Perseus Management

Personal Information

Full Name*

Daytime Phone *

Nightime Phone *

Email *

Social Security Number*

Current Driver's License #*

State Issued*

Present Address*

Residence dates *

Rental?*

Rent Amount

Landlord/Property Manager Name

Landlord/Property Manager Contact #

Reason For Leaving Current Residence *

Previous Address*

Residence Dates *

Rental?*

Rent Amount

Landlord/Property Manager Name

Landlord/Property Manager Contact #

Reason For Leaving Previous Residence *

College/University Attended *

Level of Degree (ex. Bachelors/Masters/Doctorate)*

Professional Information

Present Employer *

Industry/Line of Work *

Title/Position *

Length of Employment *

Address of Employer *

Phone Number of Employer*

Annual Salary *

Gross Monthly Income Before Deductions (note that the aggregate income of the apartment must be greater than or equal to 40x one month's rent)*

Additional Income *

Former Employer *

Title/Position*

Length of Employment *

Address of Former Employer*

Phone Number of Former Employer *

Reason For Leaving*

Credit References

This may include credit cards, car loans, small personal loans, etc.

Bank *

Branch Location/Address*

Account*

Account #*

Approximate Balance *

Major Credit Card *

Expiration Date*

Credit Limit*

Are All Payables Current?*

Have You Ever Been Evicted?*

Have You Ever Had A Foreclosure/Repossession?*

If Yes to Either, Please Explain

Have You Ever Filed For Bankruptcy?*

Explain

Have You Ever Been Convicted of A Crime (Other Than A Traffic Violation)? *

Explain

Personal References

Please list two people, OTHER THAN RELATIVES, that we may contact regarding your application.

Individual #1 *

Relationship *

Address *

Phone *

Individual #2 *

Relationship*

Address *

Phone *

Emergency Contact

In case of emergency, please contact the following:

Name *

Relationship *

Address *

Phone *

Other Residents

(Other persons, including children, who will live in the apartment during the term of the lease)

Name

Pets

Please note that pets will NOT be allowed on the premises without the prior consent of management and/or landlord and payment of fees, if applicable.

Type

Weight

Apartment Information - Unit Applying For

Address of Building *

Unit #*

Floor *

Rent Amount *

Desired Length of Stay *

Do You Plan On Owning the Following During Your Stay In The Apartment:

Air Conditioner
Washer/Dryer (if not provided)
Musical Instrument

Name of Guarantor (if applicable)

Legal

A non-refundable application fee of $35 per Applicant required for processing this application, and is being paid herewith. An additional non-refundable application fee of $35 is required in the event that applicant will have a guarantor co-sign the lease. The undersigned expressly agrees that if this application is approved applicant herewith agrees to rent this property. Applicant further agrees that if applicant is accepted by Management and then decides not to move into the premises, then all monies paid herewith shall be retained as liquidated damages since other prospective tenants may have been turned away and it may be necessary for management to re-advertise the property and evaluate other applicants. Processing of application shall be as timely as possible and the results may be delivered via telephone, fax or (e)mail. Once approved, applicant agrees to pay the balance of funds and complete the paperwork within 48 hours, otherwise management will assume that applicant has decided to forfeit the reservation/earnest money payment made herewith and will begin re-marketing the property. If applicant is not approved, all monies given herewith, less application fee shown above shall be returned to the applicant.

I declare that the application is complete, true and correct and I herewith give my permission for anyone contacted to release the credit or personal information of the undersigned applicant to Management or their authorized agents, at any time, for the purposes of entering into and continuing to offer or collect on any agreement and/or credit extended. I further authorize Management or their Authorized Agents to verify the application information including, but not limited to, obtaining criminal records, contacting creditors, present or former landlords, employers and personal references, whether listed or not, at the time of the application and at any time in the future, with regard to any agreement entered into with management. Any false information will constitute ground for rejection of the application, or management may at any time immediately terminate any agreement entered into in reliance upon misinformation given on this application.

I Agree

Name *

Date *