Document 6493632

Transcription

Document 6493632
Instructionson How to Completethe UniversityWalk Application
o
o
Completeall fields- DO NOT LEAVE ANY BLANKS! If a specificfield doesnot apply, please
explain.
Each applicationis specific to the individual completingit. Do not ref-erence
someoneelse's
informationas your own.
***{<{<**r,<**trrr+X<********rr*{<{<*************<*X<*t<**i<d<rrJr**d<****>k'k,k
o
Name: Exactlyas it appearson your ID. Clear copiesof cumentStateIssuedPhoto l.D. (Drivers
I-icense)must be submittedfbr eachApplicant/Guarantorprior to applicationsbeing processed!
This is./br idenlity verificutionpurposesonly.
.
Current Home Address:
Pleasef-ill this out completely,even if it is the same as on your
drivers' license.(Do not write "SAMtr") Pleaseprovidea minimum of 2 yearsresidentialhistory,
including rental amount.current owner or manager'sname and phone numbers.If you live at
homeand do not pay rent.list the appropriatenamesof the ownerand $0 rent.
.
Work: Pleasefrll this out completely,with names,addresses
and monthly incomc. If you are a
please
list the nameand addressof the schoolyou are/ will be attending.Pleaselist your
student.
llnancial aid as income with anticipateddollar amounts.Pleaseprovide a minimum of 2 years
empfoyment/schoolhistory. **Your comhinedmonthlyinutmc./iom ull ,\ourcesmust bc 3x your
monthlyranl**
o
Pleaselist namesof credit refbrences(no accountnumbersnecessary.)If
Credit History:
you are dcpcndenton outsidesupport(cxample:parentalsr-rpport.
social security.pcnsion,etc.)
pleaselist the source and monthly dollar amount under: "Othcr non-work incomc you want
considered."
o
'l'his
Rental/Criminal History:
mustbe completeand accurate.
Checkall that apply.If noneof
the listedsituationsapply.pleasewrite "NONE" and initial on the linesprovided.
o
Spouse:
o
'l'his
'l'hese
Other Occupants: Pleasereadcarefully.
is not roommates.
are minor childrenthat
will be living with you. Pleasewrite "NONE" if applicable.
.
Vehicles:
.
Whyyou rented here:
Pleasebe sureto includenameof the individuallocatorthatrefbrred
you to us and madean appointmentfbr you to tour our community.
o
Emergency: Pleasecompletewith f-ullname,address.phoneand relationshipto you.
o
PAGE I APPLICATION:
applicable.)
o
PAGE 2 APPLICATION:
Read the application Agreement and go to the bottom, Original
signuturesrequired"fitrapplicanl (and spouse,if applicable.)
o
STATEMENT OF RENTAL POLICY:
ReadPage3 and sign the bottom of page4. Original
signaturesrequired.fbrapplicant (and spouse,iJ applicable.)and guarantors.
Only legalunionswill be recognized.If you arenot married,pleasewrite "NONE,."
Completeor write "NONE" if applicable.
Original ,signatures required .fbr applicunt (and spouse, if
University
WalkApartmentHomes
STATEMENT
OFRENTALPOLICY
2009
Welcometo our community.Eeforeapplyingto rent an apartment,pleasetake the time to reviewthis Statementof RentalPolicy. For the purposeof
t h i s d o c u m e n t , t h e t e r m " a p p l i c a n t " i s d e f i n e d a s t h e p e r s o n o r p e r s o nbsews hi gonwi ni l gl t h e L e a s e a s t h e " R e s i d eAnnt a
" .p p l i c a n t m u s t b e l S y e a r s
o f a g e o r o l d e r t o q u a l i f y a s a r e s i d eAnltl.i n d i v i d u a l s l S y e a r saogf e o r o l d e r m u s t c o m p l e t e a n a p p l i c a t i o n a n d b e l i s t e d a s a " R e s i d e n t " o n t h e L e a s e
A g r e e m e n tT. h e t e r m " o c c u p a n t ' i s d e f i n e d a s t h e p e r s o n o r p e r s o n s wbheol w
i sitlel d o n t h e l e a s e a g r e e m e n t w h o i s u n d e r t h e algSe, o
a fn d w h o i s
residingat this community. Some criteriaapplyto the applicantsonly, other criteriaapply to all occupants. Pleasenote that this is the currentrental
criteriafor this community,nothingcontainedhereinconstitutesa guaranteeor representation
that all residentsand occupantscurrentlyresidinghere
have met these requirements.There may be indivrdualswho began residingat this communityprior to this particularcriteriongoing into effect;
additionally,the abilityto verify whetherthese requirementshave been met is limitedto the reliabilityof informationreceivedfrom applicantsand
outsideservicesused.
EQUAL HOUSING: University Walk Apartment Homes is an Equal HousingOpportunityProvider. We do busaness
in accordanceto the Federal
F a i r H o u s i n gA c t a n d d o n o t d i s c r i m i n a t a
e g a i n s ta n y p e r s o nb e c a u s eo f r a c e , c o l o r , r e l i g i o n s, e x , h a n d i c a pf,a m i l i a ls t a t u so r n a t i o n a o
l rigin.
we providehousingin accordancewith all other stateor local laws if those laws providegreaterprotectionthan the FederalFair Housinq
Additionally,
Act.
APARTMENTAVAILIBILITY: Applicationsfor apartmenlhomeswill be acceptedon a first come - first serve basisand are subjectto the availability
of the particularapartmenttype requested "Availability"
does not necessarilymean that an apartmentwill definitelybe availablefor occupancyby an
applicantat the estimateddate. "Available"apartmentsincludethosewhere a "Noticeto Vacate"has been submittedby an existingresidentindicating
anjntentiontovacateonoraboutacertainda
t
e
U n d e r c e r t a i n c i r c u m s t a n c e s , wpeewr im
llitcurrentresidentswhoarenotindefaultoftheirleaseto
withdrawor changetheir noticeof moving. Othercircumstancesnot necessarilyunder management'scontrolmay also delaythe date of availabilityof
an apartment. In addition,an apartmentmay not be consideredavailablebecauseit is about to be placedundercontractas an applicationhas been
m a d e a n d a d e p o s i t p l a c e d t o h o l d t h e a p a r t ml e
f tnhte. a p p l i c a n t ' s c r e d i t i s n o t a p p r o v e d o r i f t h e a p p l i c a n t f a i l s t o s i g n a L e a s e b y t h e s p e c i f i e d d a t e ,
then the apartmentwould again become available Whethera particularunit or type of apartmentis availablecan vary significantlywithin several
h o u r so r a d a y .
RENTAL CRITERIA: All applicantsand co-signersmust agreeto the followingby executingthis Statementof RentalPolicy,a rentalapplicationform,
Applicant(s)herebyconsentto allow University Walk Apartment Homes, throughits designatedagent and lts employees,to obtain and verify my
creditinformationincludinga criminalbackgroundsearchfor the purposeof determiningwhetheror not the applicantis eligibleto leasean apartment.
Applicantunderstandthat upon leasingan apartment,University Walk Apartment Homes and its agent shall have a continuingright to reviewmy
creditinformation,rentalapplication,criminalbackground,paymenthistoryand occupancyhistory Faxedsignaturesare acceptablehowever;original
s i g n a t u r em
s u s tb e o b t a i n e dp r i o rt o m o v ei n .
lncome: The combined income of the applicant(s)is required to meet University Walk Apartments minimum income criteria. The three types
of income used to establish the income to rent ratio eligibility are employment income, other income and personal assets. Please consult a
leasing associatefor the specific income to rent ratio designatedfor University Walk Apartments.
