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About You
E-mail Address * required *
Full name (exactly as on driver's license or gov. ID card)
Current Address
Street address (where you live now)
Previous Address
Your previous street address
Your Work
Present Employer Name:
Street Address
Your Previous Employer
Previous Employer Name:
Street Address
Your Credit History
Bank Name:
Street Address
Your Rental / Criminal History
Check only if applicable. You represent the answer is "no" to any item not checked.
Have you, your spouse, or any occupants listed ever:
Been evicted or asked to move out?
Broken a rental agreement or lease contract?
Declared Bankruptcy?
Been sued for nonpayment of rent?
Been sued for damage to rental property?
Been convicted of a felony?
Received deferred adjudication for a felony?
Been arrested for a felony which has not been finally adjudicated (by dismissal, acquittal or conviction)?
Please indicate below the year, location and type of each felony and sex crime other than those resolved by
dismissal or acquittal. We may need to discuss more facts before making a decision.
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Your Spouse
Full name
Your Spouses's Work
Present Employer Name:
Street Address
Other Occupants
Names of all persons under 18 and other adults who will occupy the unit without signing the lease. Please notify us if more than three.
Your Vehicles
List all vehicles to be parked by you, your spouse, or any occupants (including cars, trucks, motorcycles, trailers, etc.) Please notify us if more than three:
Why You Rented Here
How were you referred?
Emergency
Emergency contact person over 18, who will not be living with you:
Full name:
Street Address:
If you are seriously ill, missing, or in jail or the penitentiary according to an affidavit of the above person, or if
you die, you authorize (check one or more)
the above person
your spouse
your parent or child
to enter your dwelling to remove all contents, as well as your property in the mailbox, storerooms, and common areas.
If no box is checked, any of the above are authorized at our option. If you are seriously ill or injured, you
authorize us to send for an ambulance at your expense. We are not legally obligated to do so.
Authorization
I (owner's name)
authorize Villas by the Lake to verify the above information by all available means. Owner is not required to reverify or investigate preliminary findings.
We will contact you via e-mail or by telephone after we review your application!
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