| INCOME Current employment status: Full-time_____ Part-time_____ Student_____ Retired_____ Self-employed_____ Unemployed_____ Other_______________________________________________________________________________________ Name/Address/Phone of primary employer:_________________________________________________________________________ ___________________________________________________________________________________________________________ Position:______________________________________________________ Length of employment:_________________________ Monthly salary:______________________ Supervisor’s name/position:________________________________________________ Additional Income (optional): If there are additional sources of income you wish to have considered, please list below. This section is optional. Additional source:__________________________________________________________ Monthly Income:____________________ Contact person/phone:________________________________________________________________________________________ Is it anticipated that this source will continue throughout your residency with us: Yes / No CREDITORS/LOANS Vehicle Make/Model/Color/Year:________________________________________________________________________________ Vehicle tag:______________________ State:_____ Is your vehicle: Owned/Financed/Leased Financed/Leased through:__________________________________________________ Monthly Payment:$__________________ Please list all other significant monthly payment obligations and amounts:__________________________________________________ ___________________________________________________________________________________________________________ REFERENCES Personal Reference Name/Address/Phone:_________________________________________________________________________ ___________________________________________________________________________________________________________ Relationship:_____________________________________________________________ How Long:_________________________ Do you give us permission to contact listed references and emergency contacts, both now and in the future, for rental considerations and collection purposes should it be deemed necessary: Yes / No HOW DID YOU HEAR ABOUT US? Please let us know how you heard about us. _____Newspaper Ad – Post / Journal/ Other _____Internet Posting – Craig’s List / Backpage / Other _____Sign Posted in a Retail Store – Wal-Mart / K-Mart / Shop N Save / Other _____Referral by Existing Resident – Name:_______________________________________________________________________ _____Drive-by/Our sign _____Other – Please explain:__________________________________________________________________________________ RENTAL COMMENTS • We charge an additional fee each month for sewer and water that runs generally between $30-$35. This is in addition to the rent. • We DO NOT accept cash. Please use checks or money orders payable to: Maryland Manor Apts. • Be sure to keep all rental receipts, especially for money order payments. • Your deposit will be equal to your base rent. • You should receive a lease and all other documents prior to moving in. • If your unit was not ready as promised, please call the owner at 314/220-0663. RENT RECAP • $____________ - Base Rent • $____________ - Indoor Smoking Fee • $____________ - Additional Occupants at $5 Each • $____________ - Pet Fee/Note Additional Pet Deposit Here $__________ • $____________ - Utilities – This cost varies each month and will be paid in arrears. • $____________ - Promotions/If Any, Please List Here $__________ • $____________ - Total Rent Due on the 1st of Each Month THANK YOU Thank you for completing our application and considering us for your new home. Please note that a completed application requires the following: _____Copy of driver’s license or government ID/_____Application fee/_____Signature below A $25 application fee is required and will be used to verify some/all information contained herein. By signing below, applicant hereby represents all above information is true and accurate and authorizes current and annual verification of information, references, and credit history for continual rental consideration or collection purposes. SIGNATURE:__________________________________________________________ DATE:_______________________________ |