Online Credit Application for Sugar Creek-Ashley Lane-Acosta Oaks Apartments
Complex Desired
Applicant's Name:
Date of Birth:
Social Security:
Current Address:
Owner Name:
Reason for Leaving:
Moved In: (mm/yyyy)
Rent:
Previous Address:
Owner Name:
Moved In: (mm/yyyy)
Reason for Leaving:
Current Employer:
Contact #:
Date Hired:
Income:
Hours per Week:
Do you have a pet?
Must be under 25# adult weight
If yes, What?
Weight:
Have you ever broken a lease or been evicted from an apartment?
Have you ever been convicted of a felony?
EMERGENCY REFERENCES In case of emergency, Contact:
Name:
Relationship:
Phone:
Name:
Relationship:
Phone:
In case we have any questions, please list phone numbers where you can be contacted:
*Phone One:
Phone Two:
Additional Notes Or Comments:
I authorize Crown-Point Apartments and / or its agent to examine my credit history. I certify that the above information is correct, and I understand that this application may be revoked if any information furnished is found to be incorrect. I hereby grant this property and / or its agent the right to process this application for the purpose of obtaining a Rental / Lease agreement with this property. Additionally, I authorize all current and former employers to release information they may have about me and release them from any liability and responsibility from doing so. If I submit a deposit of $150.00, I understand that it is refundable if this application is denied. If the reservation is canceled for any reason within three (3) calendar days from the date the deposit is given to a representative of Crown Point Apartments, I agree to forfeit $50.00. If the reservation is canceled for any reason in four (4) or more calendar days, I agree to forfeit the full deposit paid. I also understand I must bring in a non-refundable $20.00 application fee will be due with deposit.
WE DO BUSINESS IN ACCORDANCE WITH THE FEDERAL FAIR HOUSING LAW, IT IS ILLEGAL TO DISCRIMINATE AGAINST ANY PERSON BECAUSE OF RACE, COLOR RELIGION, SEX, HANDICAP, FAMILIAL STATUS, OR NATIONAL ORIGIN.
Signature Applicant #1:
Today's Date:
How did you hear about us?
This form is being sent over the internet via e-mail. Some of the information may be suseptable to hackers. If this is a concern you may wish to get the printable version and print it and mail or bring to the office along with your check for $20.00 to:
Sugar Creek Apartments
2550 So Oliver
OFC
Wichita, KS 67210
Name of Applicant being co-signed for:
Please enter your entire social security number.
This form is for a co-signer
Please enter all information for faster response.
Apartment Size Desired
# Adult Residents
18 yrs or older
# Child Residents
Under 18 yrs old
mm / dd / yyyy
Owner Number:
Owner Number:
Moved Out: (mm/yyyy)
Select Pay Frequency:
Signature Co-Applicant:
Co-Applicant must fill out separate application
