Application | Courtyards Village West

APPLICATION

To Courtyards Village West Apartments, hereinafter called Owner and to PRAIRIE MANAGEMENT & DEVELOPMENT, INC., Agent for the Owner, the undersigned hereby apply(ies) for and offer(s) to execute a lease in form used by Owner for the premises herein described on the terms herein set forth. The representations herein made are true.

Building

Apartment

Move-In-Date

Term

Rental Amount

Security Deposit

1. Contact Information

First Name

Middle Name

Last Name

Work Phone

Driver's License Number

Automobile Make/ Model

2. Apartment Desired

Bedroom 1

Bedroom 2

3. Rental History

1. Present Address

City

Zip Code

Time at location ( start/end)

Monthly Rent

Landlord Name

Landlord Address

Landlord Phone

2. Previous Address

City

Zip Code

Time at location ( start/end)

Monthly Rent

Landlord Name

Landlord Address

Landlord Phone

3. Previous Address

City

Zip Code

Time at location ( start/end)

Monthly Rent

Landlord Name

Landlord Address

Landlord Phone

4. Apartment Occupants

a. Full Legal Name

Birth Date

Relationship

Soc. Sec. No.

b. Full Legal Name

Birth Date

Relationship

Soc. Sec. No.

c. Full Legal Name

Birth Date

Relationship

Soc. Sec. No.

d. Full Legal Name

Birth Date

Relationship

Soc. Sec. No.

5. Present Employment Information

a. Occupation

Employer

Address

Phone No.

From - To (start / end)

Supverisor

6. Past Employment Information

a. Occupation

Previous Employer

Address

Phone No.

From - To (start - end)

Supverisor

7. Income

Monthly Gross Income

Other Income and Assets

Banks Used

Checking

Loan

Savings

-

THE FIRST MONTH'S RENT AND THE SECURITY DEPOSIT ARE PAYABLE ON SIGNING OF LEASE. RENT IS PAYABLE ON FIRST DAY OF MONTH. In consideration of the investigation by said Agent of above representations and references, the undersigned hereby deposits with said agent the sum of $50.00_ to be disposed of as hereinafter provided. $50.00 is for credit report and not returnable. If the application is rejected by the Owner, the deposit will be returned to applicant. If applicant shall fail to sign a lease when submitted or fail to pay the balance of rental and security deposit as provided, then the security deposit shall be retained by the Owner’s Agent, as liquidated damages. Further, if any of the information provided herein proves to be false then the application shall be denied and any deposit shall be forfeited to Owner’s Agent as liquidated damages. The applicant acknowledges being furnished copies of the Residential Lease and Rules & Regulations for inspection. The Applicant agrees to sign the completed Lease and Rules & Regulations before taking occupancy of the premises. The landlord strongly encourages all Tenants to obtain renter’s insurance, said insurance may protect your assets in the event of fire and may protect you if you are sued for any reason.

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