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Preferred Location:

Unit #:

Apartment Type:

Preferred Move in Date:*

Applicant Full Name:*

Preferred Name:

Date of Birth:*

SSN:*

DL Number:

State:*

Citizenship:*

Phone Number:*

Cell Number:

E-Mail:*

Do you currently own, rent or other?*

Own
Rent
Other

Address

Street Address City State ZIP Code

Owner/Management Name:

Phone #:

Fax Number:

Move In Date:

Monthly Rent:

Reason for leaving current residence:

How long and Reason for leaving?

Please Explain:

Have you lived at this location less than 3 years?

Yes
no

Previous Street Address:

Previous Stereet Address City State ZIP Code

Owner/Management Name:

Phone Number:

Fax Number:

Move-In Date:

Montly Rent:

Reason for leaving current residence:

If Student List:

University:

Expected Graduating Date:

Employment Information

Are you currently employed?*

Yes
No

Current Employer:

Employer's Street Address:

Employer's Street Address City State ZIP Code

Position/Title:

Supervisor's Name:

Business Phone Number:

Monthly Salary (After Taxes): $

Please explain:

Have you worked there less than 3 years?

Yes
No

Previous Employer's Name:

Street Address

Street Address City State ZIP Code

Position/Title:

Supervisor's Name:

Business Phone Number:

Length of Employment: Years, Months

Monthly Salary (after taxes):

Additional Income:

Monthly Income Total:

Source:

Please Answer the following background question:

Do you owe outstanding rent to a previous landlord?*

Yes
No

Please explain

Have you ever been evicted for non-payment of rent?*

Yes
No

Please explain

Have you ever been sued for non-payment of rent or damage to a rental property?*

Yes
No

Please explain

Have you ever breached a lease?*

Yes
No

Please Explain

Have you ever filed for bankruptcy within the last 7 years?*

Yes
No

Attach bankruptcy details

Max. file size: 50 MB.

Have you been arrested for a felony that resulted in conviction, probation, community service, or resolved by deferred adjudication or pre-trial diversion?*

Yes
No

Vehicle information of each occupant:

Make:

Model:

Year:

Color:

License Plate # and State:

Emergency Contact Information:

Name:*

Relationship:*

Phone Number:*

Address*

Street Address City State ZIP Code

Email:*

How did you hear about Park Place Properties?*

Attach copy of valid government photo identification:*

Max. file size: 5 MB.

Proof of Income Documentation:*

Max. file size: 5 MB.

Will there be additional occupants over 18 years of age?

Yes
No

Do you have any pets?*

Yes
No

Pet Type:

Breed: (if mixed breed, list all breeds of ancestry)

Weight:

Pet Type:

Breed: (if mixed breed, list all breeds of ancestry)

Weight:

TERMS:

This company is bound by the provisions of Title VIII of the Civil Rights Acts of 1968 – the Fair Housing Act – which, in part, prohibits “refusing to sell or rent a particular dwelling because of a person’s race, color, religion, or national origin.” The following federal agency ensures this company’s compliance with the Fair Housing Act: Department of Housing and Urban Development.

As such, this application will be evaluated in accordance this law and according to the company’s current screening guidelines; the leasing official will consider information such as, but not limited to, credit history, civil and criminal records, records of arrest, rental history, employment/salary details, vehicle records, licensing records, and any other necessary permissible information. I hereby instruct any consumer agency designated by Park Place Properties to furnish any applicable consumer reports and authorize the Owner or its agents to use such reports for all permissible purposes in the evaluation of my application. I understand that subsequent consumer reports may be obtained, per this same authorization, and used in the consideration of lease renewal, update, extension, or collection of debt. I hereby expressly release the Owner and its agents from any liability whatsoever in the procurement, use, and/or furnishing of said information, understanding that such information may be provided to various agencies including, but not limited to, future landlords, state, local, and federal government officials, and law enforcement. ⃝ I agree with the terms and conditions.

I agree with the terms and conditions.

I understand that should my application be approved, I will be extended a formal apartment offer from Park Place Properties. I will then have forty-eight (48) hours from that time to reserve my apartment, done by paying the security deposit, which will serve as a reservation fee. The security deposit is the equivalent of one month’s rent and is non-refundable in the event that I do NOT sign a lease for the offered apartment after my application has been approved. I understand that should my application be approved, but no apartment is available at that time, I will be placed on a wait list and offered an apartment when one becomes available. Once I am offered an apartment, I will have the same forty-eight (48) hour time frame to secure the apartment; again, done by paying the security deposit.

^{*Please provide a copy of your government photo identification such and p roof of i ncome documentation}

I agree with the terms and conditions.

Additional Documents:

Drop files here or

Max. file size: 50 MB.

Signature

Date

Signature

Date

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If Student List:

Employment Information

Additional Income:

Please Answer the following background question:

Vehicle information of each occupant:

Emergency Contact Information:

Questions on a new apartment?

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Apply

If Student List:

Employment Information

Additional Income:

Please Answer the following background question:

Vehicle information of each occupant:

Emergency Contact Information:

Questions on a new apartment?

Call Now To
Check Availability 304-429-6388