Mason Properties - Application for Lease

Personal Information

First Name: *

M.I.

Last Name: *

Social Security Number: *

Driver License Number:

State:

Date of Birth (mm/dd/yy) : *

Married Single

E-mail: *

Work Phone Number:

Cell Phone Number:

Home Phone Number: *

Present Address & Telephone

Street Address: *

City: *

State/Province: *

Country: *

Zip/Postal Code: *

Phone Number: *

How long have you lived here? *

(years)

Permanent Address & Telephone

Street Address: *

City: *

State/Province: *

Country: *

Zip/Postal Code: *

Home Phone Number: *

Parent or Nearest Relative Information (This information may be used as an emergency contact.

Relative's Full Name: *

Street Address: *

City: *

State/Province: *

Country: *

Zip/Postal Code: *

Home Phone Number: *

Apartment Information

Please check the Apartment Complex you are most interested in:

What size unit are you looking for? *

Preferred Lease Start Date *

List all persons, other than yourself, who will occupy the apartment:

1.
2.
3.
4.
5.

Character References

Full Name: *

Street Address: *

City: *

State/Province *

Country: *

Zip/Postal Code: *

Home Phone Number: *

Years acquainted: *

(years)

Employment History

Job Position/Type of Work Performed:

Present Employer

Employer's Phone:

Monthly Income:

How long at current job?

(years)

Other sources of income:

Landlord and Credit History

Present or Most Recent Landlord:

Landlord Name:

Street Address:

City:

State/Province:

Country:

Zip/Postal Code:

Landlord Phone Number:

Monthly Rent

$

Are there any judgements against you? *
(This application will not be processed if you do not answer)

NO: YES: (If YES, describe below)
(Please read the " Agreement and Waiver " carefully)

Checking Account

Bank Name:

City and State/Province:

Savings Account

Bank Name:

City and State/Province:

Student Applicants Only

School:

Major:

Year in School:

Grade Point Average:

Agreement and Waiver

By submitting this form, I represent to you that I have read this entire application and that all of the information is true and correct. I further represent that my rental and credit records are in good standing with no judgements or liens against me. If any of the above information is false, I hereby agree that my entire deposit may be forfeited to you. I also agree that if I am accepted and fail to complete this transaction by submitting your lease, my entire deposit will be forfeited to you. I understand that this application is subject to your approval. If for any reason whatsoever you are unable to make the apartment which is the subject of this application available at the beginning of the lease term, I hereby waive any and all rights to seek to recover any damages whatsoever against you, including without limitation, actual, punitive or consequential damages. IT IS POLICY NOT TO DISCRIMINATE ON THE BASIS OF RACE, CREED, COLOR, NATIONAL ORIGIN, RELIGION, AGE OR SEX. Provisions of the Fair Credit Reporting Act are applicable. You are hereby authorized to make any investigation of my/our personal and financial and credit record through any investigative or credit agencies or bureaus of your choice and hold them harmless from any information they may find.