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Please complete our pre-application form below.
APPLICATION FOR RESIDENCY
Name
*
First
Last
Date Of Birth
*
MM slash DD slash YYYY
Main Phone Number
*
Secondary Phone Number
Email
*
Enter Email
Confirm Email
Marital Status
*
Single
Married
PRESENT ADDRESS
Address
*
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 ADDRESS
If 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?
*
Yes
No
Where and Why Were You Evicted?
*
Have you ever broken a lease?
*
Yes
No
Where and Why?
*
EMPLOYMENT
Applicant 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 INFORMATION
Make
Model
Year
Color
Lic. Number
State
Do you have a second vehicle?
Yes
No
Make
Model
Year
Color
Lic. Number
State
PERSONS TO OCCUPY APARTMENT
How 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
PETS
Do you have a pet?
*
Yes
No
How Many
*
Kind of Pets/Weights
*
EMERGENCY CONTACT
Name
*
Relationship
*
Address
Street Address
City
ZIP / Postal Code
Email
Personal Information
Have you ever been arrested and/or convicted of a felony?
*
Yes
No
When?
*
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?
*
Yes
No
When 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.
SIGNATURE
By 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
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