NO PETS APPLICATION TO LEASE APARTMENT $25 Application Fee
Must Be Completed In Full
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Applicants:
1.Full Name____________________________________Social Security #_____-_____-_____Birthdate____/_____/_____
Present Address____________________________________________________ Phone (_____)______-_______
City________________________________State_____________Zip_______________
Landlord/Owner____________________________________ Landlord Phone (_____)______-_______
Current Employer____________________________Employer’s Phone (_____)______-_______Income$__________
2.Full Name____________________________________Social Security #_____-_____-_____Birthdate____/_____/_____
Present Address____________________________________________________ Phone (_____)______-_______
City________________________________State_____________Zip_______________
Landlord/Owner____________________________________ Landlord Phone (_____)______-_______
Current Employer_____________________________Employer’s Phone (_____)______-_______Income$________
Residents: Number of Adults Who Will Occupy Apartment______ Children ______
Children’s Names and Ages____________________________________________________________
Automobiles: Make/Model Color Tag Number
1 _____________________________________________________________________________________________
2 _____________________________________________________________________________________________
Nearest Relative (One for Each Applicant):
Name Relationship Address Phone
1 ______________________________________________________________________________________________
City____________________________________State_________Zip_____________
2 ______________________________________________________________________________________________
City____________________________________State_________Zip_____________
I certify that the information given on this application is true and correct. I authorize Lane Properties to contact any reference on this
application. I also authorize Lane Properties to contact the credit bureau for information and obtain a criminal background history. I have read
the reverse side and understand that processing of my application will not begin until all information on application is completed and a $25
application fee has been paid. WE DO NOT FEEL THAT THE UPSTAIRS UNITS ARE SAFE FOR SMALL CHILDREN BECAUSE OF
THE IRON AND CONCRETE STAIRWAY. IF YOU HAVE SMALL CHILDREN AND CHOOSE AN UPSTAIRS UNIT, YOU WILL BE
REQUIRED TO SIGN A WAIVER RELEASING US FROM LIABILITY.
________________________________________________
Desired Move In Date ______________ Signature of Applicant 1 Date
Desired Price Range ______________ ________________________________________________
Signature of Applicant 2 Date
Desired Floorplan & Community____________________________________________