S C O R I N GO F Y O U R C O N S U M E RC R E D I TR E P O R T : l f a l l a p p l i c a n t s 'c o m b i n e d i n c o m e m e e t st h i s p r o p e r t y ' si n c o m e r e q u i r e m e n t sf o r t h e
a p a r t m e n ti n w h i c h a p p l i e df o r , U n i v e r s i t yW a l k w i l l p r o c e e di n r u n n i n ga t h o r o u g h c r e d i t c h e c k o n a l l a p p l i c a n t sa g e 1 8 a n d o l d e r t h a t a p p l y
for residency. University Walk Apartment Homes uses an expertstatisticalcreditscoringsystemto evaluateconsumercreditreport. Creditscoring
is basedon real data and statistics,so it treatsall applicantsobjectively.Your consumercreditreportcontainsinformationabout you and your credit
experiences,such as your bill paymenthistory,the numberand type of accountsthat you have late payments,collectionactions,outstandingdebt,and
the age of your accounts Usinga statisticalprogram,we comparethis informationto the credittrendsof otherconsumersto predicthow likelyit is that
you will pay your rent in a timelymannerand fulfillyour lease obligations lf you would like informationregardinghow to improveyour credit score,
pleaselet us know and we will provideyou with more detailedinformationregardingthis process. Basedupon your creditscore,your applicationwill
be accepted,rejectedor acceptedon the conditionthat an additionalsecuritydepositis paid. lf your applicationis rejectedor acceptedwith conditions,
y o u w i l l b e g i v e nt h e n a m e ,a d d r e s sa n d t e l e p h o n en u m b e ro f t h e c o n s u m e r e p o r t i n g
a g e n c i e sw, h i c hp r o v i d e dy o u rc o n s u m ear n f o r m a t i ot on u s . A n
applicantreJectedfor unsatisfactory
creditis encouragedto obtaina copy of the creditreport,correctany erroneousinformationthal may be on the
reportand submita new applicationto this communityfor furtherconsideratton.
C R I M I N A LB A C K G R O U N DC H E C K S : l f y o u r a p p l i c a t i o ni s a c c e p t e do r a c c e p t e dw i t h c o n d i t i o n s ,w e w i l l c o n d u c t a c r i m i n a l b a c k g r o u n d
search, including but not limited to the applicant's past two years of residency and the state in which the applicants driver's license was
issued, will be conducted. University Walk Apartment Homes performscriminalbackgroundchecks in accordancewith applicablefederaland
state laws. Your signatureon the Applicationfor Residencyauthorizesus to check not only your credit history,but also any arrestsor convictions.
You will be requiredto answerquestionson the applicationstatingwhetheryou have been convictedof or arrestedfor a crime;and, if so, what the
crime was, when and where it occurredand the dispositionof that charge. An unsatisfactory
criminalbackgroundcheck revealinga seriouscharge
including,but not limitedto, convictionof a felonyor deferredadjUdication
of a felonywill resultin denialof your application.However,not all crimes
disqualifyyou from livingat the community Crimesthat resultin denialof residencyare those which pose a seriousthreatto the health,safetyand
welfare of personsliving and working in our community,taking into accountnot only the type of crime but also the circumstancesunder which at
o c c u r r e dT. h e a p p l i c a t i o n Vb/ei ldl e n i e d f o r a n y o f t h e f o l l o w i n g r e p o r t e d c r irm
e li an tael d r e a s o n s t h a t h a v e o c c u r r e d w i t h i n t h e p ayseta( 1
r s0p) r i o r t o
the applicationdate: felony conviction,any terroristrelatedconviction,any illegaldrug relatedconviction,any prostitutionrelatedconviction,any sex
relatedconviction,any crueltyto animals relatedconvictron,misdemeanorconvictioninvolvingcrime against personsor property,any of the prior
mentionedchargesresultingin "Adjudication
Withheld"and/or"DeferredAdjudication",
and activestatuson probationor parole resultingfrom any of
t h e p r i o rm e n t i o n e dr e a s o n s . I n t h e e v e n lt h e c r i m i n abl a c k g r o u n cdh e c kr e v e a l sa n y p e n d i n gc r i m i n acl a s e s ,w e m a y o f f e rr e s i d e n c yc o n d i t i o n a l l y
upon dismissalor favorableresolutionof the charge. Upon conviction,the LeaseAgreementwill be terminatedimmediately.Pleaserememberthat
this requirementdoes not constitutea guaranteeor representation
that residentsor occupantscurrentlyresidingin our communityhave not been
convictedof or subjectto deferredadjudicationfor a felony,certainmisdemeanorsor sex offensesrequiringregistrationunder applicablelaw. There
may be residentsor occupantsthat have residedin the communityprior to this requiremenlgoing into effect. Additionally,our abilityto verify this
informationis limitedto the informationmade availableto us by the residentcreditreportingservicesused.
FEES/DEPOSITS: In order to reserve an apartment home, applicant(s) must submit an executed application atong with the foltowing fees
and deposits: 1.) A non-refundable
applicationfee for each applicant'18yearsof age and olderfor verificatton
of informationand creditapproval. 2.)
A non-refundableadministrative fee. 3.) A refundable security deposit. Applicant understands that an additional security deposit may be
required based on credit agency requirements.lffor any reason managementdecides to decline the application, managementwill refund the
administrativefee and the security deposit in full. lf an applicants is conditionally approved, but chooses not to pay the additional deposit,
t h e n h i s / h e ra p p l i c a t i o nw i l l b e c o n s i d e r e dd e c l i n e d .l f t h e a p p l i c a t i o ni s a p p r o v e da n d t h e a p p l i c a n t sf a i l s t o s i g n a l e a s eo r t a k e o c c u p a n c y
of the premises on the agreed date, management may retain the administrative fee and the security deposit as liquidated damages for the
a m o u n to f r e n t l o s t a n d a n y e x p e n s e si n c u r r e dd u e t o t h e c a n c e l l a t i o n .
RevisedJonuory2009
OCCUPANCY: Generally,no more than two persons per bedroom may occupy a unit in our community. Provided, however, a family may
o c c u p y a u n i t i f t h e f a m i l y d o e s n o t e x c e e d t w o p e r s o n s p e r b e d r o o m , p l u s a c h i l d w h o j s l e s s t h a n s i x ml fot n
h tehnsuoml db.e r o f p e o p l e a p p l y i n g f o r
a singleapartmentexceedsthe property'sguidelines,the applicationwill be rejectedfor that particularsize of apartment. tf a resident,who has a
jnto
newbornless than six monthsold at the time of rentalapplicationor lease renewal,moves
an apartmentthat, once the newbornreachesthe age
o f s i x m o n t h s ,v i o l a t e st h e o c c u p a n c yg u i d e l i n e sa, t t h e e x p i r a t i o no f t h e l e a s et e r m ,t h e r e s i d e nw
t i l l b e r e q u i r e dt o e i t h e r( 1 ) m o v e i n t o a n o t h e r
availableapartmentwhich has more bedroomsleasedat the currentmarket rent,or (2) move out. Rent for the largerapartmentwill be the current
market rent for that particularapartment. For the purposesof this occupancypolicy,a "family shall consistof the followlngpersons:one or more
i n d i v i d u a l(sw h oh a v en o t a t t a i n e dt h e a g e o f 1 8 y e a r s )b e i n gd o m i c i l e d
w i t h .( 1 ) a p a r e n to r a n o t h e rp e r s o nh a v i n gl e g a lc u s t o d yo f s u c h i n d i v i d u aotr
individuals;or (2) the designeeof such parentor other personhavingsuch custody with the writtenpermissionof such parentor other person. The
t e r m" f a m i l y s' h a l la l s o a p p l yt o a n y p e r s o nw h o r s p r e g n a not r i s i n t h e p r o c e s so f s e c u r i n gl e g a lc u s t o d yo f a n y i n d i v i d u awl h o h a s n o t a t t a i n e dt h e
ad
l staterequirementstotheextentthattheyrequireadifferentstandardthanstatedhere.
a g e o f 1 8 y e a r s .O u r p o l i c y i s t o c o n f o r m t o l o ac n
INTERNATIONALRENTAL CRITERIA:ln additionto qualifyingunderthe terms statedin this Statementof RentatPoticy,applicantsfrom countries
other than the UnitedStates yyHO DO NOT HAVE A SOCIAL SECURITYNUMBER ARE TO AE PROCESSEDMANTJALLYand must meet the
followingcriteria:
L
2.
