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Personal Information

Property	Desired Move In Date	Unit Type	Source
First Name	Last Name	SSN	DOB
Driver's License #	Email	Home Phone #	Work Phone #
Cell Phone #

Other Potential Tenants

Tenant First Name	Tenant Last Name	DOB	Relationship To You
Tenant First Name	Tenant Last Name	DOB	Relationship To You
Tenant First Name	Tenant Last Name	DOB	Relationship To You
Tenant First Name	Tenant Last Name	DOB	Relationship To You

Present Address

Street	City	State	Zip
Monthly Payment	Date From	Date To	Landlord
Landlord Phone #	Reason For Leaving

Previous Address

Street	City	State	Zip
Monthly Payment	Date From	Date To	Landlord
Landlord Phone #	Reason For Leaving

Present Employer

Employer Address	Employer City	Employer State	Employer Zip
Monthly Income	Date From	Position

Previous Employer

Employer Address	Employer City	Employer State	Employer Zip
Monthly Income	Date From	Date To	Position

Students

If You Are A Student, List School
School #	Present Grade Level	Graduation Date	Major

Pets

Type	Breed	Weight
Type	Breed	Weight

Vehicles

Make	Model	Color	Year
Make	Model	Color	Year

Additional Information

Have You Or A Co-applicant Ever:

Been Sued For Non-payment Of Rent?	If yes, Explain
Been Evicted Or Asked To Move Out?	If yes, Explain
Broken A Contract Or Lease?	If yes, Explain
Been Sued For Damages?	If yes, Explain
Filed For Bankruptcy?	If yes, Explain

Any Other Income We Should Consider

(Must Be Able To Prove)

Amount	Source	Per	Telephone
Amount	Source	Per	Telephone

TO APPLY FOR A HOME THROUGH CORDOBA REAL ESTATE GROUP YOU NEED:

PHOTO ID
SOCIAL SECURITY CARD
PAY STUBS
NAME AND NUMBER OF CURRENT LANDLORD
WE CANNOT ACCEPT FRIENDS OR RELATIVE LANDLORDS

AUTHORIZATION:
(PLEASE READ CAREFULLY BEFORE SUBMITTING)

In considering this application from you, management will rely heavily on the information which you have supplied. It is important that the information be accurate & complete. By submitting the application, you represent & warrant the accuracy of the information, & you authorize management to verify any references that you have listed. In addition, you authorize management to obtain a consumer credit report. A credit check will appear on your consumer credit report as an inquiry.

DISCLOSURE VERIFICATION:

If you answered yes to any type of EVICTION, CRIMINAL CHARGES, OR MONEY OWED TO A RENTAL COMMUNITY, you must fully disclose the information in the fields provided above.

All Security Deposits, Holding Fees, & Application Fees are non-refundable and will ensure your apartment will be held for 30 days.