Online Credit Application for Sugar Creek-Ashley Lane-Acosta Oaks
Apartment Rental Application for
*Name:
*Date of Birth:
*Social Security:
*Current Address:
*Owner Name & Contact #:
*Reason for Leaving:
*Moved In: (mm/yyyy)
*Rent:
Previous Address:
Owner Name & Contact #:
Moved In/Out: (mm/yyyy)
Rent:
Reason for Leaving:
*Current Employer:
Contact #:
Date Hired:
*Wages per Hour:
*Hours per Week:
*Desired Apt. Size:
*Do you have a pet?
Must be under 25#
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:
Phone Three:
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 before this application will be processed.
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 Resident #1:
*Today's Date:
Signature Resident #2:
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:
Name:
Please enter your entire social security number.
If this form is for a co-signer, please fill in the information below.
Items marked with an * are required. However the more information you enter, the faster we can process the application
