Apartment Rental Application Form - Saint Andrews Apartments
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2Office Use Only
Apartment Assigned: ______________________________ Move-In Date: ____________________ Key Tag ___________ Pro-Rated Rent _______________
Monthly Rent Amount: $_________________ Sec. Deposit Pd.: $______________ Lease Expiration:_______________________
Parking #1
_____________
Processed by: _________________________
Approved by (Manager Only)/Date: _________________________/____________
Parking #2 _____________
APARTMENT RENTAL APPLICATION
ST ANDREWS APARTMENTS
525 Dartmoor Drive
Newport News, Virginia 23608
Toll Free Telephone: 1-877-244-3907
St Andrews Apartments does not discriminate against any prospective resident or employee because of their race, creed, age, religion, sex, familial
disability.
status, or
ALL LINES MUST BE COMPLETED FOR APPLICATION TO BE PROCESSED
Any misrepresented, misleading, incorrect or untrue statement discovered at any time will result in application rejection or lease termination.
Application Fee: $32 per Application
Security Deposit:
Is based on credit worthiness/not to exceed the equivilent of two months rent but not less than $300
Apartment Desired (Circle):
1 Bedroom
2 Bedroom
Floor Level _________
Date Desired: _______________________________
First Name ___________________ Middle Name _______________________ Last Name__________________________, _______
(Jr. Sr, etc.)
S.S.# ________-________-________ Date of Birth_______/_______/_______
Present Address ____________________________________________________________________________________________
City, State, and Zip ______________________________________________ E-mail Address ______________________________
Automobile Make ___________ Model ______________ Color ____________ Vehicle Tag Number and State _________________
Home Phone_________________________ Work Phone______________________ Cell Phone_____________________________
Own or Rent? __________. Current Monthly Rent: $____________________ Rental Agent Phone No. ______________________
If renting, Management Company/Apartment Complex ______________________________________________________________
Previous Address ______________________________________________________________ Years at Address _______________
Name of Rental Agent ________________________________________________ Rental Agent Phone No. ____________________
List all States lived in since age of 18 _____________________________________________________________________________
Place of Employment _________________________________________________________________________________________
Employment Address _______________________________________________________________________________________
City, State, and Zip _________________________________________________________________________________________
Title or Pay Grade _________________________________________________. Length of Employment _______________Years.
Gross Monthly Income $_______________________________ (Income before taxes and other deductions)
Supervisor __________________________________________________ Supervisor Phone _______________________________
Monthly Payments and Balances for the Following:
FOR ALL APPLICANTS:
Monthly
Obligation Type
Payment
Balance
Name
Acct. No.
Alimony
$__________
$__________
_________________________________
__________________
Child Support
$___________
$__________
_________________________________
__________________
Other Sources of Income or Anticipated Income:
Income Source
Monthly Income
Book Value or Balance
Stock/Bond Dividends
$______________
$___________________
Interest Income (All Sources)
$______________
$___________________
Pension _______________
$______________
$___________________
Social Security and/or SSI
$______________
Not Applicable
Alimony
$______________
Not Applicable
Child Support
$______________
Not Applicable
AFDC/Government Assistance
$______________
Not Applicable
Unemployment Compensation
$______________
Not Applicable
List value of all Assets, including Stocks, Bonds, Trusts, Pensions Contributions, IRA’s, Keogh Accounts and Certificates of Deposits:
$____________. Do you own a home or other real estate? _________________________
Children (Under 18):
Name _______________________________________________Birth date ____/____/____ Sex _____
Name _______________________________________________Birth date ____/____/____ Sex _____
Name _______________________________________________Birth date ____/____/____ Sex _____
Emergency Contact (Nearest Relative):
Name ______________________________________Relationship_________________________ Phone ____________________
Address __________________________________________________________________________________________________
1
PMC Form 2 (May 2008)
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