3.
4.
A n o r i g i n avl a l i dP a s s p o rst h o w i n gr a i s e dn o t a r ys e a l sa n d I N Sd o c u m e n t a t i ow
n ,h i c hi n c l u d e sa p h o t o g r a pahn d f i n g e r p r i n t sE x p i r e dp a s s p o r t s
t umber
o r I N S d o c u m e n t sr e s u l ti n a n a u t o m a t i d
c e c l i n eo f a p p l i c a t i o nO
. n t h e A p p l i c a t i ofno r R e s i d e n c yt h
, e a p p l i c a nits t o f i l l i n t h e p a s s p o r N
i n l i e uo f a S o c i a S
l e c u r i t vN u m b e r .
lnternationalapplicantswith verifiableemploymentare requiredto pay AN ADDITTONALONE MONTH'SRE/VI AS A DE?OS|T. Setfemployed/unemployed
international
applicantswith verificationof incomeare requiredto PAY AN ADDTTTONAL
TWO MONTHSREA/IAS A
DEPOSIT.
Acceptableverificationsare: (a) EmployedApplicants:A letterof employmentfrom the applicant'semployer.The letter is to be on company
letterhead,signed,and have the comparableto a notaryseal on the letter;or (b) Self-Employment
or UnemployedApplicants:proof of income
from an attorney,accountant,and/orletterfrom bank statingsufficientfunds.All lettersmust be on officialcompanyletterhead,signed,and have
lhe comparableto a notaryseal on the letter.
All paymentswill be requiredin U S. CertifiedFunds.
HOLD HARMLESSACKNOWLEDGMENT: Residentagreesthat Managementdoes not promise,warrantor guaranteethe safety and securityof
Resident, Resident'sfamily and occupants or Residenls personal property against the criminal actions of other residents or third parties.
F u r t h e r m o r eM, a n a g e m e nst h a l ln o t b e l i a b l ef o r a n y d a m a g eo r i n j u r yt o R e s i d e n tR e s i d e n t sf a m i l ya n d o c c u p a n t so r t o a n y p e r s o ne n t e r i n gt h e
premisesor the buildingof which the leasedpremisesare a part,for injuryto personor propertyarisingfrom theft,vandalismor casualtyoccurringin
t h e p r e m i s e so r t h e b u i l d i n g st ,h e t e r m " p r e m i s e si"s d e f i n e dt o i n c l u d ea n y c o m m o na r e a s ,l a k e sa n d t h e s u r r o u n d i nagr e a . R e s i d e nat g r e e st o
i n d e m n i f ya n d h o l d h a r m l e s sM a n a g e m e nftr o m a l l c l a i m s ,c o s t s a n d e x p e n s e sa r i s i n gf r o m i n j u r yt o p e r s o no r p r o p e r t y .E a c h R e s i d e n h
t as the
responsibility
to protecthim or herselfand to maintainappropriateinsuranceto protecthis/herbelongings Residentsshould contactan insurance
p r o t e c t i ntgh e i rp e r s o n apl r o p e r t y .R e s i d e nst h a l la t a l l t i m e sm a i n t a i nR e n t e r ' sI n s u r a n c ien c l u d i n g
a g e n tl o a r r a n g ea p p r o p r i a tien s u r a n c e
adequate
fire, casualtyand liabilityinsuranceto insureagainstthe risks describedabove. Insurancecoveragemaintainedby Managementdoes not prolect
Residentfrom loss of personalpropertyby theft,fire, water damageand other perils Resadentis responsiblefor maintainingappropriatevehicularor
a u t o m o b i l ien s u r a n c ceo v e r a g e
N O T f F f C A T f O N S T A T U TFEoSr :y o u r i n f o r m a t i o n , y o u m a y o b t a i n ( u n d e r s t a t e s t a t u t e s . F
, cLA. S
4 2T -T95- 24 l4l S t , T N . P u b C h a p . # 9 Z 6 , T X
R e v i s e dC i v i lS t a t u t e sT: i t l e 1 1 0 A ,A r t i c l e6 2 5 2 - 1 3 c . 1 .i n
) f o r m a t i oanb o u t s e x u a lo f f e n d e r sa n d / o rp r e d a t o r si n v o u r s t a t e T h e i n f o r m a t i ocna n b e
,
i
w
w
v
;
o b t a i n e di n a l l 5 0 s t a t e sa t r i t p
D 0 e n r e c o f xos q ,
Florida
(850) 410 - 8572 ot t!1p r',tti\:rf.irE slata i rrs
Tennessee
Texas
(4O4) 244 - 2895 or rliii r!'r'rr gafiei nr. ll J
( 6 1 5 ) 7 4 1 - 0 4 3 0 o r l t l ! I w v r w I r a l cs i a i e i ! ! r s , s e x c f i a r r o +iir l r l
(512)424 - 2090 or frlip ,!rdsi txdps staie !x us
V E H I C L E S : P a r k i n gs p a c ei s l i m i t e di n o u r c o m m u n i t yE. a c h h o u s e h o l di s p e r m i t t e do n e v e h i c l ep e r r e g i s t e r e rde s i d e n t .C o m m e r c i avl e h i c l e sa n d
vehicleswill requirewrittenpermissionfrom Management
recreational
P E T S ( i fa p D l i c a b l e )D: o m e s t i c a t e d p e t s a r e a c c e p t e d w i t h a m a x i ml u
0m
0 lobf s w e i g h t l i m i A
t . $ 2 0 0 - 4 0 0 n o n - r e f u n d a b l e f e e , a sawseal$l 2 0 0 i s
refundabld
e e p o s i ti s r e q u i r e dp e r p e t ( m a x i m u mo f t w o ) a n d m u s t b e p a i d i n f u l l p r i o rt o m o v e - i n . P e t sw i l l b e s u b j e c t o v i s u a li n s p e c t i o a
nn d a l l
p
o
l
i
c
i
e
s
y
o
u
m a y b e r e q u i r e dt o s i g na s e p a r a t eP e tA d d e n d u m .S e r v i c ea n i m a l sa s s i s t i n g
community
and
a h a n d i c a p p epde r s o na r e a l l o w e da n d n o
pet depositor pet fee is required.See officefor EreedRestricttons.
FLOTATIONBEDDINGSYSTEMSMATERTANKS: Flotationbeddingsystems(waterbeds)or fish watertanks over 50 galtonswilt be allowedon any
p o l i c yn a m i n gO w n e ra n d M a n a g e a
f l o o ro n l yi f a c o p yo f t h e c u r r e n rt e n t e r ' si n s u r a n c e
r s a d d i t i o n a l il n
y s u r e di s m a i n t a i n eidn t h e r e s i d e nfti l e .
