Date:
January 19, 2021
Applicant's
Name :
Applicant's
Phone :
Applicant's
Email Address :
Applicant's Date
of Birth:
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Applicant's
Social Security # :
Applicant's
Driver's License # :
Applicant's
Driver's License State :
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Applicant's
Marital Status :
Married
Single
Spouse's
Name :
Spouse's Date of
Birth:
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Spouse's
Social Security # :
Other Occupants
Occupant
1 Name :
Occupant
1 Age :
Occupant
1 Relationship :
Occupant
2 Name :
Occupant
2 Age :
Occupant
2 Relationship :
Residency
History
Permanent
Address (Current Home Address) :
Apt.# :
Permanent
City :
Permanent
State :
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Permanent
Zip :
Permanent Residency
Dates (From/To):
From
To
Permanent
Residence Landlord/Manager :
Permanent
Residence Apt.
Name or Mtg. Co.
Loan # :
Permanent
Residence Phone # :
Permanent
Residence Monthly Payment :
Reason
for Moving from Permanent Residence :
Previous
Address :
Apt.# :
Previous
City :
Previous
State :
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Previous
Zip :
Previous Residency
Dates (From/To):
From
To
Previous
Residence Landlord/Manager :
Previous
Residence Apt.
Name or Mtg. Co.
Loan # :
Previous
Residence Phone # :
Previous
Residence Monthly Payment :
Reason
for Moving from Previous Residence :
Have you ever been
evicted from any leased premises?
Yes
No
If
you have ever been evicted, please explain :
Employment
History
Current
Employer :
Current
Position :
Current
Business :
Current
Business Phone # :
Current
Supervisor :
Current
Employment Start Date :
Current
Gross Monthly Salary :
Previous
Employer :
Previous
Position :
Previous
Business :
Previous
Business Phone # :
Previous
Supervisor :
Previous
Employment Start Date :
Previous
Gross Monthly Salary :
Spouse's
Employer :
Spouse's
Position :
Spouse's
Business :
Spouse's
Business Phone # :
Spouse's
Supervisor :
Spouse's
Employment Start Date :
Spouse's
Gross Monthly Salary :
Vehicles
Vehicle
1 Year & Make :
Vehicle
1 Color :
Vehicle
1 License & State :
Vehicle
1 Is Registered To :
Vehicle
2 Year & Make :
Vehicle
2 Color :
Vehicle
2 License & State :
Vehicle
2 Is Registered To :
Personal
(In case of emergency,
notify these people)
Person
1 Name :
Person
1 Address :
Person
1 City :
Person
1 State :
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Person
1 Zip :
Person
1 Relationship to You :
Person
1 Phone # :
Person
2 Name :
Person
2 Address :
Person
2 City :
Person
2 State :
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Person
2 Zip :
Person
2 Relationship to You :
Person
2 Phone # :
Have you ever filed
for bankruptcy?
Yes
No
Have you ever been
convicted of a felony?
Yes
No
Application
Deposit Agreement
Applicant has deposited
the sum of $500.00
(hereafter referred to as "applicant deposit") in consideration
for Owner taking the dwelling unit off the market while considering
approval of this application. If applicant is approved and the
contemplated lease is entered into, "application deposit" shall
be credited to the required security deposit. If applicant fails
to notify the Owner within 72 hours that the Applicant wishes
to withdraw this application for rental, or if Applicant is
approved, but fails to promptly enter into the contemplated
lease within 30 days, the application deposit shall be forfeited
to Owner. This application deposit will be refunded only if
Applicant is not approved. Keys will be furnished only
after contemplated lease and other rental documents have been
properly executed by all parties, and only after applicable
rentals and security deposits have been paid. This application
is preliminary only and does not obligate the Owner or Owner's
agent to execute a lease or deliver possession of the proposed
premises.
Processing
Fee
Applicant has paid the sum of $50.00 as a non-refundable fee for Owner's cost of processing the application.
Apartment
# :
Apartment
Type :
Anticipated
Move-in Date :
Term
of Lease :
In order to complete your application, we need you to download and complete the Consent to Obtain Credit Report Form. Upon completion, please fax the form to (859) 231-0617.
Please submit Security Deposit Payment to the University Lofts leasing office located at:
University Lofts
236 Bolivar St.
Lexington, KY 40508
Security Code:
Please Enter Code Above Here: