Rental Application

Community

Apartment #

Date

# of Applicants

PART I

Applicant

Work Phone

Home Phone

Date of Birth

SS #

DL #

In case of emergency notify:

Telephone

Do you have any pets? If so, Type & Breed:

Weight:

PART II RESIDENCE HISTORY

Applicant Present Address

City, State

Zip

How Long?

Present Landlord

Telephone

Payment

PART III
APPLICANT INCOME HISTORY CURRENT & PREVIOUS 2 YEARS

Name of Applicant Receiving Income

Source of Income

City

State

Telephone

How Long?

Gross Monthly Income

TRANSPORTATION

Type of Auto

Tag No.

State

Do you have any recreational vehicles, boats, motorcycles? (If so, please specify):

Acceptance

I hereby authorize Park Lane Apartments, LLC, any of their agents, to confirm the information listed in my application. This authorization includes, but is not limited to, employment verification, performing a background check and ordering a credit report from any credit reporting agency. Any false information given will result in rejection of this application.By submitting this information, Applicant agrees that this application is a binding contract between Park Lane Apartments, LLC and the persons listed on the application. Upon receipt of the application, Park Lane Apartments, LLC will conduct a credit check and a criminal background check. Applicant acknowledges that this application is subject to the review and approval of Park Lane Apartments, LLC and that Park Lane Apartments, LLC has the sole discretion to decide if Applicant can rent this apartment. Applicant authorizes Park Lane Apartments, LLC to confirm the information listed in the application, with Applicant’s employer, and any credit reporting agencies. Any false information given will result in rejection of this application.In order for the application to be processed, a non-refundable credit and background check fee of $20 per applicant is needed. In order to reserve the unit of your choice, a deposit equal to one month's rent must be collected.Should you cancel your application within seventy-two (72) hours, you will receive a full refund of the deposit. Should the application be canceled after 72 hours, or you fail to execute the approved rental agreement or refuse to occupy the premises on the agreed upon date, all monies will be forfeited.

716.703.0796

rental application

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