SATELLITE DISH: We allow the anstallation
of one satellitedish per apartmentin accordancewith FCC and local access laws. Not all of our
apartmentsare suatableto satellitereceptionand we cannotguaranteethat satisfactorytransmissionwill be received. There are limitationson how
d i s hc a n b e i n s t a l l e d
a n d w h e r ea s a t e l l i t e
a n d t h e a p p r o p r i a taed d e n d u mm u s tb e s i g n e d . L i a b i l i t Iyn s u r a n c e
( m i n i m u mc o v e r a g ea m o u n to f g 5 0 , 0 0 0 )
p r i o rt o i n s t a l l a t i o n .
i s r e q u i r e da n d a c o p yo f t h e i n s u r a n c e
m u s tb e p r e s e n t e d
A p p l i c a n t 'Ss i g n a t u r e
Date
A p p l i c a nst S i g n a t u r e
Date
G u a r a n t o r / C o - s i g n eSri'gsn a t u r e
Date
G u a r a n t o r / C o - s i g n eSiisg n a t u r e
Date
ManagementRepresentative
Date
Broro,
HousrNG
oppoRruNrry
RevisedJonuory2009
University WaIk Apartment Homes
RoommateMatching Form
Applicant'sName:
CurrentHome Phone:
Cell:
CurrentAddress:
Cityl StatelZip:
a l l l
I
I
I
I
I
I
I
I
I
I
I
I
I
I
l l l l l l l l a l l
r
r
r
I
I
I
I
l
a
l
I
t
I
I
I
I
I
r
I
I
I
I
I
I
t
a
t
l a l l l l l l r a l l
l l l t t t l l t a a l l t l t l
DesiredMove-lnDate:
Pleaseindicateyour orderof prcf'erence
by writing l" and2"'i in the linesprovidedbelow.
ApartmcntSize:
2Bed/1Balh
2 Bed/2Bath
Floor:
FirstFloor
SecondFloor
I{ousing:
Furnished
[Jnfurnished
r
I
I
I
I
I
I
I
I
l l l a l l
l l l
l l
I
I
I
I
I
I
I
I
l l r t t t l l a a
t
I
I
|
l
!
a
a
a
I
t
!
|
Your Gendcr:
Male
Female
Arc you a student:
Yes
No
School:
I
I
I
I
I
t l a
l
t t
l l l l l t l l a l l a a t t l t l i r t l l
Your Age Today:
Ma.jor:
Iwould describemyselfas:
Very Neat
SomewhatTidy
Untidy
I woulddescribemyselfas:
Very Quiet
Averagc
Noisy
I study/workfiom home:
Oflen
Average
Seldom
I drink:
Ofien
Average
Never
I smoke:
Yes
No
OutsideOnly
It bothersme if others:
Drink
Smoke
SmokeInside
rrllllllll
I
I
I
I
I
I
l
llllalllll
DesiredRoommate'sName:
a a a l
I
I
I
l
a t
I
r
I
r
t
I
I
I
t
I
I
I
I
I
I
I
|
!arlllllltl
I
llraltra
t
I
r
I
ltl
lI
Phone:
We strivc to accommodatepref-ercnces.
howcver \\e cannol guaranteeall preferencescan be mct. If .v-oudo not adviseus of your clesired
roommatc.an alternatc!r,ill be assi-ened.
Petsarc not permittcdin'lnc.lividuall.eases.'
Signatureof Applicant
Date
ABOUT LEASE: Date of Lease Contract (topla.ithandtornu ol Lcose
Conttirt)
Unit No. ol Apartment
and strcet addressof dlvelling berng leased
7000 UniversiLy
Owner's name (o/ nrmr o.fuytrtmtnts): Summerwalk
Partners
,
Cily lStale/ Ztp of abovedwelling: Winter
B1vd.
park , FL 327 92
LLC
M o n t h l y r e n l f o r c l w e l l i n g ,u n i t : $
Beginning datc of Lease Contract:
l(esiclent names (lisldl rt'sidnls on lrnst'Cotttru,
f):
ErLrling tlate o[ Leasc Contract:
Guarantor Information
Usct'oronegtLnrnntor
onlVknn include1)oLtsc
of SLtnrantor)
AB OUT GUARANTOR:
Full nanrc (nrrct h7rrsol r/rirtr's[irlrsl rrrgolt . Il ) rilrl )
I) river's license # .rntl state:
O/t govt. photo II) card #:
C u r r c n l a c l t l r e s sw h c r c y o u l i v c :
Brrthrlatc:
l'honc: (
'l'otal
Sex
Marit.rl Status: D single fl marrictl E divorcctl E wictrwcrl
)
[J scparatetl
n u m b c r o f t l ep en r l en t s u n c l c r t h c a g e o f 1 l l o r i n c o l l e g c :
(l'lcnstcht:tkont')l)oyouEowntlrErcntyourhorlrc?
W h a t r c l a l i o n s h i p a r c v o u t o t h c r c s r t l c n t ( s )D?p a r e n t D b l r t h c r . , r s i s t c r
If rcnting, n;rmcof ap.rrtmcnts:
D cmpl.ycr
I'hone:
Milnagcr'sn;rmc:
[.] .thcr
A r c y 6 u o r y g u r s p o u s c 2 g u . t r ; l n t o r f 1 ; r a n y 1 ; t h e r l e a s c ?E Y c s D N .
Y o u r S o c i a lS c c t r r i l y # :
[[ s., h.w many?
YOUR WORK: I'rcscnIemploycr:
I low krng?
Iimpkrycr's atltlrcss:
I'osition:
Your grossnrontlrly incomc is ovcr: $
Work phone:(
)
Y O U R S P O U S E : F t t l l n ; r r n c Q n t c t l q n s o r t t l r h , t ' r ' sf i c t ' r r s trr' r { r r z r.f i l ) c t r t l ) :
S t r p c r v i s o r ' sn a n r c :
I'htrnc:
S o c i a rSl ec u r i t y # :
I ' r es c n t em p k r y c r :
I ) r i v c r ' s l i c en s e # ; r n d s t . r t c :
I l.w l.ng?
O / { g , t x ' 1p. h o t o I I ) c . r r t l # :
W.rk ph'nc: (
Birthtlatc:
I \ 4 g n t h l yg r g s s i n c g m c i s g v c r : $
YOUIT CREDITATENTAL I IISTOIT.Y:
rcsiclcnt listcrl rn this (luarantv evcr: D btcn sucd for propcrly t{amagc?
E b e c n c h a r g e c l ,r l e t a i n e r l ,o r a r r e s t c c lf o r a f e l o n y o r s e x - r o l a t c dc r i m c l h a l
w a s r r s o l v c t l b y c o n v i c l i o n ,p n r b a t i o n , c l c f c r r r c la d j t r r l i c a t i o n ,c o u r [ - o r c l e r t t c l
c o m m r r n i l v s u p r r v i s i o n , o r p r et r i n l r l i v t : r s i o n ?o r f l b e c n c h a r g e d , d e t a i n e c l ,
rtr atrrcstt:clfor a fclony or scx-relirtr:c]crimc lh.rt h.rs not bcen rcsolvcd by
Your bank'snamc:
Citv / Statc:
List major crcrlil c;rrt1s:
'l
I,.siti.n
)
a n y m c t h o d ? I ' l c a s t 'e x p l a i n :
o y o u r k r r o w l t : d g c ,h a v c v o u , y o u r s p o u s c , o r a n v r c s i t l e n t l i s t c c l i n l h i s
( i u a r n n t y c v c r : B b c e n a s k c c lt o m o v c o u t ? B b r o k c n a r e n t a l a g r c e n r c n t ?
-lit
U clt'clarcclbankruptcy? or ll been sueclfor rent?
vour knowleclge,has any
ln consideralion for lts [o entcr inlo lhc above Leasc Conlract with tlre
I { c s i d e n t ( s ) ,n s a n i n d u c e m e n t t o u s f t r r m a k i n g t h c l e a s c ,a n d o t h e r g o o r l
and valuable consideralion, the rcceipt of which is acknowledgecl, you
g u a r a n t e ea l l o b l i g a t i o n s o f r e s i d e n t ( s )u n d e r t h e L c a s e C o n l r a c l , i n c l u d i n g
bul nol limited to rcnt, latc fees, propcrty damagc, rcpair costs, animal
violation charSes, reletting charges, utility paymt.nts and all other sums
w h i c h m a y b e c o m e d u e u n d e r t h e [ , e a s eC o n t r a c t .
