Personal Information

Apartment Applying For:

Phone Number

Name

Social Security #

Date of Birth

Email Address

Current Address

City

State

ZIP

How Long

years

Rent Amount $

Current Landlord Name and Phone

Previous Landlord Information

Previous Address

City

State

ZIP

How Long

years

Rent Amount $

Previous Landlord Name and Phone

Employment Information

Current Employer

Person to Contact

Employment Address

City

State

Position

Yrs of Service

Additional Income $

Explain

ZIP

Mo. Income $

Occupancy and Pets

How many people will occupy the apartment?

Names and ages?

Do you have any pets?

Choose One Yes No

If yes, type?

Weight (LBS)

General Rental Information

Have you Ever Been Evicted?

Choose One Yes No

Are you able to meet the requirements of tenancy?

Choose One Yes No

If not do you have someone who can help you?

Choose One Yes No

If "YES" who?

Do you have a waterbed?

Choose One Yes No

Do you have renters insurance?

Choose One Yes No

Can you obtain a co-signor?

Choose One Yes No

Are you able to put utilities in your name?

Choose One Yes No

I represent to you that I have read this entire application and that all of the above information herein is true and correct. If any of the above information is false, I hereby agree that my application will be denied. I understand that this application is subject to your approval.

Cruise Properties; LC is an equal opportunity manager. It is the policy of Cruise Properties, LC not to discriminate on the basis of race, color religion, national origin, ancestry, physical or mental disability, family status or marital status, or sex. You have the right to attend and choose any rental apartment we have available that meets your requirements. We will offer available rental apartments to you, subject to your credit history, income and housing preference. If you feel you have been treated unfairly or discriminated against please contact the office at 351-0360. I also understand that by clicking 'submit application' below, that this constitutes my signature and approval of the submission of this application.