Where did you hear about us?	Drove/Walked By Current/Former Resident Friend Newspaper Google Craigslist Superpages Newspaper

Personal Info

First Name		M. I.
Last Name		Suffix	Jr Sr I II III IV
Email		SSN
Mobile Phone		Home Phone
Preferred Contact	Email Mobile Phone Home Phone	Birth Date
Total # of Occupants; Each adult must fill out their own application	1 2 3 4 5 6 7 8 9 10	Any pets?	Yes No
Desired Apt. Size	1 Bedroom 2 Bedroom First Avail.
Desired Move-in Date?		Are you a US Citizen?	Yes No

Current Address

Street & Apt. #		City
State	AK AL AR AS AZ CA CO CT DC DE FL FM GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MP MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UM UT VA VI VT WA WI WV WY AA AE AP AB BC MB NB NL NS NT NU ON PE QC SK	Zip Code
Landlord Name		Landlord Phone
Current Rent
Residency Start		Reason for Leaving

Residence/Rental History

Street & Apt. #		City
State		Zip Code
Landlord Name		Monthly Rent
Residency Start Residency End		Reason for Leaving
Landlord Phone

Employment History

Employer		Occupation
Supervisor Name		Supervisor Phone
Monthly Gross Pay		Employment Start Date

Background Information

Have you ever been convicted of a Felony?	No Yes	Have you been convicted of a misdemeanor in the last 5 years?	No Yes
Have you ever been evicted?	No Yes	Have you ever been party to a lawsuit?	No Yes

Emergency Contact

Name
Address		City
State		Zip
Phone		Relationship

Other Information

Car Model Year / Make		Car License Plate

Comments

Application Agreement

I authorize West River Properties, LLP ("WRP") to conduct a background inquiry to verify the statements and information on this application, other documentation that I have provided, and other areas that may include prior employment, consumer credit, criminal convictions, motor vehicle history, and other reports. I authorize all previous employers or other persons who have knowledge of me, or my records, to release such information to WRP. I hereby release any individual, agency, and WRP from all claims or liabilities whatever that may arise from the disclosure of such information. If I lease an apartment from WRP (or guarantee someone else's lease) within 3 months of signing this application, then this authorization shall continue for the life of that lease, including any renewals or extensions. I certify under the pain and penalty of perjury that my answers are true and complete to the best of my knowledge.    I understand that willful and material misrepresentations on this application concerning my identity, history of employment, landlords, evictions, lawsuits or criminal background will invalidate any subsequent lease. By checking the box below and pressing the submit button, I intend to electronically sign this document.

* I Agree