RENTAL APPLICATION

               To Be Completed Separately By Every Adult Tenant

Property Address ______________________________ Desired Lease Term ___________

Background Information and Rental History

Name _______________________________________________ E-mail __________________
Social Security ____________ Home Phone ____________ Work Phone ______________
Date of Birth _______________ Driver's License Number ______________  State __
Current Address  ______________________________________ Years at Address _____
Reason for Leaving ___________________________________________________________
Owner/Manager _______________________________________________ Phone __________
Previous Address ______________________________________ Years at Address _____
Reason for Leaving ___________________________________________________________
Owner/Manager _______________________________________________ Phone __________
If a student: Year in School ______ Degree Sought ____________________________
Anticipated Date of Graduation _______________________________________________
Vehicle Make ____________ Model ________ Year ______ License No ______________
Number And Types Of Pets _____________________________________________________
Do you ever smoke? (Circle one) No/Outdoors only/I would like to smoke indoors
Water-filled Furniture You Own _______________________________________________

Name and Relationship of Every Adult To Live With You
______________________________________________________________________________
______________________________________________________________________________
Name and Relationship of Every Child To Live With You
_____________________________________________________________________________
______________________________________________________________________________

Have you ever filed for bankruptcy? ____ Been sued? ____ Been evicted? _______
If you responded "yes" to any of the above, please explain: __________________
______________________________________________________________________________

Employment History and Income

Current Occupation ______________ Monthly income (before deductions) _________
Name of Current or Most Recent Employer ______________________________________
Address of Employer _________________________________________ Phone __________
Years With This Employer ____ Name of Supervisor ____________ Phone __________
Are you still working at this job? ____ If a student, will you continue the
same job at the same rate of pay while you're in school? ____ If no, please
describe anticipated employment/other sources of support during school: ______
______________________________________________________________________________

Personal References (Note: Relatives are not valid references)

Name __________________________  Relationship _______________ Phone __________
Name __________________________  Relationship _______________ Phone __________

I certify that all of the information above is true and correct, and hereby
authorize the Owner or Manager of the property to verify any and all of the
information above, check credit information, and/or contact references. I
understand that provision of false or misleading information on a rental
application are grounds for termination of leases and retention of deposits.

Date ______________ Signature ________________________________________________

Please return to Brett Glass, Manager (Hand-deliver or call for FAX #)