Application

Please complete fully and click submit button at the bottom when finished.

Applicants Information

Name:
Current Address:
Drivers License #:
State:
Telephone #:
Email:
Date of Birth:
Height:
Weight:
Sex:
Eye Color:
Hair Color:
U.S. Citizen:
Marital Status:
Do you have a spouse or a significant other that will be living with you?
Do you have another occupant such as a child or relative that will be living with you?
Do you have a pet living with you?

THIS IS SOMEONE OVER 18 NOT LIVING WITH YOU THAT WILL ALWAYS KNOW HOW TO CONTACT YOU.
Name:
Current Address:
Relationship to:
Home #:
Work #:
IS THIS PERSON YOU HAVE LISTED ABOVE AS A EMERGENCY CONTACT AUTORIZED TO ENTER THE RENTAL PROPERTY IN THE EVENT OF THE DEATH OF YOU OR YOUR SPOUSE OR YOUR CHILD, IF YOU ARE MISSING OR IN A CORRECTIONAL FACILITY TO REMOVE THE CONTENTS, MAILBOX, GARAGE, STORAGE AREA OR COMMON AREA OR YARD?

IF YOU ARE SERIOUSLY INJURED OR ILL, YOU AUTHORIZE US TO CALL EMS OR SEND FOR AN AMBULANCE AT YOUR EXPENSE ALTHOUGH WE ARE NOT OBLIGATED TO DO SO?

I, WE AUTHORIZE Diane Martin DBA The Butler Apartments, TO VERIFY BY ALL AVAILABLE MEANS THE ABOVE INFORMATION INCLUDING REPORTS FROM CONSUMER AGENCIES BEFORE, DURING AND AFTER OCCUPANCY ON MATTERS RELATING TO MY LEASE AND INCOME. HISTORY AND OTHER INFORMATION REPORTED BY MY EMPLOYER TO ANY STATE EMPLOYMENT SECURITY AGENCY. THIS APPLICATION IS PRELIMINARY ONLY AND DOES NOT OBLIGATE OWNER OR OWNER'S AGENT TO EXECUTE A LEASE.
Applicant's Initial to Authorize:
Spouse's Initial to Authorize: