Complex: Please Select One Crown Suites Rockingham Estates

Month Needed Pick One January February March April May June July August September October November December

# of Bedrooms Pick One One Bedroom Two Bedroom Furnished

# of people who will live in APT 1 2 3 4

Floorplan of Interest :

Crown Suites - Choose Upper Front /1 Bedroom Lower Front/1 Bedroom Upper Back/1 Bedroom Lower Back/1 Bedroom Lower Front/2 Bedroom Upper Front/2 Bedroom Upper Back/2 Bedroom Lower Back/2 Bedroom or Rockingham Estates- Choose Manchester/Lower Windsor/Lower Edinburgh/Lower Waterford/Upper-No Units Below Alexander/Upper-No Units Below Featherstone/Upper-No Units Below Ashmark/Upper-No Units Below Nottingham/Uppers in Back Kingsford/Uppers in Back

Your Name:

Spouses' or Maiden Name :

Spouse Date of Birth:  

Home Phone: Your Daytime Phone:
Mobile Phone: e-mail:

Date of Birth:  

Your Current Address:
(please include apt. #, city, state, & zip)

Date Moved In       Date Moved Out  

Reason for Leaving:

Pets: Pick One Yes No pets Type:

Your Current Landlord's Name:

Your Current Landlord's Phone:

Your Previous Address:
(please include apt. #, city, state, & zip)

Date Moved In       Date Moved Out  

Reason for Leaving:

Your Previous Landlord's Name:

Your Previous Landlord's Phone:

Have you ever been convicted of a crime? Pick One Yes No
If YES explain:


Have you ever been evicted or served an eviction notice? Pick One Yes No
If YES explain:

Employer: Date Started:  

Position: Income:

Supervisor's Name: Phone:

Vehicles:
Make: Year: License Plate:
Make: Year: License Plate:

How You Heard About Us : Pick One Resident Drive By Newspaper Apartment Review Search Engine

If Resident Their name :

Emergency Contact :

Relationship :

Home Phone :  

Work Phone :

Address :
(please include apt. #, city, state, & zip)

Comments:


Please read the following before submitting your application. Thank you.

RECEIPT IN THE SUM OF $0.00 IS HEREBY ACKNOWLEDGED. THIS DEPOSIT IS TO BE RETURNED TO THE APPLICANT IF THE APPLICATION IS REJECTED. IF ACCEPTED, THIS SUM WILL BE APPLIED TO THE FIRST MONTH'S RENT. AT THE TIME THE LEASE IS SIGNED, THE APPLICANT AGREES TO PAY THE ENTIRE SECURITY DEPOSIT DUE PLUS THE BALANCE OF THE FIRST MONTH'S RENT. IF THE APPLICANT REFUSES TO SIGN THE LEASE AFTER THE APPLICATION HAS BEEN APPROVED, ACTUAL CHARGES INCURRED WILL BE DEDUCTED FROM THE DEPOSIT AND THE BALANCE, IF ANY, REFUNDED.

A GUARANTOR MAY BE REQUESTED IF APPLICANT DOES NOT QUALIFY. IF REQUESTED, A CO SIGNER/GUARANTOR FORM MUST BE SIGNED, RETURNED AND APPROVED BEFORE OCCUPANCY. IN NO WAY WILL APPLICANT BE RELIEVED OF DUTY OF LEASE IF CO-SIGNER FORM IS NOT RETURNED.

THE UNDERSIGNED AGREE(S) THAT THE LANDLORD SHALL HAVE UP TO TWENTY-ONE (21) CALENDAR DAYS FROM ACCEPTANCE OF THE EARNEST MONEY DEPOSIT TO APPROVE OR DENY THE RENTAL APPLICATION. NOT LESS THAN SEVEN (7) DAYS AFTER THE START OF THE TENANCY, TENANT MAY REQUEST, IN WRITING, THAT LANDLORD PROVIDE TENANT WITH A LIST OF PHYSICAL DAMAGES OR DEFECTS, IF ANY, CHARGED TO THE PREVIOUS TENANT'S SECURITY DEPOSIT.

THIS APPLICATION IS NOT A RENTAL AGREEMENT, CONTRACT, OR A LEASE. ALL APPLICATIONS ARE SUBJECT TO APPROVAL OF OWNER OR MANAGING AGENT. TO THE BEST OF MY/OUR KNOWLEDGE, ALL OF THE ABOVE INFORMATION IS TRUE. I HEREBY AUTHORIZE ALL PERSONS OR ENTITIES LISTED HEREIN TO RELEASE ANY INFORMATION IN THEIR POSSESSION KNOWN TO THEM CONCERNING ME. A COPY OF THIS APPLICATION SHALL SERVE AS THE AUTHORITY FOR THE RELEASE OF ANY SAID INFORMATION. I FURTHER AUTHORIZE DEMOULIN PROPERTIES, LLC, AND ITS EMPLOYEES AND AGENTS TO MAKE SUCH INQUIRES AS IS DEEMED NECESSARY FOR ACTION AND DETERMINATION UPON THIS APPLICATION. APPLICANT IS ENTITLED TO REVIEW THE LEASE, RULES AND REGULATIONS, AND ANY OTHER FORMS AS MAY BE REQUIRED FOR OCCUPANCY, AND IN SIGNING THIS FORM ATTEST THAT THEY HAVE IN FACT DONE SO TO THEIR SATISFACTION.

MANAGEMENT RESERVES THE RIGHT TO REQUIRE W2 FORMS, CHECK STUBS OR OTHER DOCUMENTATION OF INCOME AT TIME OF APPLICATION OR LEASE RENEWAL. THE FAIR CREDIT REPORTING ACT, PUBLIC LAW 91-508, REQUIRES THAT WE NOTIFY YOU THAT AS PART OF OUR NORMAL PROCEDURE A ROUTINE INQUIRE WILL BE MADE. THIS INQUIRY WILL PROVIDE APPLICABLE INFORMATION CONCERNING CHARACTER, GENERAL REPUTATION AND MODE OF LIVING. UPON WRITTEN REQUEST, ADDITIONAL INFORMATION AS TO THE NATURE AND SCOPE OF THE REPORT IF ONE IS MADE WILL BE PROVIDED. OCCUPANCY LIMIT IS 2 PERSONS PER BEDROOM.