Florence Garden Apartments Application Form APPLICANT DETAILS Full Name DOB MM slash DD slash YYYY SSN Driver’s License No. PhoneEmail Other Occupants? Yes No Pets? Yes No If Yes, Describe: If Yes, Describe: Vehicles? Yes No Ever Been Convicted of a Crime? Yes No If Yes, Describe: If Yes, Describe: Ever Filed for Bankruptcy? Yes No Ever Been Evicted? Yes No If Yes, Describe: If Yes, Describe: CURRENT EMPLOYMENTCompany Occupation/Title How Long? Gross Income: $(From Prior Year Tax Filing) Address Street Address City State Supervisor PREVIOUS EMPLOYMENTCompany Occupation/Title How Long? Gross Income: $(From Prior Year Tax Filing) Address Street Address City State Supervisor CURRENT RESIDENCEType (Apt, Home, Condo) Square Feet (SF): SFBedrooms Rent Amount: $/MonthAddress Street Address City State Zip How long at this Address? Current Lease Expiration Date MM slash DD slash YYYY Desire for Moving? CURRENT LANDLORDName Address PhoneEmail PREVIOUS RESIDENCEType (Apt, Home, Condo) Square Feet (SF): SFBedroomsRent Amount: $/MonthAddress Street Address City State Zip Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY PREVIOUS LANDLORDName Address PhoneEmail PREVIOUS RESIDENCEType (Apt, Home, Condo) Square Feet (SF): SFBedroomsRent Amount: $/MonthAddress Street Address City State Zip Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY PREVIOUS LANDLORDName First Address PhoneEmail FINANCIAL INFORMATIONBank Branch Location Type Checking Savings Consent I hereby certify that I am at least 18 years of age. Applicant represents that all information given on this application is true and correct. Applicant hereby authorizes verification of all references and facts, including but not limited to current and previous landlords, employers, and personal references. Applicant hereby authorizes owner/agent to obtain any and all Unlawful Detainer, Credit Reports, Telechecks, and/or Criminal Background Reports. Applicant agrees to furnish additional credit and/or personal references upon request. Applicant understands that incomplete or incorrect information provided in the application may cause a delay in processing which may result in denial of tenancy. Applicant hereby waives any claim and releases from liability any person providing or obtaining said verification or additional information.SignatureDate MM slash DD slash YYYY