Name(s):
Current Address:
City:
State:
Zip:
Phone:
Soc. Sec.#:
Date of birth:
Age graduated:
Major:
Minor:
Employer:
Employer's address:
Phone:
Supervisor:
Years there:
Drivers License#:
Make and color of car:
License #:
Bank name:
Checking account#:
Do you own or rent your personal address? :	Own      Rent
Personal reference:
Address:
Phone:
Pervious landlord:
Address:
Phone:
PARENTS OR LEGAL GUARDIAN:
Name(s):
Address:
City:
State:
Zip:
Phone:
Have you ever been evicted, asked to vacate, or otherwise vacate a rental premise under circumstances other than ordinary expiration?:
	YES     NO
If yes, please explain :
Emergency Contact:
Address:
City:
State:
Zip:
Phone:
Relationship to Contact:
Rent quoted:
Security deposit:
Date of occupancy:
I understand that if this application is approved, it is subject to the following terms and conditions; 1. I (We) affirm and warrant that the above information is true and is given to induce rental of premises. 2. Upon approval, I (We) will have read and understand the lease and agree to sign same for rental term and abide by same. 3. No person other than those specified on lease shall occupy premises. 4. A copy of drivers' license will be provided with application. 5. I give my permission to Poteete Rental Properties to conduct a background, reference, credit, landlord check and employment verification. Email address:"required to submit web form" How did you learn about our apartments?: Web Newspaper Tenant Phone Book Drive by Other