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Lease Application
Required fields are shaded
blue
.
Select which apartment you are applying for:
Highland Hills South - Birchwood Commons Studio
Highland Hills South - Elm Tree Court One Bedroom
Highland Hills South - Elm Tree Court Three Bedroom
Highland Hills South - Maplewood One Bedroom
Highland Hills South - Oak Park One Bedroom
Highland Hills South - Oak Park Two Bedroom
Highland Hills South - Evergreen Terrace Two Bedroom
Highland Hills North - Individual Room Lease
Highland Hills North - 3 Bedroom
Highland Hills North - 4 Bedroom
Highland Hills East - 3 Bedroom
Highland Hills East - 4 Bedroom
Highland Hills East - 5 Bedroom
Applicant Info:
First Name
Middle Name
Last Name
Social Security Number
Birth Date
(month)
January
Febuary
March
April
May
June
July
August
September
October
November
December
(day)
1
2
3
4
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30
31
Desired Move-In Date
(month)
January
Febuary
March
April
May
June
July
August
September
October
November
December
(day)
1
2
3
4
5
6
7
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19
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30
31
Drivers License #
State
(select)
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virgina
Wisconsin
Wyoming
Home Phone xxx-xxx-xxxx
Cell Phone xxx-xxx-xxxx
Work Phone
Email Address
Are you a citizen of the USA?
Yes
No
Are you a resident of MN?
Yes
No
How long?
Current Address Info:
Address
City
State
(select)
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virgina
Wisconsin
Wyoming
Zip Code
From
(select)
January
February
March
April
May
June
July
August
September
October
November
December
(select)
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
To
(select)
January
February
March
April
May
June
July
August
September
October
November
December
(select)
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
Management Phone
Previous Address Info:
Address
City
State
(select)
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virgina
Wisconsin
Wyoming
Zip Code
From
(select)
January
February
March
April
May
June
July
August
September
October
November
December
(select)
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
To
(select)
January
February
March
April
May
June
July
August
September
October
November
December
(select)
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
Management Phone
Parents Name & Address Info:
Parent(s) Name
Address
City
State
(select)
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virgina
Wisconsin
Wyoming
Zip Code
Parents Home Phone
Parents Work Phone
Current Employer Info:
Current Employer
City
State
(select)
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virgina
Wisconsin
Wyoming
Zip Code
From
(select)
January
February
March
April
May
June
July
August
September
October
November
December
(select)
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
To
(select)
January
February
March
April
May
June
July
August
September
October
November
December
(select)
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
Contact
Contact Phone
Income
Additional Info:
Dependent #1 Name
Birth Date
(month)
January
Febuary
March
April
May
June
July
August
September
October
November
December
(day)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Dependent #2 Name
Birth Date
(month)
January
Febuary
March
April
May
June
July
August
September
October
November
December
(day)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Emergency Contact Info:
Emergency Contact
Address
City
State
(select)
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virgina
Wisconsin
Wyoming
Zip Code
Contact Phone
Have You Ever:
Refused to Pay Rent When Due
Yes
No
Filed for Bankruptcy
Yes
No
Been Evicted
Yes
No
Been Convicted of a Felony
Yes
No
If Yes, please explain
Roomates Names
Additional Comments
Comments
Fees
Application Fee
$55.00
$35 if MN resident, $55 if out-state.
Reservation Fee
$149.00
Total Due
$204.00
Credit Card Information
Cardholder's First Name
Cardholder's Last Name
Credit Card Number
Expiration Date
1
2
3
4
5
6
7
8
9
10
11
12
/
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
Security Code
(3 or 4 digit code
on back of card)
Billing Address
City
State
Zip
Reservation Fee Disclaimer and Background Check:
This guaranteed apartment reservation receipt entitles you to the apartment indicated above. If you do not move into the reserved apartment, your reservation money will be forfeited. Your reservation money in not transferrable to any apartment other than the one you have reserved unless transfer is approved by the Owner. If your application is not approved by the Owner, the reservation money will be refunded. The reservation money will become your damage deposit once you move into your apartment. I/WE AUTHORIZE RENTAL HISTORY REPORTS TO DO A COMPLETE INVESTIGATION OF ALL INFORMATION PROVIDED ABOVE. I/WE HAVE PERSONALLY FILLED IN AND/OR REVIEWED ALL INFORMATION LISTED ABOVE. I/WE UNDERSTAND FAILURE TO COMPLETE THIS FORM COMPLETELY AND TRUTHFULLY MAY RESULT IN DENIAL AND/OR FORFIET OF DEPOSIT. A COMPLETE INVESTIGATION MAY INCLUIDE ANY OR ALL OF THE FOLLOWING: CREDIT REPORT, VERIFICATION OF EMPLOYMENT AND INCOME, CRIMINAL RECORD SEARCH AND PERSONAL INTERVIEWS WITH ABOVE REFERENCES. I/WE UNDERSTAND THAT I/WE HAVE A RIGHT TO MAKE A WRITTEN REQUEST WITHIN 30 DAYS TO RECEIVE INFORMATION PERTAINING TO THIE REPORT IF I/WE ARE NOT ACCEPTED BASED ON INFORMATION CONTAINED IN THE REPORT. I/WE AUTHORIZE RENTAL HISTORY REOPRTS TO PROVIDE THE CREDIT GRANTOR FEDERAL AND STATE RECORDS OF EMPLOYMENT AND INCOME HISTORY, INCLUDING STATE EMPLOYMENT SECURITY AGENCY RECORDS. THIS AUTHORIZATION IS FOR THIS TRANSACTION ONLY AND CONTINUES FOR (1) YEAR UNLESS LIMITED BY STATE LAW, IN WHICH CASE THE AUTHORIZATION CONTINUES IN EFFECT FOR THE MAXIMUM PERIOD NOT TO EXCEED (1) YEAR, ALLOWED BY LAW. BY AGREEING BELOW I/WE AUTHORIZE ALL ABOVE LISTED COMPANIES TO RELEASE RENTAL PAYMENT INFORMATION, JOB HISTORY INFORMATION (INCLUDING SALARY) AND CRIMINAL RECORD INFORMATION.
I have read and understand the Reservation Fee Disclaimer and Background Check.
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