Apartment of Interest:
Address:
Number Bedrooms Wanted:
Applicant Name:*
Date of Occupancy:*
E-mail:*
Your Date of Birth:*
 / 
 / 
Social Security Number:*
Phone (check one):
Phone Number:*
-
Drivers License/State I.D. Number:*
Your Current Address:*
Emergency Contact Name:*
Emergency contact Address:*
Emergency Contact Phone:*
-
Present Landlord Name:
Landlord Address:
Landlord Phone:
-
Present Landlord email:
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:
1. Age:
1. Relationship:
2. Full Legal Name:
2. Age:
2. Relationship:
3. Full Legal Name:
3. Age:
3. Relationship:
4. Full Legal Name:
4. Age:
4. Relationship:

Employment

Occupation:*
Employer:*
Employer Phone:*
-
Employer Address:*
Number Years at Employer:*
Monthly Salary:*
Job Description:
How did you hear about us? (please check)
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:
 $ 
 . 

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.

Additionally, you authorize the release of information concerning my stay at properties managed by ______________________________. This information can include, but is not limited to: duration of stay, rent amounts, payment history, apartment condition upon my departure, and issues concerning compliance with or infringement on the policies and provisions in the Housing Agreement. This information may be provided to landlords with whom I am seeking tenancy, bank representatives evaluating my credit worthiness, or any agencies conducting background checks.

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:*

**IMPORTANT! Immediately after applying, scan or photograph copies of official ID and income verification (latest two months of pay stubs or financial statements) and email to [email protected].