigations of preliminary findings is not required.

 

In lieu of an original signature to this agreement, landlord will accept a valid and legitimate electronic and/or facsimile signature of the resident. In so doing, resident hereby acknowledges his/her endorsement and acceptanceof this agreement, and he/she waives any challenge to validity of this agreement based on residents endorsement by electronic and/or facsimilesignature. By checking this box, you agree to the terms and conditions contained in this application.

Agree

         = Required