You ag,reethat your obligations as guaranlor will continue and will not bc
affcctetl by amcndments, modifications, roommate changcs or deletions,
unit changcs, or renewals in lhe Lease Conlracl which may be agreed to
from time to time between resident(s) antl us. lf we, as owner of thc
dwelling, delay or fail to exercise lease rights, pursue remedics, give noticcs
to you, or make demancls to you, as guarantor, yor.rwill not considcr it as a
waiver of our rights as owner, againsl vou as guarantL]r. All of our rcmedies
against the resident(s) apply to guarantor as well. A1l residents, guarantors
and suarantor's sDouse are iointlv and severallv iiable. It is unnecessarv frlr
You represenl thal all information submitlcd by you on this (iuaranty is
l r u e a n c ' lc o m p l c t c . Y o u a u t h o r i z c v e r i f i c a t i o n o f s u c h i n f o r m a t i u n v i ; t
consumer rcports, renlal historv rcports, and olher means. A facsimile
signature by you on this (luar.rntv will bc just as binding as an original
signalure. It is nol ncccssarvfor you, as guarantor, to sign the Lease
C o n t r a c t i l s e l f o r t o b e n a m e d i n t h e L e a s cC o n t r a c t .T h i s G u a r a n t y d o e s n o t
havc lo br. rcfcrred to in lhe Ltasc Contract. You arc D required fl not
requirccl lo have this Cluaranlv agrcement notarized. II no box is chcckecl, it
is nol requirecl lo bc notarizecl. Pavments under this Cluaranty must be
mailec'l to or madc in the county wherc the dwelling unit is located. Wc
recommencl lhat you obtain a copy of the l,ease Contracl and read il. This
Cuaranty applies cven if you don't do so. We will furnish you a copy of the
l , e a s eu p c r nw r i t t c n r e q u e s t ,
Aftcr signing,plcaserctr.rrnthe signcdoriginal of this Cluarant! to
a t ( s f r c catd d r c s s o r P . O . B o x7)0 0 0
fax it to us at
or (optionnl)
University
Surnmerwalk
Boulevard,
(407, 677 -559L
Winter
partners
park,
, LLC
FL
32'792
Our telephoncnumber
L)ate of signing (;uaranty
Date of signing Guaranty
Signature of Guatantor
Signature of (luarantor's Spouse
S l a t co f F l o r i c l a
Cotrnlv of
I c c r t i f y t h a t I k n o w o r h a v c s a t i s f a c t o r yc v i r ' l c n c ct l r a l
v o l t r n l a r v a c l f o r l h c u s c s a n c l p u r p o s e sm c n l i o n c d i n t l r c i n s l r u n r c n t .
I )atccl
l ) r i n t t , t lN a m e o f N o t a r y l ' t r b l i t
N 4 yC o m m i s s i o n l i x p i r c s
Signalun' of Notary l'trblic
N r r l r ' ;S i ( i r a l r r r t o' f ( ) u t r a n L o rn t t t l ( l u n n r t t l o r ' sS 1 r r r u srcn r r s ll n , t t o l t r i z t t l L f
lnsr: is for nnrt lluttt tnla 1l('lt'.
(Ust nl,outs|ttrctfor tutttrrl stanq)/sc,rl)
FOR OFFICE USE ONLY
Guarantor(s) sitnaturc(s) was (were) verified bv owner's represcntative
Verification was by E phone or D face-to-facc meeting.
Telephone numbers called (if applicable)
I)a te1s1of vcrifica tion
(4071 678-2662
NATIONAT
APAPTMENT
ASSoCnnOil.
Lease Contract Guaranty
Each guuanutr
musl suhmit
a sqante
tuarunty
titm,
untett
guaranktrs
are husbarul
and viJe
Lcase Contract Information
7000 Uniwersi-ty
onnrr'snrme
l,,rr,xtttilt,urtilxrtrt: Sumerwalk
partnersr
Blwd.
paxk,
City Stalrr'Zipoirbove drvclling: Winter
FL
32792
LLC
Monthly rcnt for dwrlling unil $
Ilesidcnl
nrrncs
I t c r i n n i n g d a t t L r fl , c a s eC ( ) n t r i c l :
t l ^ l n l i , t . t & i l t st n I i l . | i t D t ! r i l | )
l-inrling datr,rf I t.rsc Conlr.rcl:
Guarantor Information
LIstfor Ltr qrutnrtloronlV(ntt ittclufuspousc
ol qutrttrlor)
ABOUT(IUAIIAN-I()Ii:l:ull nrnr.ir,rrlf,rs,',,r,r,,qr,,fn.'irlrll),,r'l,
l ) r r v e r s l i c r n s c # . r n L \l l i l ! :
( rii
Crrrrrnlacldressrvhuruvoulivr:
F r r v l .P h o l i ' I l ) c a r d # :
llirlhcl.rlr:
>(\
lvliril.rl SI.rlu\: U singlr
I'h(rnc:(
)
rJ nr.rrrrtd J tlivLrrced J u iclrmrd
Ll srp.rr.rlcd
I'()lilnuml)crof(irPr'n(lcnt\undrrthc.rFc,'fll{,,rinc,,llcre:
(l)|ltl'tltttklltt)])(J\1l1lU()rvntllLlrtn|y(l1lrh(llnriWhrlrrl.r|rrlnship
I l r t n l i n g , n a n r er r l r p . r r l n l e n i s r
Manaqtrsn.rnrL:
Ll enrplovrr J othur
I'honr:
\ r e y r , r r r r r y r , L t r r p o r r s i . r q u a n r n l r ' r f o r a n v r r l h r r l e r s rLl l Y r \
YorrrSrri.rl Srctrrilr'#:
lico, hou nr.rnvi
YOUI{ WOItK:
t low l,rng?
l'rf\ent empl('y( r
I:nrployrr's .rtltl rt ss:
LIN(,
l'osiIion:
\ " r r r g r ' ' t n r , , r r i l , l u r r " r r l r r " r ,t s
Work phone:(
) L r p r ' n / r s ( )\f J r . r n l :(
)
Y ( ) U R S f ' ( ) U S l : : | u l l n d r n e ( , \ d . / l V r r <u r l r n t t r ' : l i t t t t
|
'ltt|'l Il ) Lnnl)
l'h ('nL
S L r c i aSl u c u r i l v l / :
I'rt st nl enrplovur:
J ) r i v e r ' sl i c | n s r 4 , l r ( l s l d t r , :
flou long?
