Apartment Application

Date / Time

Date

Time

Name

First

Last

Present Address

Address Line 1

Address Line 2

City

State

Zip Code

How long have you lived at this address?

Which apartments are you interested in?

158 St Joseph St - 1 bedroom with an office
737 West Bayou Rd - 1 bedroom with an office
165 St Joseph Street - 1 & 2 bedroom with an office
1719 Oakley Court - 2 bedroom with onsite laundry facility
214 Gloria Street - 3 bedroom townhouse

How many people will occupy the unit?

Please provide a date you would like to move in

Martial Status

Single
Married

Number of children under the age of 18

Your date of birth

Driver license number

Make & model of vehicle you drive

Home Phone number

Cell Phone number

Email address

Do you have a pet, service or emotional support animal?

yes
no

If yes, what kind of animal and approximate size or weight

In case of an emergency, contact this person

Contact phone number

Relationship to you

Contact person's address

Your present employer

Full address of employer

Address Line 1

Address Line 2

City

State

Zip Code

Your occupation

Start date of employment

Monthly Salary

Supervisor's name

Supervisor's phone number

Please list 3 non-related references and their contact phone number - reference #1

Reference #2 and their contact phone number

Reference #3 and their contact phone number

Have you ever been evicted from a dwelling?

Yes
No

Have you ever been denied a lease renewal?

Yes
No

Have you been denied credit within the last 2 years?

Yes
No

Have you ever been convicted of a felony?

Yes
No

Provide the name of your bank

Types(s) of accounts

Checking
Savings

Permission For Background Check - Please click the button next to YES. YES - I hereby give my permission to communicate with my current and former landlord or property manager for the purpose of discussing any and all of the facts and circumstances of my current or former tenancy, as well as the other information listed above. I also give my permission to communicate with my current employer(s) and/or supervisor(s) for the purpose of verifying the employment information listed above. I understand there are no limitations or restrictions regarding what may be discussed or revealed. I am aware that a credit history, eviction search and criminal background check can be done in conjunction with my application. I understand that I may 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 investigation.

Yes
No

Certification Of Application- Please click the button next to YES. YES - I certify that the above information contained in this application is correct.

Yes

Certification Of Information- Please click the button next to YES. YES - I am aware that failure to provide accurate information will result in non-acceptance of this application and/or termination of the lease.

Yes

Any additional comments add below

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