Rental Application A $36 NON-REFUNDABLE APPLICATION FEE IS REQUIRED. PLEASE READ THIS INFORMATION CAREFULLY. IF YOUR APPLICATION IS INCOMPLETE, PROCESSING WILL BE DELAYED! Please complete the application below and submit rental application fee via PayPal once redirected after the form submission. A separate application must be filled out by each applicant, except for married couples. We do not allow anyone to move in immediately, nor do we automatically rent to the first applicant. We rent to the applicant with the best credit and rental history. Decisions are based on the information you and your references provide, not personal appearance. We reserve the right to require a co-signer. Name of building applied for:*Brazelton LoftsThe ChelseaThe MetropolitanMott LoftsOtterbeinRental Unit Applying For (up to 3 choices. Please list in order of preference):1.*2.*3.*Preferred move-in date* Date Format: MM slash DD slash YYYY Personal InformationName* First Last Date of birth:* Date Format: MM slash DD slash YYYY Social Security Number:*Driver's License #:*State:* State / Province / Region Cell Phone:*Email:* Rental HistoryCurrent Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code How long at present address:*Current Landlord:*Phone*Reason for leaving:*Prior Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code How long at prior address?*Prior Landlord:*Phone*Reason for leaving:*Employment Information/Source of IncomeProof of income may be required.Employer:*Position:*How long?*Monthly income: $*Additional income source & amount: $Person to contact:*Phone*Other Occupants of UnitAll non-married adults must fill out separate applications. List below others you will be living with in the unit applied for:Name:Relationship to you:Birthdate: Date Format: MM slash DD slash YYYY Name:Relationship to you:Birthdate: Date Format: MM slash DD slash YYYY Vehicle InformationMake & Model:Year:Color:Plate #State State / Province / Region Emergency Contact InformationName:*Relationship:*Phone:*Work Phone:*Address:* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email:* Pet PolicyWritten permission must be given by the landlord in order to have a pet. The landlord has a non-refundable, non-negotiable monthly pet fee of $25 per pet along with a non-refundable, non-negotiable pet deposit of $300 per pet. The pet policy may change at any time at the landlord’s discretion. Pet policy applies to dogs and cats only. No exotic pets such as snakes, insects, birds, or lizards are allowed at any time.Maximum Number of pets:Type of pet(s):Has the pet(s) ever had an incident with another person or animal?*YesNoOther InformationHave you ever been arrested and/or convicted for any reason concerning illegal drugs/alcohol?*YesNoWritten explanationHave you ever been arrested and/or convicted of or pleaded guilty or "no contest" to a felony?*YesNoWritten explanationHave you ever been arrested and/or convicted of or pleaded guilty or "no contest" to a misdemeanor involving sexual misconduct?*YesNoWritten explanationBeen served an eviction notice or been asked to vacate a property you were renting?*YesNoWritten explanationWillfully or intentionally refused to pay rent when due?*YesNoWritten explanationFiled for bankruptcy?*YesNoWritten explanationHave you given your current landlord thirty days’ written notice?*YesNoDo you have a waterbed?*YesNoHow were you referred to us?Applicant has herewith, or will within 30 days deposit the sum of $30, receipt of which is hereby acknowledged as a non-interest bearing deposit, and not as a rental payment. Provided, however, that in the event the application is approved, and applicant fails or refuses to enter into the contemplated lease with the owner, then applicant agrees to forfeit the said deposit as liquidated damages to cover the cost of taking and of processing this application, reservation and preparation of the apartment, and the loss of rental income to owners. If, however, in the event this lease agreement is not consummated, is disapproved or for any other reason for which owner is responsible, the deposit will be returned to applicant. This application is made with the understanding that it is subject to acceptance by the owner and subject to execution by said company and delivery of a lease covering said premises. No other persons than those listed will be authorized to occupy this apartment without the consent of the owner and an appropriate adjustment in the rent. Keys will not be given until lease is signed, rent & security deposit is paid, all applicable utilities are in tenant’s name and apartment is ready for occupancy. The undersigned represents that all information statements are true and complete, and does authorize verification of information and references given. If any of the answers are found to be deliberately incorrect, any rental agreement becomes void and will be sufficient reason for eviction and loss of security deposit. The undersigned also authorizes verification of credit history and criminal records.Applicant's Signature*Date* Date Format: MM slash DD slash YYYY Co-Signer InformationBy signing this form, Co-signer authorizes the landlord to perform a credit check or background check, if necessary. Co-signer forms are accepted at the landlord’s discretion, and a co-signer form does not in any way guarantee an applicant a rental unit. Failure to fully complete a requested co-signer form may result in the landlord refusing a rental application.Full Name:Date of Birth: Date Format: MM slash DD slash YYYY Social Security #:Home Phone:Cell Phone:Address: Street Address City State / Province / Region ZIP / Postal Code Employer:Work Phone:Co-Signing For:Name(s):Name of building applied for:Brazelton LoftsMott LoftsThe MetropolitanIt is here by agreed that the aforementioned Co-signer will assume any and all responsibilities and/or obligations of the Leaseholder’s share of expenses if the Leaseholder cannot or will not oblige. This Co-signer Agreement will remain in force throughout the entire term of the Leaseholder’s tenancy, even if the tenancy is extended and/or changed in its terms.Co-signer Signature:Date Date Format: MM slash DD slash YYYY Rental Application Fee