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Colonial Village
Colonial Village Application
Your Full Name
(required)
Birthdate
(required)
SS#
(required)
Co-Tenant Name
Birthdate
SS#
Present Address
(required)
Cell Phone #
(required)
Email
(required)
How long at present address?
Present Landlord Name
Landlord's Phone #
TENANT OCCUPATION
Tenant Occupation
(required)
Employer
(required)
Business Address
Business Phone #
Name of Supervisor
How long at present occupation
Gross Monthly Income
(required)
CO-TENANT OCCUPATION
Co-tenant Occupation
Employer
Business Address
Business Phone #
Name of Supervisor
Gross Monthly Income
(required)
How long at present occupation
OCCUPANCY
# of occupants that will be living in the apartment
(required)
Relationship to occupants
(required)
Ages of occupants
(required)
REFERENCES
Bank Reference
Phone #
Credit reference
Purpose of credit request
Highest amount owed
Name of personal reference
(required)
Phone #
(required)
Relationship
(required)
In case of emergency, notify
(required)
Phone #
(required)
Nearest relative
(required)
Phone #
(required)
Address
OTHER
Have you ever filed a petition for bankruptcy?
yes
no
Have you ever been evicted from any tenancy?
yes
no
Have you ever been arrested for crimes against property, persons or for drugs/alcohol?
yes
no
Have you ever willfully and intentionally refused to pay rent?
yes
no
Are you a US Citizen or Legal Resident?
yes
no
TERMS
I agree to a credit and/or background check
I agree the foregoing to be true under penalty of perjury.
I agree that the landlord may terminate any agreement entered into in reliance on any misstatement made above.
Applicant: Type your full name to sign and agree
(required)
Co-Applicant: Type your full name to sign and agree
Date
(required)