CURRENT ADDRESS:   Zip Code:  Month & Year Moved In:  Reason for Leaving:  Owner or Agent Phone:  Monthly Payment $:  PREVIOUS ADDRESSES (If within 3 years) Address:  Month & Year Moved In:  Moved Out:  Reason for Leaving:  Owner or Agent Phone:  Address:  Month & Year Moved In:  Moved Out:  Reason for Leaving:  Owner or Agent Phone:

YOUR STATUS: Please Select One That AppliesFull TimePart TimeSelf-employedNot EmployedRetired / Student CURRENT EMPLOYER (or most recent)  Address:  Phone:  Date(s) Employed/From-To:  Position  Supervisor:  Your Net Monthly Salary $ Household Net Monthly Income $ PREVIOUS EMPLOYER (within last three years):  Address:  Phone:  Date(s) Employed/From-To:  Position  Supervisor:  If there are other sources of income you would like us to consider, please list income, source, and person (banker, employer, etc.) who we can contact for confirmation. You do NOT have to reveal alimony, child support, or spouse's annual income unless you want us to consider it in this application. Amount $ Source  Amount $ Source  Amount $ Source  Please note: We will require proof of all income listed in this section. Your consent to our verification of this income is contained in Section H below.

NAME:  ADDRESS:  NAME:  ADDRESS:  NAME:  ADDRESS:  NAME:  ADDRESS:  NAME:  ADDRESS:

Make/Model:  Year:  Color:  Plate No.:   State:  Make/Model:  Year:  Color:  Plate No.:   State:  Make/Model:  Year:  Color:  Plate No.:   State:

HAVE YOU EVER: Been sued for non-payment of rent? YesNo Been evicted or asked to move-out? YesNo Broken a rental agreement or lease? YesNo Been sued for damage to property? YesNo Please include any additional information that might help us evaluate your application. How did you hear about our property? If we have any questions about your application, please provide your phone numbers so we can contact you. Day:  Night:  Mobile:

Your signature on this application authorizes us to request and review a credit report and an investigative consumer report containing information obtained through personal interviews with your neighbors, friends, and others with whom you may be acquainted. This report includes information concerning your character, general reputation, and personal characteristics. You acknowledge that you have the right to make a written request within a reasonable period of time to receive additional detailed information about the nature and scope of this investigative report. Our acceptance and review of your Rental Application does not constitute an approval of your Application or an agreement to lease. If we approve your Application and enter into a Lease Agreement, however, the information and representations on this Application will become part of our Lease. Applicant Signature:  Date: