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Application Fee: $25.00 per applicant (non-refundable, added to your deposit) Applicant1 Contact InformationLast Name*First Name*Middle NameDate of Birth* MM DD YYYY Social Security Number*Driver's License #*State*Mobile Phone*Work PhoneEmail Address* Current 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 Monthly Rent*Years at Address*Reason for Moving*Landlord's Name*Landlord's Phone #*Do you have a criminal, civil, or small claims record?*YesNoIf yes, please explain*Emergency Contact - Full Name*Emergency Contact - Phone #*Employment Information (Applicant1)Employer Name*Employer Phone #*Employer 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 Occupation/Job Title*Years of Employment*Monthly Income*Supervisor's Name*Other Tenants(Anyone under the age of 18 in the household, other than applicants.)Tenant #1Name First Last AgeSexRelationship to ApplicantTenant #2AgeName First Last SexRelationship to ApplicantPetsDo you have a pet?*YesNoType of pet*Breed*Weight*Age*Years Owned*PropertiesNumber of Bedrooms?1 Bedroom2 Bedrooms3 BedroomsHow did you find out about us (choose one)?NewspaperYellow PagesInternetApartment Guide/FinderReferredIf referred, by whom?Applicant 2Is there a second applicant?*YesNoApplicant2 Contact Information*If there is not a second applicant, please type in NA for all questions.Last Name*First Name*Middle NameDate of Birth* MM DD YYYY Social Security Number*Driver's License #*State*Mobile Phone*Work PhoneEmail Address* Current 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 Monthly Rent*Years at Address*Reason for Moving*Landlord's Name*Landlord's Phone #*Do you have a criminal, civil, or small claims record?*YesNoIf yes, please explain*Emergency Contact - Full Name*Emergency Contact - Phone #*Employment Information (Applicant2)Employer Name*Employer Phone #*Employer 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 Occupation/Job Title*Years of Employment*Monthly Income*Supervisor's Name*AuthorizationI HEREBY CERTIFY THAT THE FOREGOING INFORMATION IS TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT GIVING FALSE INFORMATION ON THIS APPLICATION IS BASIS FOR REJECTION AND COULD BE BASIS FOR EVICTION. BY MY SIGNATURE, I AUTHORIZE YOU TO CONTACT REFERENCES LISTED ON THIS APPLICATION. MILITARY PERSONNEL MUST PROVIDE A COPY OF ORDERS, CURRENT LES, AND MILITARY ID. I HEREBY CONSENT TO ALLOW MARK HARRIS PROPERTIES, LLC, THROUGH ITS DESIGNATED AGENT AND ITS EMPLOYEES, TO OBTAIN AND VERIFY MY CREDIT INFORMATION, CRIMINAL INFORMATION, AND/OR EVICTION INFORMATION FOR THE PURPOSE OF DETERMINING WHETHER OR NOT TO LEASE AN APARTMENT TO ME. I UNDERSTAND THAT SHOULD I LEASE AN APARTMENT, MARK HARRIS PROPERTIES, LLC, AND ITS AGENT SHALL HAVE THE CONTINUING RIGHT TO REVIEW MY CREDIT INFORMATION, CRIMINAL INFORMATION, RENTAL APPLICATION, PAYMENT HISTORY, AND OCCUPANCY HISTORY FOR ACCOUNT REVIEW PURPOSES AND FOR IMPROVING APPLICATION REVIEW METHODS.Applicant #1 Signature*Applicant #1 Submission Date* MM DD YYYY Applicant #2 Signature*Applicant #2 Submission Date* MM DD YYYY MARK HARRIS CONSTRUCTION AND ETOWN APARTMENTS PROVIDE EQUAL HOUSING OPPORTUNITY.
