Apply Now APPLICATION FOR RESIDENCY Name* First Last Date Of Birth* MM slash DD slash YYYY Main Phone Number*Secondary Phone NumberEmail* Enter Email Confirm Email Marital Status*SingleMarriedPRESENT ADDRESSAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Apartment Community Name Apt. Number Landlord Number Dates at this address* Monthly Rent PREVIOUS ADDRESSIf less than 3 years at present address.Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Dates at this address* Have you ever been evicted?*YesNoWhere and Why Were You Evicted?*Have you ever broken a lease?*YesNoWhere and Why?*EMPLOYMENTApplicant Employer* Phone Number* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Position* Supervisor* From MM slash DD slash YYYY To* MM slash DD slash YYYY Monthly Gross Salary* VEHICLE INFORMATIONMake Model Year Color Lic. Number State Do you have a second vehicle?YesNoMake Model Year Color Lic. Number State PERSONS TO OCCUPY APARTMENTHow Many persons will occupy this apartment* 1 2 3 4 5 6 Name* Relationship* Date of Birth* MM slash DD slash YYYY Resident 2 Name* Relationship* Date of Birth* MM slash DD slash YYYY Resident 3 Name* Relationship* Date of Birth* MM slash DD slash YYYY Resident 4 Name* Relationship* Date of Birth* MM slash DD slash YYYY Resident 5 Name* Relationship* Date of Birth* MM slash DD slash YYYY Resident 6 Name* Relationship* Date of Birth* MM slash DD slash YYYY PETSDo you have a pet?*YesNoHow Many* Kind of Pets/Weights*EMERGENCY CONTACTName* Relationship* Address Street Address City ZIP / Postal Code Email Personal InformationHave you ever been arrested and/or convicted of a felony?*YesNoWhen?* MM slash DD slash YYYY Type of arrest/Type of conviction*Have you ever filed bankruptcy or are you currently involved in a bankruptcy case?*YesNoWhen was the bankruptsy filed?* MM slash DD slash YYYY How did you hear about our community?* The applicant hereby authorizes Brookside Properties Inc./ Brookside Agent to conduct a credit check that includes, but does not limit to, obtaining a credit report and interviewing the applicant’s references and previous landlords. The applicant hereby consents to the credit check process and authorizes any individual listed in this application to speak with Brookside Properties Inc./Brookside Agent regarding the applicants present or previous credit performance. Applicant further release any and all individuals who provide information to Brookside Properties Inc./Brookside Agent from any and all claims which the applicant may have resulting from information provided to Brookside Properties Inc. / Brookside Agent. The applicant also authorizes the release of information based upon reliance of either photocopies or facsimiles of the authorization. The undersigned applicant certifies that the above information is true and correct and hereby authorizes verification of same. Any false information in the application shall result in immediate denial of application and or termination of any lease resulting from acceptance of this application. If accepted as a resident, this application is to become a part of the lease file. All information provided will be kept in confidence.SIGNATUREBy entering your name below you are certifying that all information entered in this form is accurate and true.Applicant's Signature* I certify that all of the information I entered is accurate and true.Today's Date* MM slash DD slash YYYY