( )/< govl ph()h, ll ) carrl #:
rrVr,rk
F h L , n t :(
lJirllr.lilu:
\l(,nlhlv *ft'\s inc(,ntt is ovtr: $
y()ul< ct{LI)r1lttF.N
I AI | ilsl ot(y:
resi.lcni
Yr,ur bank r nanrr:
Cit! lSl.rlr':
l'rrsilion
lrstttl
)
rf
lhi\
(,u,rr,rnlv
rvtr:
J
[., en srrrd
hrr.r tc['nv
rvrs rcr,rlr..l
clelurreri rrlluclrerlr,,n,
by.,rn\r.li(,n,
prlt',rlion,
cLrnrnrunifv suprrvisiL,n, ('f pruiri.rl clrversiL'n? L,r !l
or.rrrerfrd
l.i\l lnilir cre.lilc.rrLIs:
anl
-l'o
l'Lrr propcrl]
lLrr r lrlr,nv
rrrrlhlcl?
or srr-rr'lrtrtl
crrrlf
ihrl
dam,rgrii
or scx-rrl,rtcrl crinre
Ll L.rcn chargeLl,,lehrineLl, r,r rrrcslrtl
brrn
hrs
th,rt
eorrrlrrrtltrL:rl
.h.rrged,
(letninr(1,
not brt,n rrsolveu
ov
l'luase er;rlrin:
I o u r k n o w l e c l s e ,h a v r r r r r r , y ( ) r r r \ p r ) u s r , r ' r a n v r r . s r J c n l l i s l e c lr n l h r r
(ludrinlv rvrf: J been askri to nri,r,e.ut? Ll brokrn ,r rlnial nFrurnrcntl
l
d e t l r n t l h ' n n k r u p k v ?( , r J b e c n s u t r l l L , rr r n l ? l i ' r L , u rk n o u l t r l t r , l t r r n r
I n r ( j n \ r ! l L r i t r ( i n i ( j r u \ h ) r n h , r i n h r t h e , r L r r , v el , r i \ r ' f ( , n t r i c l
lvttll thr
l l . r \ i . l r n l ( s l , a s r n r n i l u c t n r r n l l , r r r s f , r r n r , r k r n gi h r l t r s e , r n J d t h r r s o L r J
arr.l valuable ronsieltralrln, thr rrcurpt ol whreh ir aekn,'wledgtd, r'L,u
L L r d r i n l t a l l o b l i c a t i o n s ( ) l r t s i d r n l ( \ ) r r n c l L :irh r L e i \ ! L o n l r i c l , i n . l u d i n c
Y('tl rtpresrnl lhrl ill inlr)rrlih()n \ubnrrtlcd by you ()n lhis (lrrrrantv rr
l r r r . , r n J c o n r p l e l e . Y o r r , r r r t h r r r i z rv e r i l r r , r l i , ' n o l s r c h i n i o r r n . r l r o r i i , r
b u i n o f i i m i t t t l l o r e n t , l a l r f e q s , p r o p r r l v d a n r a g t , ,r c p a i r e , r s l s , a n i n r a l
vrolrti()n ehnrF(\, rclrttinB .hirgrs, Lrtilityprvnrrnts anJ rll othtr sums
\ l g n . r t L r r r . l t i s r ( , 1 n ( r e 5 \ i r v l ( ) r v ( , u , r s F , u i r i n h , r , k ' s r 8 , nt h e L e a r e
Contr:ct itself rrr to be nrnrecl in thr Lrist e{,ntri(t. fhis (luarantv dors not
have lo bt reierrrJ tt' rn llrr l.ca\r LLrnlr.rct. Yi,u rre LJ requireJ fl ni'l
r t q u i r e c l h r h a v e t h i r ( l u r r r n i v d E r ! f r l r n l n L ' f a r t z r ' d I. f n i , b L ' r i s c h r c k r o , r t
r v h r c h n r r y b r c o n r c c l u c u n J t , r l h e L - r a r ce , r n l r . r r t .
e(,nsumcr r!p('rt\, rfntnl hrsh,ry rrp(,rh, rntl r,thrr merns. r\ i.lcsimilc
signrltrrt by \r)u {)n lhr\ (ltrrrrntv uill bu jrrst rs bindrng rs in rrriBin.rl
Y r r u r g r c c t h a t y r r r r r o b l i g a l i o n \ n \ H u r r . r n l ( ) ru ' i l l c o n t i n u e . r n J r v i l l n i ' l b e
r f f e . t e d b y i n l r n d m r n t s , m o d i i i c a t r o n s ,r o ( ) n l m a t f c h a n g e s i ' r t l e l e h r , n r ,
i s n o l r r t l u i r e c l t o b r n o l , r r i r ! d . I ' , 1 \ ' m u n t \u n d c r t h i s ( i u a r . r n t y m u r t b c
nrailcd t,r,'r nrade in thc (olrniv \{hurr fhr duelling unit is lL'catetl. Wc
unit chin8rs, or rrnNuals irr thc l-rrse CLrniract u,hich nrry bc agrred tO
lr(,m hmo hi limr brtu.rn
re\ident(s) and rrs. lf \\'f, it\ (,!vnrr ot fh!
Jn'elling, clclry Lrr fail hr erercisc lt.rse rights, pursrre rsDrtdirs, givt nrrtices
l ( ) \ 1 r l r ,( r r n r r k c J e n r a n d s t o \ r ) L r ,i s q l r n r r n t ( , r .y o u u i l l n ( ) t c ( ) n s i J c rr l a s r
r r c o m m c n J t h a l v o u L r b f a i na c o p l o f t h e l . r r \ u e o n t r r . t . r n J r t . r d r l . T h i s
C,rrarantl,applies evun ii Vorr el,n t rlr, st'. Wt will frrrnish lru a copy Lrf ihe
L,easrupi,n u ritten rr.1ucst.
w a i V t r ( ) t ( ) u r r r g h t s a \ ( i w n r r , i g a i n s t v o u a \ g L l i r i n t o r . r \ l l r r f o u rr c n t c d i c s
igninst ih! rrrrdent(r) ipplv h) guirinL,)r ar nell. .\ll rrsidcnit, Huirrntors
nnJ BLl.rr.rnti)r'ssprrusc arc jotntlv rncl scvcrrrllv lirblt. Il i\ unncce\\arv t(,r
us h) strr ()r cxh.rust rfm!dics agdinst resiclenis in r,rder fr,r lrru to bc liablr.
This Guaranty is p.rrt ()1'thr Leasu eontr.rri and shall be prrforntrtl
countv \\,hore thf Llrvclling r:nit is located.
rn the
0 5 0 7 20 0 80 4 9 7 0 1 F l 0 5 1 20 5 0 5
l'agc I of 2
e(ipvright 2(l(18,Nation,rl Apnrtmeni AssLrciatrL,n,
lnc. - ,l rl111l8
Universitv Walk Apartment Homes
7000 University Boulevard
Winter Park,FL32792
Phone: 407-678-2662
Fax: 407-677-5591
E m a i l : u n i r t r s i t r r ra I k i a b r i t l u c r r gr o ur ) . t { t } n l
Credit Card Auth orization Form
RcsidentInformation
Resident's
Name:
Date:
Address:
Bldg:
Residents
Telephone
Numbcr:
(iuarantor'sName:
T c l c p h o n eN u n t b e r :
ClrcditCard Infbrmation
CreditCardType(Checkone): _
MC
Visa
AmEx
CreditCardNumber:
Cvv2:
Discover
Exp. Date:
( t . a s t3 d i g i t so n b a c ko l ' c a r d )
Amount: S_
Reasonfbr charge:
Authorization
received:
In Dcrson
Fax
Mail
(lrcdit Card Billing Inlbrmation
Nameas it appearson card:
'l'elephone
Number:
Clardholders
bil lins address:
t it)
State
Z,ip
By signingthis form, I agreeto pay the total amountaccordingto the card issueragreement.
Cardholder's Authorizing Signature
ManagementRepresentative
Date
Date
F O RO F F I C E
U S EO N t Y :
APTN
. O
A P T .T Y P E
M O N - H L VR t N I
M O V E - I ND A T E
SOURCT
P R OI N$
LEASE
DAIES
C O N C E S S I OA
NM T- F R O M
IO
LEASING
CONSULTANT
DATE
C O M M U N I T Y Llniversitv Wolk Anorlmenls
A P P I , I C A T I O NF O R R E S I D E N C Y
8 YEARO
S F A G EO R O T D E R
E A C I A P P L I C A NI T
MUST
S U B M IAI S E P A R A TAEP P L I C A T ] OHNO, W E V F RM, A R R I E R
D E S I D E NM
TA
SYS U B M IAI J O I N TA P P L I C A T I O N
T I A N KY O UF O RU N D E R S T A N D ITNHGA TW E D O N O TA C C E P T
CASH.
