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Complex Preference

Complex Location

Personal Information

Check if you are an international student

First Name * Middle Name Last Name * Birthday *

Cell Phone * E-Mail * Opting to receive text messages (Standard Message and data rates charged by your wireless provider will apply)

ID Type * ID Number * ID Issue State * Social Security Number *

Source of Income Current Gross Income Per Month (non student)

Permanent Address City State Zip

Current Local Address * City * State * Zip * Current Landlord * Landlord Phone # Gender * Are you at least 18 years old? *

Are you currently a student? * What school? Current Standing? Marital Status

Employment Information

Unemployed/Student

Current Employer * Employer Address * Employer Phone *

Additional Information

Have you ever been evicted from any residence? * Reason For Eviction

Have you or your spouse ever been convicted of a felony? * Reason For Felony

Parent Information

Note - Parent Information required unless parents are deceased or single parent.

Father

Father Deceased Father is Single Parent First Name * Middle Name Last Name * Cell Phone *

Work Phone Home Phone E-Mail

* