Property in Which You are Requesting to Live
$
Do you want the apartment funished?
Applicant Information
Do you smoke?
Do you plan to party or play loud music in this apartment?
Do you have any pets?
Background Information
Are you a student?
At which school?
Level
Have you been convicted of a crime within the past 10 years?
Have you ever been evicted or asked to leave a residence?
Have you ever filed for bankruptcy?
Income
$
$
In Case of Emergency
Motor Vehicle
How did you hear about our apartments?
Disclosure and Signature
Management is a fair housing provider and will grant equal opportunities to all persons under the law. Management uses the following screening service: Rental Research Services Inc., 7525 Mitchell Road, Suite 301, Eden Prairie, MN 55344, 952-935-5700. Applicant hereby grants to Management full authorization necessary to verify the information on this form, including but not limited to: check credit history, rental history, criminal history, income verification, information from public agencies and other information relevant to this application of residential tenancy.

Please enter your signature in the form /John Doe/, with leading and trailing slashes. This constitutes a legal signature in accord with the Federal E-Sign Act.