A P P L I C A N TN' SA M E
First
z
E
=
t
=
Middle
D A T EO F B I R T H
M A R I T AS
L TATUS
S P O U S EN
' SA M E
Iost
#Y
S O CA L S E C U R I T
D R V E RS L I C E N SN
EO .
Fi6l
STATI
Middle
D A T EO F B I R T H
S P O U S ED
' SR I V E R L' SI C E N SNEO
OTHER
OCCUPANTS
S O C I A L S E C U RT Y #
STATE
z
o
E
=
=
;?
E="
=u
NOme
Dote of Birth
Relolionship
NOme
Dote of Birih
Relolionship
NOme
Dote of Birlh
Reloiionship
Nome
Dote of Birth
Relotionship
E M A ] tA D D R E S S
W O U L DY O Ut I K ET O R E C E I VCEO R R E S P O N D E NFCREO MT H EC O M M U NT YV I A Y O U RE M At A D D R E S S ?
YEs
NO
NAME
E M E R G E N CCYO N T A C T
RELAIIONSHIP
ADDRESS
HOMEPIONE
C E L LP h o n e
W O R KP I ] O N E
I NB O U IO C C U P A N TIS
I M P O R T A NMTE D ] C A It N F O R M A TA
N C A S EO F A N E M E R G E N C Y
PRESEN
AT
DDRESS
E
2
I
z
a
u
E
zq
=
4
=
u
o
a it\t
Slote
Z i pC o d e
Telephone
( M O / Y R ) :F R O M
DATES
TO
MONII-]LY
PAYMENT
LA
PRESEN
TNDLORD/MANAGER
TELEPHONE
RENT
I FH O M E M
, ORTGAGC
OROWN
E O & L O A N+
ETASON
F O RM O V I N G
P R E V I O UASD D R E S S
Sireel
Apt. #
Cily
Slole
Z i pC o d e
Telephone
RENT
OROWN
I FH O M E M
, O R I G A G EC O & L O A N#
REASON
F O RM O V N G
I I A V EY O UA N D / O RI N T E N D EODC C U P A N I S
E V E RB E E N
S U E DF O RN O N p A ' r , r , r r O
N r RFNT?
YES
NO
BEEN
S U F DF O RD A M A G EI O R E N T APLR O P F R T Y ?
YES
NO BROKEA
N RENTALAGREEA,AENT
OR C O N T R A C I ?
YES
DR E M I S E S
B E E NE V I C T EFDR O MA N YL E A S E P
YES
N O I FY E SE, X P L A I N
PRESEN
ET
MPLOYER
ADDRESS
B U SN E S S
S UP E R V I S O R
P R E V I O UESM P L O Y E R
B U S l N EA
SD
SDRESS
S UP E R V I S O R
S P O U S EE' SM P L O Y E R
B U S I N EA
SD
SD R E S S
S UP E R V I S O R
W E R EY O L R E t r t R R t D ?
POSITION
B U SN E S S
P H O N EN O
E M P T O Y ESDI N C E
POSITION
BUSiNES
PS
H O N EN O
DATES
OFEMPLOYMEN]
P O ST L O N
B U S I N EP
SH
S O N EN O
DATES
OFEMPLOYMENI
YES
NO
u
z4
gr
.E
OH
I
=
r
9
r
F O RL E A SN G H E R E
REASON
N A M EO F L O C A T O R
O R R E N T AALG E N C Y
N A M EO F N D V I D U A LT O C A T O R
ORAGENI
N A M EO F F R ] E N O
DROIIERPERSON
T D A P A R T M E N# T
N A M EO F C U R R E NRTE S I D E N
AN
YEAR & MAKE
COLOR
TAGNO & STATE
YEAR & MAKE
COLOR
TAGNO & STATE
A D D I T I O N AVLE H I C L E S
ON
ND T A G N U M B E ROSF A N Y B O A TM
G I V ED E S C R i P T I A
, O T O R C Y C LC
FA
, M P E RV, A N ,E T C Y
. O UM A Y O W N
R E G I S T E RIEOD
KtrUIJ trKEU IU
I hereby deposit the following with monogement qs o good foifh deposit in connection with this opplicofion for residency:
Required
Amounl
r
o
zU
e
U
r
e
u
DO L V E W I T HA P E TO N P R O P E R TIYF?
D O Y O UI N T E N T
S O ,H O W M A N Y ?
z7
=Yt
E=
o3
4
z
I
Check/
M o n e y O r d e r# ' s
Dote Poid
N o n - R e f u n d o b l eA p p l i c o t i o nF e e
5_
$ 6o_Q8ll5!o
Secr..rrD
i ' ye o o s i i( P e o r ^ o D r e ' r ' s e s )
s_
9_
N o n - R euf n d o b l e R e d e c o r o t i o nF e e
$ rs0.00
$ _
N o n - R e f u n d o b l eP e t F e e
$_
$ _
Toiol
$_
$_
f, ,m,' ,y a
I u n d e r s l o n dt h e s e c u r i i yd e p o s i t { P e to n d P r e m i s e sw) i l l b e c o m e m y r e f u n d o b l es e c u r i t yd e p o s i t u p o n m e e t i n g l h e t e r m so l
unvn vl i n,a, tsi nun , , v , ,i' <, n' -r r-o-nvi o,r- J ,
t h e e o s e o n d i h e c o m m u n i t y r u l e so n d r e g u l o t i o n s .1 ff o r o n y r e o s o nm o n o g e m e n t d e c i d e s t o d e c i n e m y o p p i c o t i o n ,t h e n m o n o g e m e n t w i l r e f u n d t h e
s e c u r i t yd e p o s i t ,p e t f e e o n d r e d e c o r o t i n gf e e t o m e i n f u l l . l f i h l so p p l i c o t i o n i s o p p r o v e d , o n d I f o i l t o o c c u p y t h e p r e m i s e so n t h e o g r e e d u p o n o o T e ,
e x c e p t f o r d e l o y c o u s e d b y c o n s l r u c t i o no r t h e h o d i n g o v e r o f o p r i o rr e s i d e n to n d i f I d o n o t n o i i f y m o n o g e r n e n i o f m y i n t e n i i o c o n c e l i n w d i i n g w i t h i n
T 2 h o u r so f m y o p p l i c o t i o nd o t e , u n d e r s t o n dt h o t m o n o g e m e n l w l l l o s s e s sd o m o g e s o g o i n s tt h e d e p o s i t f o r t h e o m o u n t o f r e n t l o s to n d o n y e x p e n s e s
i n c u n e d d u e i o m y c o n c e l l o l i o n . T h e r e f o r eI. o g r e e t o f o r f e i tl h e f u I o m o u n t o f d e p o s i l o n d f e e s . A p p l i c o n t h o s s u b m i i t e dt h e s u m o f $ _
w h i c h i s o n o n - r e f u n d o b l ep o y m e n t f o r p r o c e s s i n gl h i so p p l l c o i i o n . S u c h s u m i s n o t o r e n t o l p o y m e n t o r s e c u r i t yd e p o s i t . T h l so m o u n l w i l l b e r e t o i n e d b y
m o n o g e m e n t t o c o v e r t h e c o s l o f p r o c e s s i n go p p i c o t i o n o s f u r n i s h e db y t h e o p p i i c o n t .
i:
u
E
D
Amouni
Poid
TYPE
WEIGHT
AGE
TYPE
WEIGI.]I
AGE
l l o v e y o u / o r y o u r i n t e n d e d o c c u p o n i ( s ) e v e r b e e n c o n v i c t e d o f o n d / o r p l e d " g u i l l y " o r " n o c o n t e s t " t o o n y f e l o n y r e g o r d l e s so f w h e t h e r s u c h
o c l i o n r e s u l t e di n j o i l o r p r i s o nl i m e s e r v e do n d / o r d e f e r r e d o d i u d i c o i i o n ?
