Names of ALL PERSONS who will occupy apartment: (1)
2.
3.
4.
5.
6.
RESIDENCE HISTORY - Present Street Address:
INCOME - Employed By:
Welfare $
VEHICLE INFORMATION: Do you own a car or truck?
PERSONAL REFERENCES: (1)
PERSONAL REFERENCES: (2)
The applicant hereby authorizes Exit Realty Lucky Associates, its agents & clients to run a credit report and do a background check in order to prequalify as a possible tenant. The original or a copy of this application may be obtained by the rental agent/landlord even if the rent or lease is not granted. The decision to grant or deny this application is at the sole discretion of the agent/landlord.
Co-applicant’s Signature