Please complete this ENTIRE form for consideration at Old South Apartments.
Personal Information
 Full Name (Last, First, Middle)  Social Security #  Birthdate(mm,dd,yyyy)
 Present Address (Include Apt. #)  City/State  Zip
 Best time for us to call you:(ex. mornings, etc...)  Home Phone #  Cell #
 Spouse's Full Name (Last, First, Middle)
(if applicable)
 Social Security #  Birthdate(mm,dd,yyyy)
 Other Occupants  Relationship  Age
 Emergency Contact  Relationship  Phone (    )

Residence Information
 Length in Current Residence:
(ex.05/1999 until present)
Do you:OwnRent  Monthly Payment
 
 Mortgage Co. OR Apt. Name  Phone Number (   )   Contact Person

Work History
 Current Job Title  Employer's Name  Phone Number (    )
 Annual Income  Supervisor's Name  Dates at Current Job
(ex.02/2000-present)
 Previous Job Title  Previous Employer's Name  Phone Number (    )
 Previous Annual Income  Previous Supervisor's Name  Dates at Previous Job
(ex.08/1997-02/2000)
 Spouses Current Job Title  Spouses Employer's Name  Phone Number (    )
 Spouses Annual Income  Spouses Supervisor's Name  Dates at Current Job
(ex.02/2000-present)

Additional Financial Information
 Other Sources of Income
(IF APPLICABLE)
 Amount  Description
 Credit Reference  Account Number  Location
 Credit Reference  Account Number  Location
 Bank Reference  Account Number  Location

Vehicle/Pet Information
 Automobile #1 Make/Model/Year
(ex.Chrysler/LaBaron/1996)
 Driver's License Number #1  License Plate Number #1
 Automobile #2 Make/Model/Year
(ex.Chrysler/LaBaron/1996)
 Driver's License Number #2  License Plate Number #2
Do you have pets?YesNo If you answered 'YES' to having pets, you must complete the following about your pets.
 Pet #1 Type(specific)  Height #1  Weight #1
 Pet #2 Type(specific)  Height #2  Weight #2
If you have pets, do you have more than 2?YesNo

PLEASE READ THE FOLLOWING CAREFULLY BEFORE SUBMITTING FORM

CORRECT INFORMATION - Applicant represents that all of the above statements are true and complete, and hereby authorizes verification of above information, references and credit records. Applicant acknowledges that false information herein may constitute grounds for rejection of this application, termination of right of occupancy, and/or forfeiture of deposits and may constitute a criminal offense under the laws of this state. Applicant agrees to the terms of the Application Deposit Agreement below.

APPLICATION DEPOSIT AGREEMENT - Applicant has depositied an "Application Deposit" ( in the amount stated) in consideration for owner's taking the dwelling unit off the market while considering approval of this application. If applicant is approved by owner, and the contemplated lease is entered into, the application deposit shall be credited to the required security deposit. If applicant is approved but fails to promptly enter into the contemplated lease, the applicant deposit shall be forfeited by owner. The application deposit will be refunded only if applicant is not approved. Keys will be furnished only after contemplated lease and other rental documents have been properly executed by all parties and only after applicable rentals and security deposits have been paid. This application is preliminary only and does not obligate owner or owner's agent to execute lease or deliver posession of the proposed premises.

**By Placing your initals below, you are verifying that you have read and agree to the provisions as stated.

 Type Initals Here

 

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