AMBASSADOR EAST APARTMENTS

ONLINE RENTAL APPLICATION

(Each co-resident, except spouse, must submit a separate application)

DATE:

How were you referred to us?

APPLICANT

Applicant Full Name:	Date of Birth:
Driver's License Number & State:	Social Security Number:
Home Phone:	Work Phone:
E-Mail Address:

Marital Status: Single Married Divorced Separated
Spouse Full Name:	Date of Birth:
Driver's License Number & State:	Social Security Number:

How many people will be occupying the dwelling unit?

List name, age & relationship of all persons to be living with you:

Do you have any pets? Yes No

How many?

Type & Size:

Have you or your spouse ever declared bankruptcy? Yes No

Have you or your spouse ever been convicted of or pled guilty to any offense other than a minor traffic violation? Yes No

List all vehicles to be parked on the premesis by applicant, spouse or other occupants. (Cars, trucks, motorcycles, RVs, trailers, boats, etc.)
Make & Model:	Year:	License Number: State:
Make & Model:	Year:	License Number: State:
Make & Model:	Year:	License Number: State:

In case of emergency notify:	Work Ph:	Home Ph:
Address:	City:	State:	ZIP:
Relationship:

In the event of serious illness or death of resident, the above named person to notify may may not enter, remove and/or store all contents found in the dwelling, storerooms, common areas and mail boxes.

RENTAL HISTORY

Present Address:	City:	State:	ZIP:
Name of prop owner/manager:		Moved In:	Phone:

Previous Address:	City:	State:	ZIP:
Name of prop owner/manager:		Moved In:	Phone:

Have you or your spouse ever been evicted? Yes No
Been sued for non-payment of rent or damages to rental property? Yes No

EMPLOYMENT / OTHER INCOME

Applicant's Present Employer:		How Long?	Work Phone:
Address:	City:	State:	ZIP:
Position/Occupation:		Gross Monthly Salary:
Supervisor's Name:		Supervisor's Phone:

Applicant's Previous Employer:		How Long?	Work Phone:
Address:	City:	State:	ZIP:
Position/Occupation:		Gross Monthly Salary:
Supervisor's Name:		Supervisor's Phone:

Spouse's Present Employer:		How Long?	Work Phone:
Address:	City:	State:	ZIP:
Position/Occupation:		Gross Monthly Salary:
Supervisor's Name:		Supervisor's Phone:

Spouse's Previous Employer:		How Long?	Work Phone:
Address:	City:	State:	ZIP:
Position/Occupation:		Gross Monthly Salary:
Supervisor's Name:		Supervisor's Phone:

Disclosure of additional income, such as child support, alimony, separate maintenance, etc. is mandatory if applying for government regulated housing. Otherwise discloure is voluntary, if you with to have it considered in determining if you qualify.

Amount of $: per	Source

BANK & CREDIT REFERENCES

Name of Bank:	Checking Acct No.:	Savings Acct No.:
Name of Bank:	Checking Acct No.:	Savings Acct No.:

Credit Reference:	Account No.:
Credit Reference:	Account No.:

CORRECT INFORMATION

The undersigned person(s) affirm that all of the above statements are true and complete. I/We hereby authorize verification of all information thru credit reports, rental history reports, release of information by employers (previous and former) and other means as determined by the management. Failure to answer any of the above required questions shall entitle management to reject this application. False information is grounds for immediate rejection of this application. In addition, management will retain any and all application fees and deposits as damages for the management's time and expense for processing this application and may terminate the resident's right of occupancy. In any lawsuit relating to this application, application agreement or rights under statute or government regulations, the prevailing party is entitled to recover attorney's fees and all other costs of litigation from the non-prevailing party. Management reserves the right to report payment performance to consumer credit reporting agencies.