Property # Unit Code Mkt. Rent

RENTAL APPLICATIONThank you for your interest in our apartment community. Please complete a separate application foreach adult applicant and please complete all requested information on the front and back of this form.

Size of apartment wanted: Desired date of Occupancy:

(1) GENERAL INFORMATIONApplicant's Social SecurityFu" Name: Number:

Driver's Date of MaritalLicense Number: State: Birth: Status:

Email Address:

Other Occupant(s):Name: Relationship: DOB:

Name: Relationship: DOB:

Name: Relationship: DOB:

(2) PERSONAL HISTORYApplicant & Co- Applicant's

Present Address: City: State: Zip:

Present Home Ce"ular Length of timePhone Number: Number: at Present Address: yr./mos.

Present Landlord/Mortgage Holder:

Landlord/Mortgage Holder Address: City: State: Zip:

Landlord Telephone Number: Amount of Rent:

Reason for moving:

Previous Address: City: State: Zip:

Previous Landlord Name: Telephone Number:

Reason for moving:

Length of time Do you own Musicalat Previous Address yr./mos. Furniture? Waterbed? Instruments? Pets?

(3) EMPLOYMENTHow Gross

Employer: Long? Position: Salary: /mo.

Employer's Address: City: State: Zip:

Telephone Number: Supervisor's Name:

IF EMPLOYED LESS THAN ONE YEAR •••Applicant Previous How GrossEmployment: Long? Salary: /mo.

Address: City: State: Zip:

Telephone Number: Supervisor's name:

Reason for leaving:

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(4) BANK REFERENCES

Applicant's Bank: Address: City: State: Zip:

Checking SavingsAccount Number: Account Number:

(S) CREDIT REFERENCESName: Account Number:

Name: Account Number:

(6) PERSONAL REFERENCESTelephone

Name: Relationship: Number:

Address: City: State: Zip:

(7) EMERGENCY CONTACT INFORMATION (someone other than personal reference)Person to notify incase of emergency: Relationship:

Address: Telephone: City: State: Zip:

(8) AUTOMOBILE INFORMATION

Make & Model: Color: Year: License Plate #:

Make & Model: Color: Year: License Plate #:

(9) CREDIT HISTORYHave you ever: Filed for bankruptcy? Been evicted? Willfullv refused to pay rent?

Circle all that apply Yes NO Yes No Yes No

I warrant that all statements above set forth are true; however, should any be a misrepresentation or not a true statementof facts, $ will be retained as a non-refundable fee to cover the agent's costs in processing my application.

I hereby deposit $ as earnest money, to be refunded to me if this application is not accepted, hereby waivingany claim for damages by reason of non-acceptance. Upon acceptance of my application, this deposit shall be retained as partof my move-in monies. The remainder of move-in monies will be paid, and a rental agreement signed before possession isgiven, or all deposits will be forfeited as liquidated damages in payment for the agent's time and efforts in processing thisapplication and making necessary inquiries on my credit.

I hereby authorize Jones & Jones Management Group, Inc. to obtain a consumer report, and any other information it deemsnecessary, for the purpose of evaluating my application. I understand that such information may include, but is not limited to,credit history, civil and criminal information, records of arrest, rental history, employment/salary details, vehicle records,licensing records, and/or any other necessary information. I hereby expressly release Jones & Jones Management Group, Inc.and any other procurer or furnisher of such information, and understand that my application information may be provided tovarious local, state and/or federal government agencies, including without limitation, various law enforcement agencies.

Signature of Applicant: Date:

Circle One:Total Received $ Cash Check Money Order Credit Card

Jones & Jones Management Group, Inc. Agent - Received by: Date:

FOR OFFICE USE ONLY IDate application called in: By:Property # Unit Code Address:Approved: Date: Not Approved: Date:

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