Lease Application

Apartment of Interest:

Address:

Street AddressCityState / Province / Region

Number Bedrooms Wanted:

Studio

Date of Occupancy:

Applicant Name:*

First

Last

E-mail:

Your Date of Birth:*

day

month

year

Social Security Number:*

Home Phone:

Area Code

Phone Number

Cell Phone:

Area Code

Phone Number

WorkPhone:

Area Code

Phone Number

Drivers License Number:

Your Current Address:*

Street AddressCityStatePostal / Zip Code

Present Landlord Name:

Rent Amount:

Number years at present address:

Reason for moving:

Other Person(s) to occupy apartment

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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Other Person(s) to occupy apartment

Employment

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