Email:
Property Requested:
(select one)
Azalea Townhomes
Banyan Townhomes
Bridges Townhomes (1 bedroom)
Bridges Townhomes (2 bedrooms)
Bridges Townhomes (2 bedrooms 1.5 bath)
Brookview (1 bedroom)
Brookview (2 bedroom)
Brookview (3 bedroom)
Goodell and Lynda Lane
North Frey
Scotch Pines Condos (studio)
Scotch Pines Condos (2 bedrooms)
Scotch Pines Condos (loft)
Southglen Condos
Stone Mountain Drive, Windsor (1 bedroom)
Stone Mountain Drive, Windsor (2 bedrooms)
Varsity Apartments
4545 Wheaton
Move-in Date:
January February March
April May June
July August September
October November December
1 2 3 4 5
6 7 8 9 10
11 12 13 14 15
16 17 18 19 20
21 22 23 24 25
26 27 28 29 30
31
2011 2012 2013 2014
Target rent:
$ Personal
Information
Name:
Birth Date:
January February March
April May June
July August September
October November December
1 2 3 4 5
6 7 8 9 10
11 12 13 14 15
16 17 18 19 20
21 22 23 24 25
26 27 28 29 30
31
1940 1941 1942 1943 1944
1945 1946 1947 1948 1949
1950 1951 1952 1953 1954
1955 1956 1957 1958 1959
1960 1961 1962 1963 1964
1965 1966 1967 1968 1969
1970 1971 1972 1973 1974
1975 1976 1977 1978 1979
1980 1981 1982 1983 1984
1985 1986 1987 1988 1989
1990 1991 1992 1993 1994
1995 196 1997 1998 1999
SSN:
Driver's License:
Name:
Birth Date:
January February March
April May June
July August September
October November December
1 2 3 4 5
6 7 8 9 10
11 12 13 14 15
16 17 18 19 20
21 22 23 24 25
26 27 28 29 30
31
1940 1941 1942 1943 1944
1945 1946 1947 1948 1949
1950 1951 1952 1953 1954
1955 1956 1957 1958 1959
1960 1961 1962 1963 1964
1965 1966 1967 1968 1969
1970 1971 1972 1973 1974
1975 1976 1977 1978 1979
1980 1981 1982 1983 1984
1985 1986 1987 1988 1989
1990 1991 1992 1993 1994
1995 196 1997 1998 1999
SSN:
Driver's License:
Total Number of Occupants:
Total Number of Pets:
Kinds of Pets:
Do you have a waterbed?
Have you ever violated a lease, rental agreement, or
regulations at a former place of rent?
Have you ever been convicted of a felony?
If yes, please elaborate:
Financial
Information
Current Address:
Telephone:
Years at this address:
<1 1 2 3 4
5-10 11-15 16-20 >20
Property status:
Current landlord or
mortgage company:
Monthly payment:
$
Current landlord's address:
Telephone:
Previous Address:
Years at this address:
<1 1 2 3 4
5-10 11-15 16-20 >20
Property status:
Previous landlord or
mortgage company:
Monthly payment:
Previous landlord's address:
Telephone:
All Co-Applicant's current info the same as
Applicant's current info?
Current Address:
Telephone:
Years at this address:
<1 1 2 3 4
5-10 11-15 16-20 >20
Property status:
Current landlord or
mortgage company:
Monthly payment:
$
Current landlord's address:
Telephone:
All Co-Applicant's previous info the same as
Applicant's previous info?
Previous Address:
Years at this address:
<1 1 2 3 4
5-10 11-15 16-20 >20
Property status:
Previous landlord or
mortgage company:
Monthly payment:
Previous landlord's address:
Telephone:
Employment
History
Current employer:
Current employer's address:
Telephone:
Fax:
Position:
Years in this position:
<1 1 2 3 4
5-10 11-15 16-20 >20
Monthly wage:
$
Previous employer:
Previous employer's address:
Telephone:
Fax:
Position:
Years in this position:
<1 1 2 3 4
5-10 11-15 16-20 >20
Monthly wage:
$
Current employer:
Current employer's address:
Telephone:
Fax:
Position:
Years in this position:
<1 1 2 3 4
5-10 11-15 16-20 >20
Monthly wage:
$
Previous employer:
Previous employer's address:
Telephone:
Fax:
Position:
Years in this position:
<1 1 2 3 4
5-10 11-15 16-20 >20
Monthly wage:
$
Additional
Income (Child support, alimony, separation maintenance, etc.
This income need not be disclosed unless such additional income
is to be included for qualification hereunder.)
Amount:
$
daily
weekly
bi-weekly
semi-monthly
monthly
bi-monthly
quarterly
semi-annually
annually
Source:
Credit and
Loan References
Auto (make and model):
License plate:
Payment amount:
$
Payments to:
Loan/charge acct owed to:
Account number:
Monthly payment:
Total debt:
Loan/charge acct owed to:
Account number:
Monthly payment:
Total debt:
Loan/charge acct owed to:
Account number:
Monthly payment:
Total debt:
Loan/charge acct owed to:
Account number:
Monthly payment:
Total debt:
Bank:
Auto (make and model):
License plate:
Payment amount:
$
Payments to:
Loan/charge acct owed to:
Account number:
Monthly payment:
Total debt:
Loan/charge acct owed to:
Account number:
Monthly payment:
Total debt:
Loan/charge acct owed to:
Account number:
Monthly payment:
Total debt:
Loan/charge acct owed to:
Account number:
Monthly payment:
Total debt:
Bank:
Familial
Information
Nearest relative:
Relationship:
Contact info:
Emergency contact:
Relationship:
Contact info:
Personal Reference:
Relationship:
Contact info:
Nearest relative:
Relationship:
Contact info:
Emergency contact:
Relationship:
Contact info:
Personal Reference:
Relationship:
Contact info:
Information
Release Authority
I (we) certify that the facts set forth in this rental
application are true and complete to the best of
my (our) knowledge. You are hereby authorized to make any
investigation of my (our) personal history and financial
credit record. I (we) hereby authorize the release of all
information, including credit information, to
Old Town Square Properties, Inc. I am (we are)
willing that a photocopy or email of this authorization be
accepted with the same authority as the original.
I (we) hereby agree, that in the event of the approval of
this rental application, to execute a lease in accordance with
the terms set forth in this rental application and my (our)
rental liability shall commence on
January February March
April May June
July August September
October November December
1 2 3 4 5
6 7 8 9 10
11 12 13 14 15
16 17 18 19 20
21 22 23 24 25
26 27 28 29 30
31
2011 2012 2013 2014
2015
pursuant to the terms of the lease. Owner and/or agent for
the owner reserves the right to reject this application and to
refuse possession of the abovementioned accommodations. Any
errors in this application may be used by the owner and/or
agent to terminate the lease agreement at any time.