Brittany Apartments Application Form 2015-2016 Page 2
ADVERTISEMENT
1
2My Permanent Address ________________________________________________ City ____________________ State ____ Zip __________
Parent’s Names ___________________________________________ Address: _________________________________________________
______________________________________________________________________Phone # (
)_______-___________________
E-mail address: _________________________________________________________________________________________________
Apartment Information:
Type and size of unit wanted:
4 person shared
If applicable, please list name of person who is selling their contract to you. __________________________________________________
Desired Move in Date: ________________________________________________________________________________________________
Other tenants I wish to live with if possible:
(1) ______________________________________________
(2) _______________________________________
(3) ______________________________________________
RESIDENT HISTORY:
OFFICE USE: RESIDENT HISTORY CHECKED:
Have you previously lived in an apartment complex, dorm or condo? Yes No If yes, please list the last two residences.
1. ______________________________________ Office phone # ____________________ Date move in_____________ out ________________
2. _____________________________________ Office phone # ___________________ Date move in____________ out _____________
Have you ever been charged a late fee on your rental account? Yes
No
If yes, how many times? ______________________________
Have you ever willfully or intentionally refused to pay rent when due
Yes
No
Do you currently owe money to a previous landlord?
Yes
No
Have you ever been evicted from an apartment?
Yes
No
Have you ever been charged or convicted with a misdemeanor or felony?
Yes
No
Have you had any credit problems during the past two years?
Yes
No
Do you have a current medical condition or illness that would prevent you from attending school for the full term of your contract?
Yes
No
If you answered yes to any of the above questions, please explain: ______________________________________________________________
EMPLOYMENT INFORMATION:
I am not employed
Employed by _______________________________________________________________________ How long? _______________________
Phone # ________________________________ Address _________________________________________________________________
Position Held ___________________________________________ Department ______________________________________________
Supervisors Name _________________________________________________ Present Income $ __________________________________
AUTHORIZATION:
Please read carefully before signing. I certify that the information I have provided is true and accurate. I understand that if I
am under the age of 18, this application and rental contract (if approved) must be signed by a parent or legal guardian as
Guarantor.
In compliance with the Fair Credit Reporting Act, I understand that a credit investigation involving the statements made on your
rental application for tenancy at the above-mentioned complex is being initiated. I further authorize management to obtain
credit reports, employment information, and character reports and verify rental history necessary to verify all information put
forth in the above referenced application for tenancy. I understand that any account balances left unpaid will be reported to a
credit reporting agency.
Student Signature:___________________________________ Date __________________
APPLICANT DO NOT WRITE BELOW
___________________________________________________________________________________________________
DISPOSTION OF APPLICATION:
APPROVED
NOT APPROVED By: ______________________________________________ Date ____________________________
If not approved, indicate reason(s) __________________________________________________________________________________
Applicant Notified by: _______________________________________________________________ Date _________________________
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business