Part 1

Applicant's Name___________________________________________ Work phone_____________

Driver’s License NO.___________

Date of Birth (month, day, year) ________________Social Security Number_____________________

Spouse’s Name _____________________________________________Work Phone____________

Driver’s License NO._______________

Date of Birth (month, day, year) _______________ Social Security Number_____________________

Are you a current, illegal user of, or addicted to a controlled substance? NO_____ YES_____

If YES, please explain:____________________________________________________________

Have you ever been convicted by a court of the illegal manufacture or distribution of a controlled substance? 

NO ____ YES ____

If YES,  please explain: ___________________________________________________

Have you been convicted of any other felony offense? NO_____ YES _____

If YES, please explain:___________________________________________________________

Number of persons who will occupy apartment? ___________

 OTHER OCCUPANTS: NAME, AGE, DATE OF BIRTH, AND RELATIONSHIP

 1: ___________________________________________________________________________

 2: ___________________________________________________________________________

 3: ___________________________________________________________________________

 4: ___________________________________________________________________________

 In case of emergency notify: ____________________________ Telephone: __________________

 Do you have any pets?  If so, please specify _____ Weight _____  Type and Breed_____________

Part 2

RESIDENCE HISTORY

 A. Present Address _______________________________________________________________

      Telephone# (   )________________How long?______

 B. Present Landlord ______________________ Telephone# (   )_____________ Payment?______

 C. Previous Address ______________________________________________________________

      Telephone# (   )_______________ How long?_______

 D. Previous Landlord _______________________Telephone# (   )____________ Payment?______

Part 3

APPLICANT EMPLOYMENT HISTORY FOR LAST TWO YEARS 
(CURRENT & PREVIOUS) 
     Company     Street Address     City , State      How long      Monthly income     Supervisor       Phone#  

 A_____________________________________________________________________________

 B______________________________________________________________________________

SPOUSE’S EMPLOYMENT HISTORY FOR LAST TWO YEARS (CURRENT & PREVIOUS)

  Company     Street Address     City , State      How long      Monthly income     Supervisor       Phone#

 A_____________________________________________________________________________

 B_____________________________________________________________________________

  PLEASE LIST  OTHER INCOMES

  ________________________________________________________________________________

 Part 4

  TRANSPORTATION

 A. Type of Auto _____________ Tag NO. __________________ County __________ State _____

 B. Type of Auto _____________ Tag NO. __________________ County __________ State _____

_________________________________________________________________________________

"Signature Property Group, Inc. and this rental community adhere to the Federal Fair Housing Law (Title VIII of the Civil Rights Acts of 1968 as amended by the Housing and Community Development Act of 1974 and the Fair Housing Amendment of 1988) which stipulate that it is illegal to discriminate against any person in housing practices because of race, color, religion, sex, national origin, handicapped/disability, or familial status."       

"THIS IS AN EQUAL OPPORTUNITY COMMUNITY"

By signing this form I understand that the information provided on this application is true and accurate, and I understand that false statements may result in the rejection of this and future applications for housing managed by Signature Property Group, INC.  The undersigned, upon becoming a resident of this community, does give Signature Property Group, Inc. and its agents permission to verify residency of the undersigned to utilities, cable television companies, and law enforcement authorities.  The undersigned does understand that all persons/firms given as references herein, may provide information concerning the undersigned's creditworthiness and waives all right of action for any consequences resulting from such information.  The signature below authorizes investigation of all statements contained herein, as well as a credit investigation though credit reporting services. Any funds that you have given to Signature Property Group, Inc., in conjunction with saving an apartment for you, for a specified time period, will be deemed an apartment reservation deposit and will guarantee said apartment for the specified time.  If for any reason you do not occupy the apartment by the specified date, then the apartment reservation deposit will go to  Signature Property Group, Inc., as a fee for services.

APPLICANT’S SIGNATURE ____________________________________
                            (Date)