Application for Residency as Leaseholder

NOTE: (EACH CO-APPLICANT MUST SUBMIT A SEPARATE APPLICATION)
Thank you for your interest in an A.J. Dwoskin & Associates, Inc. community! To streamline the application process, you may complete an application online. After you have completely filled out the application, click on the "Submit Application" button at the bottom of the screen to send it to the Leasing Office. Please fill out the entire application with no blanks or unanswered questions. An incomplete application can slow the processing time, and we want to do our best to prevent a delay with your new home. Please keep in mind, in order to reserve an apartment/townhome, you also need to drop off or send via overnight delivery the necessary fees and documentation to the Leasing Office.
APPLICANT INFORMATION
 First Name
 M.I.
 Last Name
 Other Last Name Used
 Social Security# / IRS Taxpayer ID#
 Home #  Work #   Cell #
 E-Mail Address  Date Of Birth    
 
OTHER OCCUPANTS
Name Age Relationship
Name Age Relationship
Name Age Relationship
Name Age Relationship
 
PETS
Type of Pet
 Breed
 Pet Name
 Age
 Weight at Maturity
 Color
Type of Pet
 Breed
 Pet Name
 Age
 Weight at Maturity
 Color

Note: Copies of current veterinary records and a photo of your pet(s) may be required at move-in.

 
CONSECUTIVE RESIDENT HISTORY (Minimum 3 Years)
Present Address Apt # City
State Zip Move-In Date
Monthly Rent$ Are you a Leaseholder? (yes/no) Monthly Mortgage$
Are you an Owner? (yes/no) If you are an Owner, is the home paid in full?  
Landlord Name/Management/Mortgage Company Phone#
Previous Address Apt # City
State Zip Move-In Date Move-Out Date
Monthly Rent$ Were you a Leaseholder? (yes/no) Monthly Mortgage$
Were you an Owner? (yes/no)  
Landlord Name/Management/Mortgage Company Phone#
Previous Address Apt # City
State Zip Move-In Date Move-Out Date
Monthly Rent$ Were you a Leaseholder? (yes/no) Monthly Mortgage$
Were you an Owner? (yes/no)  
Landlord Name/Management/Mortgage Company Phone#
 
PERTINENT QUESTIONS
Do you have a legal right to be in the United States?
  Yes, because I am a United States citizen.  
 
 Yes, because I have valid documentation from the United States Citizenship and Immigration Services (USCIS), (formerly the Bureau of Citizenship and Immigration Services or the U.S. Immigration and Naturalization Service) or from the State Department.  
 
 
 No.  
Yes / No
Have you ever applied or lived at an A.J. Dwoskin & Associates, Inc. community? If yes, when? and what property?
Have you ever foreclosed on a home or are you currently in the process of having a home foreclosed? If yes, when?
Have you ever been evicted or are you currently in the process of being evicted from any leased premises?
Have you ever owed monies to a prior landlord? If yes, when? Is the amount paid in full? If yes, when was it paid?
Have you ever owed monies to a major utility company? If yes, when? Is the amount paid in full? If yes, when was it paid?
Have you ever filed bankruptcy? If yes, when? Please provide written proof of the discharge or dismissal upon request.
Have you ever been convicted of or plead guilty or "no contest" to a felony (whether or not resulting in a conviction)?
Have you ever been convicted of or plead guilty or "no contest" to a misdemeanor involving sexual misconduct (whether or not resulting in a conviction)?
NOTE: If yes was answered for any of the questions within this section, please provide a written explanation in the space below.
 
EMPLOYMENT HISTORY
Employer at Time of Move-In Full Work Address City State Zip Code Employed Since
Position Human Resources Phone # Gross Monthly Salary $ HR E-Mail Address
 
EMERGENCY CONTACT / CLOSEST RELATIVE NOT LIVING WITH YOU
                   
Name Full Street Address
City, State, Zip    Relationship to You  Phone #(including area code)    
 
APPLICATION FEE AND RESERVATION FEE / AMENITY FEE

Applicant has remitted the sum of $ which is a non-refundable payment for processing this application. Such sum is not a rental payment or security deposit. Applicant submits with this application the sum of $325 which shall be held by Management to reserve an apartment/townhouse when all required information is obtained. The Reservation Fee will be deemed non-refundable upon approval and message notification. The applicant will have until close of business the next business day (see office hours) to verbally accept approval terms before fee is forfeited and apartment/townhouse reservation is released. Lease is to be signed by applicant(s) within five (5) days of notification of acceptance or move-in, whichever occurs first. Upon the execution of the Lease, this payment will be treated as a non-refundable Amenity Fee as described in the Lease.

I authorize A.J. Dwoskin & Associates, Inc. or their agents, to investigate my qualifications and consumer reports, and/or any and all references given or discovered. I realize this information will be used by A.J. Dwoskin & Associates, Inc. and/or their agents, to evaluate my qualifications and consumer reports which may include but not be limited to a criminal background check prior to their approval or disapproval of my rental application.

NOTICE: BY SIGNING THIS APPLICATION, YOU DECLARE THAT ALL YOUR RESPONSES ARE TRUE AND COMPLETE AND AUTHORIZE OWNER TO VERIFY THIS INFORMATION. ANY FALSE STATEMENT ON THIS APPLICATION WILL LEAD TO REJECTION OF YOUR APPLICATION OR IMMEDIATE TERMINATION OF YOUR LEASE.
   
Applicant's signature as LEASEHOLDER :     Date :
Your electronic signature constitutes a legal signature. Please type in your initials  and the last 4 digits
of your Social Security or IRS Tax Payer ID#  to verify your electronic signature.