Application for apartment

Please print this application and fill in all appropriate spaces.

A completed application can be faxed to;

Kingston Square Homes Inc.

fax number: 317- 541-8313

LEASE APPLICATION

KINGSTON SQUARE HOMES INC.

7171 Twin Oaks Drive

Indianapolis Indiana 46226

317-542-1557 Fax 317 541 8313

Date______

Apartment Type Desired _________________

Tentative Move-in Date__________________

Rent per Month________________

Resident Information

PLEASE PRINT CLEARLY

Last Name ________________________________

First ____________________________________

Middle Marital Status _______________________

Birth date _________________________________

Phone ____________________________________

Social Security No. __________________________

Drivers License No. ______________________State issued____________

Children approved for occupancy or visitation:

Name_______________________________________ Age____________ Birth Date____________

Please fill out a separate application for each adult that will be residing in the apartment home

List any additional persons residing with you: Name__________________________________________

Relationship____________________

Employer_____________________________ How long?__________

Birth Date___________________________________

Driver's License No._________________________

Resident History

Present address_____________________________________________

How long ________________ Own/Rent_______________

Landlord's Name or Mortgage Holder

Name ________________________________________________

Address ______________________________________________

Phone No. ____________________________________________

Monthly Payment ______________________________________

Reason for Leaving _____________________________________________________________________

Previous address ________________________________________________________

How long____________ Own/Rent________

Landlord's Name or Mortgage Holder

Name __________________________________________________________

Address ________________________________________________________

Phone No. __________________Monthly Payment _____________________

Reason for Leaving____________________________________________________________________

Have you ever broken a lease or been evicted? ___No ___Yes Why?_____________________________

Have you ever been convicted of a felony?____ No _____Yes

If yes Explain:____________________________________________

_________________________________________

Employment Information

Present Employer______________________________________________________________________

Name & Address ___________________________________________________

Phone No. _________________________________________________________

Time on the job _______________________Net Monthly Income_____________

Position ___________________________________________________________

Immediate Supervisor ________________________________________________

Previous Employer

Name & Address ____________________________________________________

Phone No. _________________________________________________________

Time on the job _____________________________________________________

Net Monthly Income _________________________________________________

Position ___________________________________________________________

Immediate Supervisor ________________________________________________

Credit Information

Bank #1

Name:_____________________________________________________________

Address:___________________________________________________________

Acct. No. Checking or Savings: ________________________________________

Bank # 2

Name: __________________________________________________________________

Address: __________________________________________________________________

Acct. No. Checking or Savings: ____________________________________________________

Loans

Auto/Personal

Name Address _____________________________________________________

Acct. No. _________________________________________________________

Monthly Payment_______________ Balance Due _________________________

Credit Card Name and account #_______________________________________

Address ___________________________________________________________

Monthly Payment_________________ Balance Due ________________________

Credit

Card Name ________________________________________________________

Address ___________________________________________________________

Monthly Payment______________ Balance Due __________________________

Other

Name _____________________________________________________________

Address ___________________________________________________________

Monthly Payment___________________ Balance Due _____________________

Do you pay or receive child support?_______ Yes________ No

If yes, how much per month do you pay or receive? ______________

I/We hereby certify that the above information represents all current monthly obligations.

___________(Initial)

Other Information

Auto Type/Year___________________________________________

License Number___________________________________________

State ____________________________________________________

Auto Type/Year___________________________________________

License Number_____________________________________

Do you own:

_____Boat ____Trailer/RV/Camper ____

Motorcycle ____Commercial Truck/Van ___Musical Instrument ________Waterbed

_______________________________________

Emergency Contact

_________________________________________________

In case of emergency contact:

Name___________________________________________________________ Phone No._________________

Relationship____________________________________ Address_____________________________________

____________________________________________

Applicants Consent

Applicant hereby represents that the above information is true and correct.

It is my/our understanding that this application is preliminary only and involves no obligation of the owners or its agent to approve this

application or to deliver occupancy of the proposed premises. The applicant(s) appearing below hereby authorize the holder of the lease

application to investigate their past history of applicant(s) occupancy, history or any apartment community or dwelling, and whatever

credit bureaus or other sources the apartment owner or agent deems necessary in determining approval of the application.

Applicant(s) further agrees that if the application is rejected or canceled by management, for whatever reason, Thirty five dollars (35.00)

will be retained as a processing fee. If applicant is accepted the selected unit will be placed on hold for 72 hours, sufficient time for all

appropriated leasing documents to be completed and processed.

Please read and understand this policy prior to signing this document. Keys will be furnished only after the lease and other rental

documents have been accepted by all parties and only after applicable deposits and membership fees have been paid.

Signature__________________________________

Applicant

Signature__________________________________

___________________________________ ________

Applicant MANAGEMENT REPRESENTATIVE DATE