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Each adult (18 or older) must fill out a separate application.

* Property Applying For

Applicant

* First Name * Middle Name

(check if none)

* Last Name Suffix

* Birth Date * Social Security # * Driver's License # Home Phone * Cell Phone * Marital Status

Spouse

First Name Middle Name Last Name Suffix Birth Date Social Security # Driver's License # Spouse's Cell Phone Any Other Names You've Used In The Past (Maiden Name)

Additional Applicants 18 & Over

How many adults 18 years of age and/or older will be living in the home?

These areas need to include any person whom would be residing in the home for more than 30 days in a calendar year. Please note: any persons not listed on this application will not be allowed in the home without prior written consent of the Landlord/Owner.

Additional Occupants 17 & Below

How many occupants 17 years of age and/or below will be living in the home?

Rental/Residence History

* How many residences have you had in the last 3 years?

Current Address

* Street * City * State * Zip Last Rent Amount Paid * Owner/Manager Name * Owner/Manager Phone Number * Owner/Manager Email/Fax * Reason for Leaving * Is/Was rent paid in full? * Did you give notice? * Were you asked to move?

Name(s) in which your utilities are now billed: * Date From * Date To

Previous Address

Name(s) in which your utilities are now billed: * Date From * Date To

Next Previous Address

Name(s) in which your utilities are now billed: * Date From * Date To

Employment History

Please note: the income requirements for all adult applicants together must meet a gross monthly income of 3 times the monthly rent of the home being applied for.

* How many employers have you had in the last 3 years?

Current Employment

* Employed By * Street * City * State * Zip * Employer's Phone Employer's Fax * Occupation * Name of Supervisor

* Monthly Gross Pay - Monthly Income before taxes are taken out * Date From Date To

Previous Employment

* Employed By * Street * City * State * Zip * Employer's Phone Employer's Fax * Occupation * Name of Supervisor * Monthly Gross Pay * Date From * Date To

Next Previous Employment

* Employed By * Street * City * State * Zip * Employer's Phone Employer's Fax * Occupation * Name of Supervisor * Monthly Gross Pay * Date From * Date To

Spouse's Employment

Employed By Street City State Zip Employer's Phone Employer's Fax Occupation Name of Supervisor Monthly Gross Pay Date From Date To

Are there any other verifiable sources of income you would like to have considered? Such as Court Ordered Child Support, Social Security, Disability, Retirement, Pension, Etc. (Optional)

Credit History

Savings Account

Bank/Institution Name Balance on Deposit

Checking Account

Bank/Institution Name Balance on Deposit

Credit Card

Bank/Institution Name Balance Owed

Auto Loan

Bank/Institution Name Balance Owed

Bankruptcy

* Have you ever filed for bankruptcy? If yes, when?

Bankruptcy Disclosure: Any applicant in a current open Bankruptcy will be denied. Once your Bankruptcy has been discharged and/or dismissed you may then apply for a home with us.

Vehicles (Include vehicles belonging to other proposed occupants also)

Make Model Color Year License Plate Make Model Color Year License Plate

References & Emergency Contacts

Nearest Relative Living Elsewhere

* Name * Phone Number * Street Address * City * State * Zip

Friend

* Name * Phone Number * Street Address * City * State * Zip

Other

* Name * Phone Number * Street Address * City * State * Zip

General Information

* Do any of the persons who would be living in the home smoke? * How long do you think you would be renting from us? * Have you had any issues/problems with your current or past landlords including but not limited to: Late Payments, Late Notices, Eviction Notices Given (example: 3 day pay or quit notice), Rent and Possession Filing, Unlawful Detainer Filing, Landlord Complaint Filing? If 'Yes', please explain. * Desired move in date * Are you or your spouse a registered sex offender? * Have you or anyone on this application been convicted or plead guilty to a crime?

* How many pets do you have? List: Type, Breed, approx Weight & Age.
Here is a list of our restricted breeds -Pit Bull (American Staffordshire Terrier, American Bullies), Rottweiler, Doberman Pinschers, German Shepard, Chows, Huskies, Malamute, Great Danes, St. Bernard, Mastiff, Presa Canario, Akita. 40 lb weight limit and a maximum of 2 pets. No pets under 1 year will be accepted. We may run a credit check and a criminal background check. Is there anything negative we will find that you want to comment on? * How did you hear about this apartment?

* E-mail address we can reach you at. * Please re-enter your email address.

Spouse's E-mail address Please re-enter your spouse's email address

Missouri Broker Disclosure

*Please check that you have received the Missouri Broker Disclosure.

Agreement & Authorization Signature

* I have read and agree to the above terms. * Electronic Signature * Date

* Type the letters shown

Array ( )

Current Address

* Street * City * State * Zip Last Rent Amount Paid * Owner/Manager Name * Owner/Manager Phone Number * Reason for Leaving * Is/Was rent paid in full? * Did you give notice? * Were you asked to move?

Name(s) in which your utilities are now billed: * Date From * Date To

Current Address

Name(s) in which your utilities are now billed: * Date From * Date To

Previous Address

Name(s) in which your utilities are now billed: * Date From * Date To

Current Address

* Street * City * State * Zip Last Rent Amount Paid * Owner/Manager Name * Owner/Manager Phone Number * Reason for Leaving * Is/Was rent paid in full? * Did you give notice? * Were you asked to move?

Name(s) in which your utilities are now billed: * Date From * Date To

Previous Address

* Street * City * State * Zip Last Rent Amount Paid * Owner/Manager Name * Owner/Manager Phone Number * Reason for Leaving * Is/Was rent paid in full? * Did you give notice? * Were you asked to move?

Name(s) in which your utilities are now billed: * Date From * Date To

Next Previous Address

* Street * City * State * Zip Last Rent Amount Paid * Owner/Manager Name * Owner/Manager Phone Number * Reason for Leaving * Is/Was rent paid in full? * Did you give notice? * Were you asked to move?

Name(s) in which your utilities are now billed: * Date From * Date To

Current Employment

* Employed By * Street * City * State * Zip * Employer's Phone Employer's Fax * Occupation * Name of Supervisor * Monthly Gross Pay * Date From Date To

Current Employment

* Employed By * Street * City * State * Zip * Employer's Phone Employer's Fax * Occupation * Name of Supervisor * Monthly Gross Pay * Date From Date To

Previous Employment

* Employed By * Street * City * State * Zip * Employer's Phone Employer's Fax * Occupation * Name of Supervisor * Monthly Gross Pay * Date From * Date To

Current Employment

* Employed By * Street * City * State * Zip * Employer's Phone Employer's Fax * Occupation * Name of Supervisor * Monthly Gross Pay * Date From Date To

Previous Employment

* Employed By * Street * City * State * Zip * Employer's Phone Employer's Fax * Occupation * Name of Supervisor * Monthly Gross Pay * Date From * Date To

Next Previous Employment

* Employed By * Street * City * State * Zip * Employer's Phone Employer's Fax * Occupation * Name of Supervisor * Monthly Gross Pay * Date From * Date To