Coldwater Crossing Apartments Rental Application

The application and the contents thereof are considered a part of the lease. After reading the Resident Selection and Occupancy Criteria, please completely fill out this form and send it along with your $35.00 application fee by clicking the submit button. (Note: Your application cannot be processed without the $35.00 application fee.) A Coldwater Crossing employee will contact you as soon as possible.

Applicant
Items marked by an asterisk (*) are required.
**Full Name*
**Date of Birth*
**Soc. Sec. #*
**Driver's License #*
**Phone #*
*Email Address*

**Marital Status*	married single
**Present Street Address*
**City,State,Zip*
**Do you:*	own your home? rent your home? rent an apartment? other
**How long at this address?*
*Present Landlords Name*
*Present Landlords Street Address*
*City,State,Zip*
Monthly Rent

**Previous Street Address*
**City,State,Zip*
**How long at this address?*

**Employer*
**Employer Street Address*
**City,State,Zip*
**Phone*
**Supervisor*
**Length of Employment*
**Yearly Salary*

*Previous Employer***
*Employer Street Address*
*City,State,Zip*
*Phone*
*Supervisor*
*Length of Employment*

*Other Income*

*Have you ever broken a lease, been evicted or had your lease terminated by a landlord?
yes no	If yes, why?

*What kind of apartment are you interested in?

**Do You Own A Pet?*	yes no What Kind? Height Weight

**Have you ever pleaded guilty or been convicted of a crime?*
yes no	If yes, explain:

*List your automobiles: (Automobiles are limited to two (2) per apartment)

Vehicle #1:		Vehicle #2:
Year:		Year:
Make:		Make:
Color:		Color:
State:		State:
License Plate #:		License Plate #:

*Closest relatives to notify in case of emergency: (other than husband or wife)*
*Name*
*Relationship*
*Street Address*
*City,State,Zip*
*Phone (include area code)*

*Dependents
*List Names & Ages of dependents living with you*

*Credit Card Information (for application fee)
Credit Card Type
Credit Card Number		V-Code What's This?
Expiration Date
Amount to be Charged

Special Instructions
Describe any instructions regarding your payment.


Terms
Keys will be furnished only after the lease and other applicable addends have been properly executed by ALL PARTIES and only after applicable rentals and deposits have been paid. The facts set forth in my application are true and complete. I authorize SENTRY MANAGEMENT to make any investigation of my resident history, employment history, CRIMINAL BACKGROUND and credit/financial record. I understand I acquire no rights in an apartment until I sign a lease and make a deposit on the apartment I have selected and which deposit is held as long as I occupy the apartment. I hereby waive all rights to the return of the deposit and I understand that said deposit is non-refundable in the event that i do not choose to enter the lease applied for herein. I hereby consent to the release of information contained in this application to any local, state, or federal government agency or affiliate thereof in the event that said governmental agency should contact SENTRY MANAGEMENT in order to obtain such information. * I Agree

Please click submit only once. Clicking submit more than once will result in multiple transactions. You will see a confirmation page upon submission. If not, please call the leasing office for confirmation. Thank you.