The following information is required in order to process your rental application. Please complete all blanks. For any blanks which do not apply, insert "N/A". List the full name, address and telephone number of all present and past references. Please note we will not hold a unit until the application is processed and we receive the first months rent.

APPLICANT'S FULL NAME:_________________________________________________________________

CURRENT ADDRESS: Please inc Zip code______________________________________________________________________

SOCIAL SECURITY #:____________________________________________________________________

SPOUSE'S / OTHER’S FULL NAME:__________________________________________________________

SPOUSE'S / OTHER’S SOCIAL SECURITY #:__________________________________________________

TELEPHONE:_____________________________________________________________________________

1) PERSONS WHO WILL BE RESIDING IN THE RENTAL UNIT:

FULL   NAME   AGE

&____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

2) INCOME (LIST ALL EMPLOYERS OR OTHER SOURCES OF INCOME):

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

3) BANK REFERENCES (SAVINGS, CHECKING, ETC.):

NAME OF BANK TYPE OF ACCOUNT

____________________________________________________________________________________

____________________________________________________________________________________

4) AUTOMOBILES (LIST ALL INFORMATION FOR EACH VEHICLE TO BE PARKED ON THE PREMISES):

MAKE MODEL YEAR LICENSE#

__________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

5) RENTAL HISTORY (COMPLETE EACH QUESTION FOR PAST THREE YEARS):

A) PRESENT ADDRESS:____________________________________________________________________

HOW LONG?_____________________________________________________________________________

LANDLORD'S NAME:______________________________________________________________________

LANDLORD'S ADDRESS/TELEPHONE:______________________________________________________

WHY DID YOU MOVE? ____________________________________________________________________

B) PREVIOUS ADDRESS:___________________________________________________________________

HOW LONG?_____________________________________________________________________________

LANDLORD'S NAME:______________________________________________________________________

LANDLORD'S ADDRESS/TELEPHONE:______________________________________________________

WHY DID YOU MOVE? ____________________________________________________________________

C) PREVIOUS ADDRESS:___________________________________________________________________

HOW LONG?_____________________________________________________________________________

LANDLORD'S NAME: _____________________________________________________________________

LANDLORD'S ADDRESS/TELEPHONE:______________________________________________________

6) DO YOU HAVE ANY PETS? ( any approved pets will incur an additional monthly charge of $30 ) DOGS MUST BE UNDER 25#

YES _____________ NO__________________

DESCRIPTION OF PET:______________________________________________________________________

SECURITY DEPOSIT REQUIRED--- SAME AS ONE MONTHS RENT

DESIRED OCCUPANCY DATE: _______________________________________________________

The applicant’s certify that all of the above information is true and correct and agree that a

representative of landlord may contact any of the above references, and credit reporting service

records and/or verify any of the information contained in this application.The applicant understands that this

rental application does not constitute a lease or rental agreement and that tenancy may be denied

in the event that any of the requested information is found to be false or credit history does not meet our expectations.

Comments (Special Provisions) :

Applicant agrees to deposit the Rental Application Deposit with the Lessor at the time this application is made. At the time the Applicant is given occupancy of the unit, the deposit will be applied to the first months rent and the Applicant will be required to deposit the Tenant Security Deposit. In the even Applicant fails to take possession of the unit, the Lessor will attempt to relet the subject premises and the Rental Application Deposit will be applied to offset any costs incurred by Lessor. Tenants will abide by the bylaws and or declarations of Park Place Condominiums.

Number of Occupants allowed in each unit.

1 bedroom upper - 2 occupants

2 bedroom upper - 3 occupants

2 bedroom lower - 3 occupants

3 bedroom upper - 4 occupants

APPLICANT'S SIGNATURE ____________________________________DATE_____________

SPOUSE’S / OTHER SIGNATURE ____________________________________DATE_____________