Check here if you are a Co-Signor
Name:	Date of Birth
Social Security Number:	Email Address:
	(See #12 on Application Standards)
Home Phone:	Work Phone: Cell Phone:
Driver's Licence Number:	License Plate:
State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Car Make:	Model: Color:
Names of others who will occupy the apartment:
Within the last two years, have you been convicted of a crime related to the disturbance of neighbors, destruction of property, drug related or felonious criminal activity, or violence to persons or peroperty?
	Yes No

I authorize you to contact listed references or consumer reporting agencies to obtain a credit report to process this application. I confirm that all information stated above is accurate and that incomplete or falsified applications will be subject to rejection. All applications are subject to the approval of the owner or their authorized agent. The landlord has application acceptance standards which must be met in order to qualify for the apartment applied for. We comply with all local, state and federal fair housing laws.

This application is not a rental agreement, contract or lease.