Columbus Park Apartments: Secure Online Application Form

PERSONAL INFORMATION
Full Name
Social Security Number
Date of Birth
Marital Status
Drivers License Number and State
Phone:
Cell:
Email Address:
Present Home Address, including City, State, and Zip:
Length of Time at Present Home Address:
Present Landlord's Name and Phone:
Reason for Leaving:
Amount of Rent:
Is your present rent up to date?YES NO
Previous Home Address, including City, State, and Zip:
Length of Time at Previous Home Address:
Previous Landlord's Name and Phone:
Reason for Leaving:
Amount of Rent:
Was your rent up to date?YES NO
Next Previous Home Address, including City, State, and Zip:
Length of Time at Next Previous Home Address:
Next Previous Landlord's Name and Phone:
Next Reason for Leaving:
Amount of Rent:
Was your rent up to date?YES NO
PROPOSED OCCUPANT(S)
Name:
Relationship:
Occupation:
Age:
Name:
Relationship:
Occupation:
Age:
Name:
Relationship:
Occupation:
Age:
Name:
Relationship:
Occupation:
Age:
Name:
Relationship:
Occupation:
Age:
PROPOSED PET(S)
Name:
Type/Breed:
Age:   INDOOR OUTDOOR
Name:
Type/Breed:
Age:   INDOOR OUTDOOR
Name:
Type/Breed:
Age:   INDOOR OUTDOOR
VEHICLE(S) INFORMATION
Year:  Make:  Model:  Color:  Plate #:  State:
Year:  Make:  Model:  Color:  Plate #:  State:
EMPLOYMENT
Current Employer:
Occupation:  Hours per Week:
Supervisor:
Phone:  Years Employed:
Address:
City/State/Zip:
Current Employer:
Occupation:  Hours per Week:
Supervisor:
Phone:  Years Employed:
Address:
City/State/Zip:
INCOME
Current Income:  WEEKLY BIWEEKLY MONTHLY YEARLY  Source:  Proof of IncomeYESNO
Current Income:  WEEKLY BIWEEKLY MONTHLY YEARLY  Source:  Proof of IncomeYESNO
Current Income:  WEEKLY BIWEEKLY MONTHLY YEARLY  Source:  Proof of IncomeYESNO
CREDIT CARD/FINANCIAL INFORMATION
Car Loan Lien Holder:
Balance Owed: Monthly Payment Creditor's Phone #
Credit Card Company:
Balance Owed: Monthly Payment Creditor's Phone #
Credit Card Company:
Balance Owed: Monthly Payment Creditor's Phone #
Credit Card Company:
Balance Owed: Monthly Payment Creditor's Phone #
Child Support/Other Credit Owed:
Balance Owed: Monthly Payment Creditor's Phone #
Bank Account - Name of Bank:
Balance: Monthly Payment Account #
EMERGENCY/PERSONAL REFERENCE INFORMATION
Emergency Contact: Relation:
Home or Cell Phone: Work Phone:
Emergency Contact: Relation:
Home or Cell Phone: Work Phone:
Personal Reference: Relation:
Home or Cell Phone: Work Phone:
Personal Reference: Relation:
Home or Cell Phone: Work Phone:
APPLICANT QUESTIONNAIRE/AUTHORIZATION
Has applicant ever been sued for bills:YES NO
Has applicant ever been locked out of his/her apartment by the sheriff:YES NO
Has applicant ever been bankrupt:YES NO
Has applicant ever been brought to court by another landlord:YES NO
Has applicant ever been guilty of a felony:YES NO
Has applicant ever moved owing rent or damaged an apartment:YES NO
Has applicant ever broken a lease:YES NO
Is the total move-in amount available now (rent and deposit):YES NO
Upload Legal ID or Drivers License:
DIGITAL SIGNATURE: Applicant authorizes the Landlord to contact past and present landlords, creditors, credit bureaus, neighbors and any other sources deemed necessary to investigate applicant. All information is true, accurate, and complete to the best of applicant's knowledge. Landlord reserves the right to disqualify tenant if information is not as represented.
ANY PERSON OR FIRM IS AUTHORIZED TO RELEASE INFORMATION ABOUT THE UNDERSIGNED UPON PRESENTATION OF THIS FORM OR A PHOTOCOPY OF THIS FORM AT ANY TIME.
Please type your full, legal name, and today's date, to indicate acceptance
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