Melrose Application

Melrose Apartments Rental Application

Your Name:

Desire What Style of Apartment(s)?

1 Bed 2 Bed 3 Bed

Your Phone #

Your Email Address:

Desired Move In Date(s):

Birth Date:

Social Security Number:

Driver's License Number & State:

Present Address with City / State / Zip:

How Long Lived at Present Address?

What is Your Present Monthly Rent?

What is Present Landlord's Name?

Present Landlord's Phone Number:

Reason(s) You Want to Leave:

Where Did You Live Before Your Present Address? (Include City / State / Zip)

What Was Prior Owner's Name?

What is Prior Owner's Phone Number?

What Percent of Your Security Deposit Was Returned? Explain:

Name & Relationship of Everyone Living at Your Present Address. Include Ages:

Do You/Your Room Mates Have Pets?

Yes No

Describe Pets:

Do You/Your Room Mates Smoke?

Yes No

Describe Type of Smoking:

What's Your Present Occupation?

Who's Your Present Employer?

What's Your Company's Phone #

How Long Employed There?

What's Your Supervisor's Name?

What's Your Supervisor's Phone #

Please List Present Income Plus All Other Income Sources/Amounts:

Please List All Your Debts with Balances Owed and Monthly Payments:

Ever Filed Bankruptcy?

Yes No

If "Yes", Please Describe:

Ever Been Convicted?

Yes No

If "Yes", Please Describe:

Ever Been a Felon?

Yes No

If "Yes", Please Describe:

First Vehicle Make / Model / Year / Color / License Plate# and State:

Second Vehicle Make / Model / Year / Color / License Plate# and State:

Personal Reference: Name / Mailing Address / Telephone:

Emergency Contact: Name / Mailing Address / Telephone:

How Did You Hear About Melrose Apartments?

Feel Free to Add Any Comments Below:

By submitting this application I declare that my statements above are true and correct and that I authorize Melrose Apartments to verify all the above and to run such checks on me as, but not limited to, credit, criminal etc. that they deem necessary relating to my present and past history. Your application may be denied due to: Criminal History, Credit History, Rental History, Current Income, Present Debt, Non-Complete Application Information or any other Lawful Reason.