Rental Application"*" indicates required fieldsStep 1 of 714%A Separate Application Required for Each Applicant.Desired Date of Move In MM slash DD slash YYYY Desired Lease Term 12 months OtherSpecify Other Lease TermUnit Type1 Bedroom - Cottage Creek Estates2 Bedrooms - The Keep at Pine GroveOtherSpecify Other Unit TypeAPPLICANT INFORMATIONName (Full Legal Name)* First Middle Last Social Security Number*Date of Birth* MM slash DD slash YYYY Home Phone*Work PhoneEmail Driver's License / ID Number*State*Please provide a copy of your photo ID.Max. file size: 1 GB.OCCUPANTS AND RELATIONSHIP TO APPLICANTListNameRelationship Add RemoveAPPLICANT / OCCUPANT VEHICLE(S)ListMakeModelYear Add RemoveEMPLOYMENT HISTORYCurrent EmployerAddress Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneSupervisorStart Date MM slash DD slash YYYY Still Employed? Yes NoEnd Date MM slash DD slash YYYY Previous EmployerAddress Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneSupervisorStart Date MM slash DD slash YYYY End Date MM slash DD slash YYYY RENTAL HISTORYCurrent Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Dates lived at this address:From MM slash DD slash YYYY To MM slash DD slash YYYY Reason for LeavingLandlord / Manager's NameLandlord / Manager's PhonePrevious Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Dates lived at this address:From MM slash DD slash YYYY To MM slash DD slash YYYY Reason for LeavingLandlord / Manager's NameLandlord / Manager's PhoneINCOMEINCOME REQUIREMENTS: To be considered for residency at Cottage Creek Estates a minimum income of $1,500 is required.INCOME REQUIREMENTS: To be considered for residency at The Keep at Pine Grove a minimum income of $3,200 is required.Gross Montly Employment Income Before DeductionsGross Monthly Income from Other Sources (average)TOTAL GROSS MONTHLY INCOMEPlease provide proof of your monthly income (paystubs or other income documents)Max. file size: 1 GB.CREDIT & FINANCIAL INFORMATIONChecking - Institution NameBranchSavings - Institution NameBranchCREDIT CARDSType of Credit CardAmount OwedMonthly PaymentType of Credit CardAmount OwedMonthly PaymentVEHICLE LOANSType of VehicleMonthly PaymentType of VehicleMonthly PaymentOTHER CREDITTypeCreditorMonthly PaymentMISCELLANEOUS INFORMATIONDo you have pets? Yes NoPlease describe your petsNOTE: Additional fees and/or deposits are required for pets housed on premises. In addition, specific rules and regulations regarding pets may apply. **One pet allowed per unit, under 40lbsDo you smoke? Yes NoDo you plan to have water filled furniture on the rental property? Yes NoPlease describe the water filled furnitureHave you ever been evicted? Yes NoPlease explainHave you ever been convicted of a felony? Yes NoPlease explainHave you ever filed for bankruptcy? Yes NoPlease explainAPPLICANT PERSONAL REFERENCESPlease provide 3 personal references.Reference Name #1 First Last RelationshipAddress Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneHow long have you known this reference?Reference Name #2 First Last RelationshipAddress Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneHow long have you known this reference?Reference Name #3 First Last RelationshipAddress Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneHow long have you known this reference?APPLICANT EMERGENCY CONTACTEmergency Contact Name First Last RelationshipAddress Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneConsent* I agree.*I understand that if my application is approved, I am required to carry renter's insurance at my own expense and that a copy of the policy must be provided to management.Consent* I agree.*I hereby certify and affirm that all information provided above is true and correct. I fully understand that my lease or rental agreement may be terminated if I have made any false, misleading or incomplete statements in this application. I hereby authorize verification of all information provided in this application, including financial and credit information , via a credit bureaus and/or contact with current and previous employers, current and previous landlords and personal references.SignatureDate MM slash DD slash YYYY CAPTCHAΔ