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Which apartment are you interested in?
Apartment Complex
*
Carriage Way
Carriage Lane
Second and Daniel
Colorado Oaks
Second and Daniel Apartment #
- None -
11
12
21
22
23
24
25
26
31
32
33
34
35
36
41
42
43
44
45
46
51
52
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56
Colorado Oaks Apartment #
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100
101
102
103
104
105
106
107
108
109
201
202
203
204
205
206
207
208
209
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211
212
213
214
215
216
Carriage Way Apartment #
- None -
101
102
103
104
201
202
203
204
205
206
Carriage Lane Apartment #
- None -
A01
A02
A03
A04
A05
A06
B07
B08
B09
B10
B11
B12
B13
B14
B15
General Information
First Name
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Middle Initial
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Last Name
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Email Address
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Telephone
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Social Security Number OR VISA Number
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Date of Birth
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Year
Driver's License #
DL State Issued
Car Make/Model
License Plate #
LP State Issued
Roommate's Name
Address Information
Current Street
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Current City
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Current State
*
Current Zipcode
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Current Address Start Date
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Current Address End Date
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Year
Rent Amount
LandLord
LandLord Phone #
Previous Street
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Previous City
*
Previous State
*
Previous Zipcode
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Previous Address Start Date
*
Month
Month
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Previous Address End Date
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Month
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Year
Permanent Street
*
Permanent City
*
Permanent State
*
Permanent Zipcode
*
Employment/Educational Status
Employment/Educational Status
- None -
Full-Time Student
Part-Time Student
Employed Full-Time
Length Employed
- None -
1 Year
1 - 2 Years
2 - 5 Years
5 Years
Primary Employer/Educational Institution
Employ/Edu Phone #
Employ/Edu City
Employ/Edu State
Employ/Edu Zipcode
Annual Income $
Student Year
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Freshman
Sophomore
Junior
Senior
Grad Student
Graduation Date
Major
If you are a part-time student, indicate your employer:
Employer
Employer's Phone #
Employer's City
Employer's State
Employer's Zipcode
Emergency Contact Information
Contact Name
Contact Phone #
Contact Street
Contact City
Contact State
Contact Zipcode
Relationship to Contact
Conditions
Application Agreement
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I AGREE
BY CHECKING HERE AND CLICKING "SUBMIT APPLICATION" BELOW, I HEREBY ELECTRONICALLY SIGN THIS TENANT LEASE APPLICATION AND ACKNOWLEDGE AND AGREE TO THE FOLLOWING: IN COMPLIANCE WITH THE FAIR CREDIT REPORTING ACT, THIS IS TO INFORM YOU THAT YOU ARE AUTHORIZING THIS ORGANIZATION AND/OR ITS SUPPLIERS TO OBTAIN, AT ITS SOLE DISCRETION, A CONSUMER AND/OR BUSINESS PROFILE CREDIT REPORT. YOU HAVE THE RIGHT TO DISPUTE THE INFORMATION ON THIS REPORT AND REQUEST ADDITIONAL DISCLOSURES PROVIDED UNDER SECTION 606ยง1681d(b) OF THE FAIR CREDIT REPORTING ACT, AND A WRITTEN SUMMARY OF YOUR RIGHTS PURSUANT TO SECTION 609(c). YOU MAY DO THIS BY CONTACTING THE PROVIDER OF THE INFORMATION. PLEASE CALL BACKGROUND INVESTIGATIONS, INC. PHONE 1-800-955-1356 AND YOU WILL BE DIRECTED TO THE PROPER CREDIT REPORTING AGENCY OR ASSISTED IN YOU INQUIRY. THIS ORGANIZATION IS NOT ALLOWED TO GIVE YOU A COPY OF YOUR CREDIT REPORT. YOU ALSO RELEASE FROM LIABILITY ANY PERSONS INVOLVED IN THE CREDIT INVESTIGATION.
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