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Application for the Park At Hurstbourne

Park At Hurstbourne To become a tentant, please fill out the following fields. For your security this Rental application will be taken and processed over a Secure Socket Layer with 128 bit encryption. Note: All Fields with * Are Required.
Date of Application:	*
Full Name:	*
Date Of Birth:	*
Social Security Number:	*
Sex:	*
Marital Status	*
Spouse Full Name:	*
Spouse Date Of Birth:	*
Spouse Social Security Number:	*
Spouse Sex:	*
Spouse Marital Status	*

Listing Of Occupants

Listing of Occupants:
(Only those persons listed hereon will be permitted to occupy the approved apartment.)
MAXIMUN OCCUPANCY ALLOWS NO MORE THAN 2 PERSONS PER BEDROOM.

Full Name:	*
Date Of Birth:	*
Full Name:	*
Date Of Birth:	*
Full Name:	*
Date Of Birth:	*
Full Name:	*
Date Of Birth:	*

Residential History

Street Address:	*
City:	*
State:	*
Zip Code:	*
Landlords Name:	*
Land Lords Phone:	*
Date of Residency:	*
Monthly Rental Amount:	*

Previous Residential History

Street Address:	*
City:	*
State:	*
Zip Code:	*
Landlords Name:	*
Land Lords Phone:	*
Date of Residency:	*
Monthly Rental Amount:	*

Employment History

Company Name:	*
Address:	*
Position:	*
Monthly Compensation:	*
Spouse Company Name:
Spouse Company Address:
Spouse Position:
Spouse Monthly Compensation:

Previous Employment History

Company Name:	*
Address:	*
Position:	*
Monthly Compensation:	*
Spouse Company Name:
Spouse Company Address:
Spouse Position:
Spouse Monthly Compensation:

Vehicles

Vehicles:
(We do not allow vehicles without written permission.)
Vehicles not approved in writing may be towed at the owners expense.

Make:
Model:
Year:
Color:
License Number:
State:
2nd Vehicle Make:
2nd Vehicle Model:
2nd Vehicle Year:
2nd Vehicle Color:
2nd Vehicle License Number:
2nd Vehicle State:

Pets Description: (If Any)

Application Fee: $100.00
This is your application fee for credit check and processing.

Credit Card Type:	*
Name On Card:	*
Credit Card #:	*
Credit Card # CID (Note: The CID Number is the last 3 digits on the BACK SIDE of your credit card.)	*
Expire Date: (Ex: 04/05)	*

Agreement for Lease
Applicant agrees to execute the Landlord's standard Lease Agreement prior to taking occupancy. The deposit, listed heron, is acknowledged as a non-interest bearing deposit (and is not a rental payment) to be retained by lessor for the duration of the Applicant's occupancy of said apartment. >From the time this Application is executed, applicant has 24 hours to cancel this Application and receive all of the deposit back, less $25 per person for a credit check. If the applicant should fail, or refuse to occupy said apartment after 24 hours has lapsed, the entire deposit shall be retained by Owner as liquidated damages. The applicant hereby gives Owner, and it's authorized agents, permission to utilize all of the above information to approve or disapprove this Application for residency. This Application is made with the understanding that it is subject to acceptance by the Owner. Applicant agrees that no more than the number of persons listed herein shall occupy the premises. Upon signing, I acknowledgeI acknowledge receipt of this Application. Lessee understands that the giving of false information or tendering a bad check may, at Lessor's option, break and void any subsequent Lease. NO PETS SHALL BE KEPT ON THE PREMISES EXCEPT WITH THE LANDLORD'S RIDER AND PAYMENT OF RELATED CHARGES.