APPLICATION

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* Are you a student?

Address/Unit Applying For:

Date Needed:

Personal Information

* First Name:

* Last Name:

* Cell Phone:

* E-mail Address:

* Tenant SSN:

* Driver's License #:

* Date of Birth:

Current Place of Residence

* Street:

* City:

* State:

* Zip:

* Who is your Landlord/Management Company?

* Landlord/Management Phone #:

Pets

* Do you or any or any of your roommates have a pet?

Vehicle Information

Make:

Model:

Color:

Year:

License Plate #:

Employment Information

* Do you have a job?

Security Desposit Return Address

* Street

* City

* State:

* Zip

I HEREBY AUTHORIZE COLLEGE CITY REALTY TO CHECK ALL CREDIT, LANDLORD, EMPLOYMENT AND OTHER REFERENCES.

* Applicant Signature

* Date

I understand my application cannot be approved until a full deposit is received by Owner. If my application is not approved, I understand I will receive a full refund of my deposit and this application is void. I agree, if approved as a tenant, should I desfult on any terms of the Lease Agreement with College City Realty including but not limited to a refusal to occupy the Leased Premises, I hereby forfeit my full deposit to College City Realty as liquidated damages.

Type what is shown above.