Housing Application

Fields marked with a (*) are required. Please use N/A for the fields that do not apply for you.

Applicant Information

*First Name *Middle Name *Last Name *Cell Phone *Email *Confirm Email

Current Local Address

*Street Address Suite/Apt *City *State *Zip Current Landlord

Permanent/Home Address

Street Address Suite/Apt City State Zip

Employer

*Employer Employer Address Employer Telephone

Personal Info

*Identification Type *ID Number *State Issued *Social Security Number *Source of Income *Birth Date Sex Marital Status
*Have You Ever Been Evicted From Any Residence? Reason *Have You Ever Been Convicted Of A Felony? Reason *Do You Own A Vehicle?

*Vehicle Year *Vehicle Make *Vehicle Model *Vehicle Color *License Plate Number

Student Information

Are You A Student?

*Which University/College? *What Year Are You?

Parent Information

Father

*Is Your Father Deceased or a Single Parent?

*First Name Middle Name *Last Name *Cell Phone *Email *Street Address Suite/Apt *City *State *Zip Employer Employer City Work Phone

Mother

*Is Your Mother Deceased or a Single Parent?

*First Name Middle Name *Last Name *Cell Phone *Email *Street Address Suite/Apt *City *State *Zip Employer Employer City Work Phone

Emergency Contact (Other than Parent or Guardian)

*Name *Home/Cell Phone *Work Phone

Co-Applicant

*Is there a Co-Applicant for this Application?

*First Name Middle Name Last Name Cell Phone Email Street Address Suite/Apt City State Zip Employer Employer Address Employer Telephone Identification Type ID Number State Issued Social Security Number Source of Income Birth Date Sex Marital Status
Have You Ever Been Evicted From Any Residence? Reason Have You Ever Been Convicted of a Felony? Reason *Do You Own A Vehicle?

*Vehicle Year *Vehicle Make *Vehicle Model *Vehicle Color *License Plate Number

Please proceed to the next section.

Bank Reference

Bank Name City State Bank Account Type

Housing Selection and Other

Do you have an animal or plan to live with an animal in the future?
Interested Property

Please List the Names of Your Tentative Roommates
*Do You Want a Furnished or Unfurnished Apartment?

Feedback

*How Did You Hear About Us? If a Friend Referred You, Who Was It?

Authorization

*If you fail to answer any questions, or if you give any false information, (1) we are entitled to reject this application (2) retain all application fees or deposits as liquidated damages for any time and expenses and (3) terminate any right to lease the apartment or (4) if you have signed a lease, it will be a violation of the lease. By checking this box, I attest that the information contained herein is correct and I am at least 18 years old. Apartment Management Group is authorized to verify my credit history, and all other information submitted for the purpose of evaluating this lease application. I acknowledge I have fully read and understand all of the provisions of this Application.

*Please Enter the Information in the Box Below with no spaces for Anti-Spam.

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