Yes
No
H o v e y o u o n d / o r y o u r i n t e n d e d o c c u p o n t ( s ) e v e r b e e n c o n v i c i e d o f o n d / o r p l e d " g u i l t y " o r " n o c o n l e s t " l o o n y m i s d e m e o n o ri n v o l v i n g t h e f t ,
b u r g o r y , p o r n o g r o p h y ,p h y s i c o lo s s o u l f .i n d e c e n t e x p o s u r e ,s e x u o m o l e s t o t i o no n d / o r u n l o w f u c o n d u c l i n v o l v i n go m i n o r , r e g o r d l e s so f w n e r n e r
yes
s u c h o c i i v i i y r e s ui e d i n j o i l o r p r i s o nt i m e s e r v i c eo n d / o r d e f e r r e d o d l u d i c o l i o n ?
No
yes
A r e y o u c u r r e n ly o n p r o b o t i o n ,p o r o l e ,o r s u s p e n d e ds e n i e n c e f o r o n y c o n v r c t i o n ?
No
l l o v e y o u , y o u r s p o u s e ,o r o n y o c c u p o n l l i s t e dl n t h i sA p p i i c o t i o ne v e r ( c i r c l ee o c h o p p l i c o b l e l e t l e r ): A ) B e e n e v i c l e d o r o s k e d i o m o v e o u l ?
B )M o v e d o u t o f o d w e l i n g b e f o r e l h e e n d o ft h e l e o s e t e r m w i t h o u t t h e o w n e r ' s c o n s e n t D
?C
e c) o r e d b o n k r u p t c y ?
D ) B e e n s u e d t o r r e n l ? EB)e e n
s u e d f o r p r o p e r t yd o m o g e ?
B y s i g n i n gl h i so p p l i c o i i o n ,I , t h e u n d e r s i g n e do p p l i c o n t ( s ) w
, o r r o n t o n d r e p r e s e n l h e i n f o r m o t i o no n i h i so p p l i c o i i o n f o r r e s i d e n c yi s t r u e o n d c o r r e c l o n d
t h o t M o n o g e m e n l / O w n e r i s o u i h o r i z e dt o v e r i f yt h i si n f o r m o t i o n .H o w e v e r ,I o c k n o w l e d g e o n d u n d e r s l o n dl h o t M o n o g e m e n t / O w n e r u n d e r i o r e s n o
o b l i g o l i o ni o v e r i f yi h e o c c u r o c y o f o n y i n f o r m o t i o np r o v r d e d b y m e i n t h i so p p l i c o t i o n . A l l p e r s o n s / f i r mnso m e d m o y f r e e l yg i v e o n y r e q u e s t e d
i n f o r m o t i o nc o n c e r n i n g m e , o n d I h e r e b y k n o w i n gy o n d v o l u n t o r i l yw o i v e o L r i g h l o f o c l i o n f o r o n y c o n s e q u e n c e r e s u l t i n gf r o m s u c h i n f o r m o t i o n .I n
o d d i t i o n ,I h e r e b y o u t h o r i z eM o n o g e m e n l / O w n e r 1 0r e l e o s eo n y o n d o i n f o r m o t i o ni n t h i so p p l i c o t i o no n m y b e h o l f o n d f o r m y b e n e f i i . A n y f o s e
i n f o r m o t i o n s, t o t e m e n l ,o r r e s p o n s eo n i h i so p p l i c o t i o nw i l lc o n s t i t u t eg r o u n d sf o r i m m e d i o t e r e j e c l i o no f l h i so p p l i c o l i o n o n d , i f o p p l i c o b l e , m o y l o w f u i v
s e r v eo s b o s i sf o r l e o s e l e r m i n o i i o no n c l / o re v i c t i o n .
ffico'.t
t ertted Ncrnre
Doie
A p p l i c o n l ' sS i g n o t u r e
S p o u s e ' sP r i n t e dN o m e
Dote
S p o u s e ' sS i g n o i u r e
Dole
T H ET E A S A
E G R E E M E NWTI L LN O TB E C O M EE F T E C T I V
UE
NTIT
L H I SA P P I . I C A T I OIN
SA P P R O V E B
D YM A N A G E M E N I
T T L EV l l l o f t h e C I V I LR I G H I SA C To f 1 9 8 6o n d s u b s e q u e n to m e n d m e n t s m o k e d i s c r i m i n o t i o nb o s e d o n r o c e . c o l o r , r e l i g i o n s, e x ,f o m i l i o ls l o t u s ,h o n d i c o p o r
n o ' i i o n oo
l r i g i ni l l e g o li n c o n n e c t i o n w i l h t h e r e n i o l o f m o s t h o u s i n g .T h e F e d e r o lo g e n c y w h i c h o d m i n i s i e r sc o m p l i o n c e w i l h t h i sl o w c o n c e r n i n g l h i s
c o m p o n y i s t h e D e p o r l m e n i o f H o u s i n go n d U r b o nD e v e l o p m e n l .
E Q U A LC R E D IO
T P P O R T U N IATCYT
T h eF e d e r o lE q u o lC r e d i t O p p o r l u n i l yA c t p r o h i b i l sc r e d i l o r sf r o m d i s c r i m i n o t i n go g o i n s tc r e d i f o p p l i c o n l so n t h e b o s i so f s e xo r m o r i t o ls l o i u s . T h e F e d e r o l
o g e n c y w h i c h o d m i n i s l e r sc o m p l i o n c e w i ' t ht h i sl o w c o n c e r n i n g t h i sc o m p o n y i s t h e E q u o lC r e d i l O p p o r i u n i i y ,F e d e r o lT r o d e C o m m i s so n , W o s h i n g t o n ,
D.C.20580.
INFORMATION
BUREAU
AND CRIMINAI.HISTORY
CREDIT
CHECKATTACHCREDIT
REPORT
AND CRIMINAI"
HISTORY
CHECKTO APPTICATION
DISAPPROVED
D A T ED S A P P R O V F D
I U S TR E C E I VAE T E N E R
I I D I S A P P R O V EADP, P T I C A NM
OFREJECIION
T H ER E A S O N
F O RT H ER E J E C T I OANT T A C HC O P Y
STATING
D A T EA P P L I C A N I ( SC)O N I A C T E D
DP P U C A N T ( S )
P E R S OW
N H O C O N T A C T EA
W H A TW A ST H EB A S I SF O RR E F U S A T ?
R I M I N AIT S T O R Y
- U N F A V O R A BC
LF
R E D IR
TEPORT
I U N F A V O R A BC
LE
t r W A ST H EA P P L I C A NGTI V E NI H E N A M EA N D A D D R E SOSF T H ER E P O R T I N G
Y E SNO
AGENCY?
t r U N F A V O R A BR
L E P O RFI R O MP R E V I O ULS
ANDLORD
RT
EFERENCES
t r U N F A V O R A BE
LM
E PLOYMEN
N F O R M A T I OSN
U B M I T TO
ED
t r N C O R R E CI T
N APPLLCATION
- N U M B EO
RFOCCUPANTS
O R S I Z EO F P E T S
tr NUMBER
. O T H E R( S P E C I F Y )
R e v i s e dO 1 / 0 9
APPROVED
D A T EA P P R O V E D
D A T EA P P L I C A N T (CSO) N T A C T E D
P E R S OW
N H O C O N T A C T EADP P L I C A N T I S )
C O M M E N TO
SRCHANGES
M A N A G E R 'S
SI G N A T U R E
D A I ES I G N E D
Doie

Similar documents