First:
Middle:
Last:
Local Telephone:
E-mail:
Current Local Address:
City:
State:
ZIP:
Permanent Address:
City:
State:
ZIP:
Please provide the information for one of the items below:
Birthdate:
Select one of the following:
Select one of the following:
Class Standing:
in Fall of
Have you ever been convicted of a felony?
Reason:
Have you ever been evicted from a residence?
Reason:
How will you be paying your rent? Select one:
If either of the last two items is checked, a Parental Guarantee Sheet will be required before move in.
Emergency Contact other than Parent or Guardian:
Name First:
Middle:
Last:
Home Telephone:
Work Telephone:
Vehicle Information
Vehicle Make:
Model:
Year:
License Plate Number:
Housing Selection
Numerically list choices in order of preference. Requests are not guaranteed. If space is available, request will be filled on a first-come, first-served basis.
Four bedroom, Four ½ Bath No Garage
Four bedroom, Four ½ Bath No Garage + Slider and Cement Patio
Four bedroom, Three ½ Bath with One stall garage
Rent is payable with one check each month. Leases are individual leases. For example, three residents pay one resident and the one resident writes the rent check for the entire unit.
Please list the names of your roommates below. All roommate choices must be mutual in order to be placed together.
If you fail to answer any question, or if you have given false information, we are entitled to (1) reject the application, (2) retain all processing fees and deposits as liquidated damages for any time and expense, and (3) terminate any right to lease the bedroom or (4) if you have signed a lease, it will be a violation of the lease.
Parental/Guardian Guarantee (separate from lease) must be signed by guardian by move in date unless Conifer Creek Townhomes management states otherwise.
I attest that the information contained herein is correct. Conifer Creek Townhomes is authorized to verify my credit history and all other submitted information for the purpose of evaluating this lease application.