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    Desired Address and Unit or type:

    Date of Application: Desired Move-In Date:


    PERSONAL INFORMATION


    First Name: MI: Last Name:

    S.S. #: Date of Birth: Place of Birth:

    Telephone Numbers: Home: Mobile:

    Marital Status:

    Cohabitant: Date of Birth:

    S.S #: Mobile Phone #:

    Name and ages of possible occupants:

    Email Address:

    Would like to receive a copy of this application?


    RESIDENCE HISTORY


    Present Address:

    Date There: From:

    Current Rent: What Utilities You Pay:

    Landlord: Landlord Phone #:

    Previous Address:

    Date There: From: To:

    Has an eviction/forcible detainer ever been filed against you/cohabitant?

    If Yes, then explain:

    Is there an unsatisfied judgement against you/cohabitant?

    If Yes, then explain:

    Are any child support payments being deducted from your paycheck?

    Do you/cohabitant have any pets?

    If So what kind?


    PRIMARY APPLICANTS EMPLOYMENT HISTORY/INCOME SOURCE


    Employed By: Supervisor:

    Address: Phone #:

    Start Date: Position:

    Income: Per:

    Past Employer: Supervisor:

    Address: Phone #:

    Start Date: End Date:

    Position:

    Income: Per:

    Other Income & How much (ie: Child Support, Alimony, SSI, etc.):


    COHABITANT'S EMPLOYMENT


    Employed By: Supervisor:

    Address: Phone #:

    Start Date: Position:

    Income: Per:

    Past Employer: Supervisor:

    Address: Phone #:

    Start Date: End Date:

    Position:

    Income: Per:

    Other Income & How much (ie: Child Support, Alimony, SSI, etc.):


    COHABITANT'S RESIDENCE HISTORY


    Present Address (Including City & Zip Code):

    Current Rent: What utilities do you pay?:

    Landlord: Phone #:

    Date There: From: To:

    Email:


    REFERENCES (PERSONAL & BUSINESS)


    1st Personal Reference: Phone #:

    2nd Personal Reference: Phone #:

    Credit Card(s): Account #(s):

    Oustanding Loan(s): Account #(s):

    Bank / Branch:

    Checking Account #: Savings Account #:


    MISCELLANEOUS


    Automobile Information:

    Make: Model: Year: Color:

    License Plate #: Serial #:

    Lienholder: Lienholder Phone #:


    EMERGENCY CONTACT


    In Case of Emergency Notify: Phone #:

    Relationship: Address:


    This applicant acknowledges that the $45 non-refundable cash or money order application fee (Per Person) shall be used for a background check from the credit bureau, references, and other investigative agencies that Square Management deems necessary. This application is valid for 30 days only.

    I undersigned, hold the above information to be true to the best of my acknowledge. I understand that giving false information is justification for forfeiture of the application fee.

    By selecting "YES" in the box, I acknowledge that I have read and understand this agreement in its entirety.

    Applicant 1:

    Applicant 2: