Lease Application

PLEASE READ NOTICES BEFORE COMPLETING LEASE APPLICATION

Apartment of Interest:

Address:

Street AddressCityState / Province / Region

Number Bedrooms Wanted:

Studio

Applicant Name:*

First

Last

Date of Occupancy:*

E-mail:*

Your Date of Birth:*

day

month

year

Social Security Number:*

Phone (check one):

Home

Work

Cell

Phone Number:*

Area Code

Phone Number

Drivers License/State I.D. Number:*

Your Current Address:*

Street AddressCityStatePostal / Zip Code

Emergency Contact Name:*

First

Last

Emergency contact Address:*

Street AddressCityStateZip Code

Emergency Contact Phone:*

Area Code

Phone Number

Present Landlord Name:

Rent Amount:

Number years at present address:

Reason for moving:

List pets (dog, cat, breed, weight, age). If no pets, enter "NONE":*

Other Person(s) to occupy apartment

**NOTE** Occupants 18 years and older must submit separate application.

Total number of persons to occupy apartment (list details below):*

1. Full Legal Name:

First

Last

1. Age:

1. Relationship:

2. Full Legal Name:

First

Last

2. Age:

2. Relationship:

3. Full Legal Name:

First

Last

3. Age:

3. Relationship:

4. Full Legal Name:

First

Last

4. Age:

4. Relationship:

Employment

Occupation:*

Employer:*

Employer Phone:*

Area Code

Phone Number

Employer Address:*

Street AddressCityState / Province / RegionPostal / Zip Code

Number Years at Employer:*

Monthly Salary:*

Job Description:

Application Fee - The amount $50 should appear in this field; upon submission you will be redirected to PayPal for payment. Payment is accepted by credit/debit card or PayPal balance:

Dollars

Cents

By submitting this form, you acknowledge that you authorize MLC Properties and Management to check your credit experience to determine your qualification to enter into a lease agreement with MLC Properties and Management.

To complete your application, please check the following acknowledgements and click the SUBMIT button at bottom of page.

By checking "I Agree" box below, I acknowledge that I have read the Lease Disclosures and agree to terms therein:

Acknowledgement:*

I Agree

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PLEASE READ NOTICES BEFORE COMPLETING LEASE APPLICATION

Other Person(s) to occupy apartment

Employment

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