Must Print Legiblyand100%Completely to Be Processed

WOODLAND PARK APARTMENTS App Fee: $______Received Date: 2340 Sunburst Bkvd Hold Fee$______Received Date: EVANSVILLE, IN 47714 Sec Dep: $______Received Date: PHONE: 812-471-1700 FAX: 812-471-9040 EMAIL: [email protected]

APPLICATION

Will not be processed until one received for each 18 yr old occupant / co-applicant / guarantor

MUST PRINT LEGIBLY AND 100% COMPLETELY TO BE PROCESSED

Photo ID required for viewing - do you have it with you? ______

How did you hear of us: ______

Why do you think you might want to live here / why are you applying here: ______

Describe what want/need: #BR: ______Type: ______Up/down: ______

Start/end dates: ______/______

Where physically on prop: ______Name: First: ______Full Middle: ______Last:______

Other known/aka/maiden: ______Mother’s Maiden Name: ______

SSN: ______DOB:______Date:______

Circle: Driv Lic or I.D.?______State: ______#: ______Exp Date: ______

Right to be in U.S.: ______Citizen? ______Reg Alien : ______

VISA type & Reg #: ______

Phones: Home: ____-______-______Work: ____-______-______Cell: ____-______-______

Emer.:____-_____-______Message: ____-______-______

Email: ______Fax office &/or home: ______Currently have any pets or anticipate any visiting pets? ______

POSSIBLE VISITORS OR PROPOSED OCCUPANTS Full name Occup or visitor D.O.B. SSN Smoke? Any Details You Occupant Above Above

Household mbr temp absent

Possible future

PROPOSED OWNED OR OPERATED VEHICLES (incl trailers, anything gas powered) Registered Year Make Model Color Lic St/# To

CONTACTS Co-Parent of Child(s) Parents or Friend Emer Contact Prior Spouse If Not Co- Siblings App Name Relationship Address Email Phone w/area code Home Cell Work Works:

REFERENCES Always Know Rel Not Live W/ Other family Credit Work Where Live Name Relationship Address

LIVE 10 + YEARS

2 Or Add Now Prior Prior Prior Pages Address w/zip Dates State/End Rent or Own Payment Landlord/Lender Name Address Phone Email Reason Move Email Phone w/area code Home Cell Work

INCOME 10 + YEARS Poss Future Incl Tax Current Cash Prior Prior Ref, Suits, Claims, Inherit Source Position Start-End Dates Gross/Net Reason Change Contact Name INCOME 10 + YEARS (CONT.) Current Cash Prior Prior Poss Future Incl Tax Ref, Suits, Claims, Inherit Supervisor Phone Address Email Expect Change? n/a n/a n/a

ASSETS Value Where Contact Verify Phone Checking Savings/Xmas Cash Stocks, CDs Pers Prop

Real Estate Whole Life Ins Net Worth Liquid Other

DEBT Creditor Address Phone Payment Balance Credit Cards Loans Cars Judgments Liens Unpaid Bills Other

4 TWO POSSIBLE GUARANTORS IF REQUESTED: Name: ______Contact info: ______

Relationship______

Name: ______Contact info: ______

Relationship______

YOU, CO-APPS, OCCUPANT, And POSSIBLE VISITORS EVER (if yes, describe in detail):

No / Yes Evict ever filed, threaten, or asked leave No / Yes Any problem with/from any landlord No / Yes Breach (or alleged) any contract or lease No / Yes Ever vacated before end of lease No / Yes Ever been given late notice/paid rent late No / Yes Ever refused to pay rent No / Yes Ever received notice to vacate No / Yes Filed bankruptcy No / Yes Foreclosure ever filed or threatened No / Yes Accused, arrested, charged, indicted, finding of probable cause or by preponderance of evidence of violating any law, crime, infraction, ordinance, traffic, common law, including juvenile No / Yes Ever a party to lawsuit, claim, court proceeding or mediation/arbitration or anything adversarial No / Yes Any Judgment against you

No / Yes Caused or accused property damage/left unsatisfactory condition No / Yes Deferred adjudication No / Yes Ever any registries including sex No / Yes Ever garnishments or attempts No / Yes Ever delinquent taxes No / Yes Ever claim against you or make claim against another No / Yes Ever Protective/Restraining Order sought or received by or against you No / Yes Ever made claim for money against anyone No / Yes Ever fail to appear at court No / Yes Ever have a bad check No / Yes Ever accused of violating parole/probation

Anything that we would want to know: ______

Anything that we may find that you wish to comment on: ______

If I ever owe any money past due including after occupancy ends and if in collections, I authorize landlord, its agents and attorney to charge below debit/credit card: YES/NO

Card Number: ______

Expiration Date: ______TRUTHFUL. I have personally answered or reviewed all information. I have a duty to immediately supplement, in writing, anything new or changing through the end of any lease if I lease including any subsequent conduct which would result in a different response. I affirm under penalties of perjury that everything is true and complete and anything false or incomplete including failure to supplement will be a breach of my lease if I lease with all remedies including eviction. Unanswered questions shall result in denial.

AUTHORIZATION I authorize Lessor and its counsel now and in future for any or no reason including collections to check public or private records or investigate, credit, criminal, employment, character and references including interviewing anyone. Landlord and its agents may contact anybody referenced in this application if I ever owe landlord money. I authorize everyone listed in this application, or anyone requested by Lessor or its counsel, to release any information or documents requested. Applicant will provide and sign any required requests to provide information. A faxed, copied, or email scan or this release is sufficient.

RELEASE I release, save harmless and indemnify Lessor, its agents and attorney and those who provide information of and from any and all allegations, claims, causes of action of any kind or nature whatsoever in any way growing out of or connected with this application, processing, or investigation, whether known or not, anticipated or not, discoverable or not, present or future, whether arising direct or not, including Lessor’s attorney fees.

LEASE . I have read the sample Lease and can and will comply with each provision if I am accepted. Application does not imply an invitation to lease. If Application is accepted I will execute Lease within any deadline given which could be within 24 hours of acceptance. If Application is accepted and landlord does not timely deliver possession, landlord is not liable for any damages. If Application is accepted and I later leave personal property, anyone mentioned in this Application may be given my personal property in the event of my abandonment, illness or death.

HOLD FEE. See Agent about amount

APPLICATION FEE. (Covers landlord’s costs including processing time) Application will not be processed until Lessor receives above App Fee plus $35, which is non-refundable whether Application is approved or not or withdrawn.

No oral agreement is binding. Application is with Lessor, not Lessor’s employees, agents, contractors or representatives, who have no authority to waive, amend, make promises, representations or agreements. Applicant waives any requirement of disposal of any consumer information, including 682 CFR 682.1 et seq.

Applicant Date

Application Taken By Date Received