Rental Application Form
 Last Name First Name M.I.
 Co-Applicant Last Name First Name M.I.
 Date of Birth Social Security #
 Date of Birth Social Security #
 Home Telephone  Co-Applicant Home Telephone (If Different)
 Current Street Address
 City State Zip Code 		 Co-Applicat Current Street Address (If Different)
 City State Zip Code
 Previous Street Address
 City State Zip Code 		 Co-Applicant Previous Street Address (If Different)
 City State Zip Code
Present Rental Information
 Landlord or Agent Name  Landlord or Agent Name
 Landlord Telephone Number  Landlord Telephone Number
 Reason for Leaving  Reason for Leaving
 Length of Rental  Rent Amount  Length of Rental  Rent Amount
Employment Information
 Present Employer Name  Co-Applicant Employer Name
 Supervisor Name  Supervisor Name
 Address  Address
 Employed From To  Employed From To
 Telephone Number  Telephone Number
 Position  Salary  Position  Salary
Other Occupants
 Name  Relationship  Date of Birth
 Name  Relationship  Date of Birth
(2) Emergency Contacts
 Name  Address  Telephone  Relationship
 Name  Address  Telephone  Relationship

By completing this form and returing it to the English Village Apartments Leasing Office, you authorize that the information is correct and complete and herby authorize English Village Apartments to make any inquiries necessary to evaluate you for tenancy. If you rent an apartment, you understand that any information on this form may be maintained in a tenant database for up to five years after you have vacated the premises.