Application for Residency Instructions

1. Complete all fields of this form online.
2. Print this on your printer.
3. Complete signatures
4. Fax to MRA at (618) 549-3640

Application for Residency

The undersigned applicant(s) hereby applies for and offers to execute a Lease as provided by the Marshall Reed Apartments (hereinafter Lessor). The undersigned applicant(s) warrants that the statements contained are true. The purpose of this application is to assist Lessor in deciding whether to rent to applicant(s). Receipt of this application by Lessor does not obligate Lessor to deliver occupancy of any apartment.

Name Birthdate (mm/dd/yy)Social Sec. #

Telephone Work phone

Present AddressCity St Zip

Present Landlord Name Apt Community
Phone Rent Amount

Previous AddressCity St Zip

Previous Landlord Name Apt Community
Phone Rent Amount

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Other Persons to Occupy Apartment

Name Relationship Birthdate (mm/dd/yy)

Name Relationship Birthdate (mm/dd/yy)

Name Relationship Birthdate (mm/dd/yy)

Do you own any pets? (click to place "x" to indicate YES, I have pets)

If Yes, What type? HeightLbs.

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Present Employeer Address Dates of employment Position

Name of Supervisor Telephone Gross Monthly Income Drivers License #

Name Address Phone

Name Address Phone

Each Applicant Agrees and Represents That:

1. The actual date of posession is subject to vacation of premises by prior tenant, if any, and completion of necessary repairs or remodeling.
2. The initial payment will be due and paybable upon the signing of the lease and will cover the period from the first of the term through the remainder of that month. Thereafter all rental payments will be due and payble in advance on the FIRST DAY of each month.
3. A deposit of $________ is made herewith. If the application is approved and said deposit will be held, without interest, as (partial, full) security of the performance of covenanst of the lease and as a damage deposit. The full security deposit will be $ _______ If the applicant(s) notifies the Lessor within 72 hours after the execution of this application that applicant(s) no longer wishes to rent an apartment, Lessor agrees to return said deposit in full, less a $50.00 processing fee. Lessor reserves the right to retain the full deposit if, for any reason, prospective Lessee withdraws his application for tenancy, if said application is withdrawn after the time limit set out in the previous sentence.
4. Applicant(s) hereby authorizes Lessor to procure a "consumer report" as defined in the Fair Credit Reporting Act, 15 U.S.C. 1681 a (d) seeking information on the credit worthiness, credit standing, credit capacity, character, general reputation, personal characteristics, or mode of living of applicant(s). Applicant(s) tenders, in addition to any security deposit, the amount of $25.00 which applicant(s) acknowledges is the cost of procuring a consumer credit report, employment verification, character references and other administrative set-up costs. This fee is non-refundable.
5. Applicant(s) is not now renting any residence in a name other than that listed above.
6. Applicant agrees to sign a ________________ year/month lease commencing _______________________, ________ at a Rental of $_______ monthly at the property address known as: ___________________________________________________
7. Until Lessor executes and tenders a lease to applicant(s), Lessor shall have the right to reject this applicant(s) for whatever reason.

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