Starkville Apartments

Name and Address
Name

Male Female

Date of Birth

Driver's License #

Present Address

City, State and Zip Code

Home Telephone

Cell

Email Address

Employer
Applicant's Employer

Telephone

Position

Supervisor

Landlord/Mortgage Holder
Landlord/Mortgage Holder

Own Rent

Telephone

Reason For Moving

Other Personal Information
Spouse/Roommate

Male Female

Date of Birth

Driver's License #

Home Telephone

Cell

Telephone

In Case of Emergency Notify

Relationship

Telephone

Address

Nearest Relative Not Living With You

Telephone

Cell

Vehicle To Be Parked On Premises

Tag

Color

Have you or your roommate ever broken a lease or been evicted from an apartment? If yes explain:

Have you or your spouse/roommate ever been arrested for violating any law? If yes explain:

By submitting this form/application, I (we) certify that the above information is true and correct, to the best of my (our) knowledge. I (we) understand that you will retain this application whether or not it is approved. You are authorized to check my credit, employment, character, general reputation and if deemed necessary, a criminal investigation. I (we) further understand that approval of this application is based all or in part on the information contained herein. I (we) understand that this application shall be made part of the said lease. Incorrect information supplied may be grounds for termination of said lease.

I (we) understand I (we) acquire no rights in an apartment until: (1) This apartment is approved and we accept it; (2) A lease contract is signed by all parties and I (we) make the required security deposit; (3) I (we) pay all rent due in advance before occupancy is given and accepted.