Name(Required)

First Last

Social Security Number(Required)

Date of Birth(Required)

Age(Required)

Marital Status(Required)

Phone(Required)

Email(Required)

Current Address(Required)

Street Address Address Line 2 City State ZIP Code

Spouse Information

Spouse Name(Required)

First Last

Social Security Number(Required)

Email(Required)

Date of Birth(Required)

Age(Required)

Phone(Required)

List of Occupants Under the Age of 18

Name and Age

Does applicant / spouse or any proposed resident have an arrest record?(Required)

Yes

Please explain:(Required)

Employer Information

Employer Name(Required)

Employer Phone

Spouse Employer Name(Required)

Spouse Employer Phone(Required)

License and Vehicle Information

Drivers License #

State

Exp.

Make of Vehicle

Year

Color

Spouse Drivers License #

State

Exp.

Spouse Make of Vehicle

Year

Color

Pets Information

Do you have pets?(Required)

Yes

Pet Type, Color, and Age(Required)

This application and the content hereof are considered part of my lease.

Property address applying for(Required)

Expected/Intended Move-In Date(Required)

Once the application is approved, a security deposit is required to hold an apartment. The security deposit is $600.(Required)

I understand.

If a deposit is applied to an apartment and the applicant decides that he or she does not want the unit, the deposit may be forfeited to Maynard Rentals. By checking this box the applicant(s) agree to this and credit check.(Required)

I agree.

Maynard Rentals will not run an application until phone contact or other permission is received.

Applicant Signature(Required)

Date(Required)

Spouse Signature(Required)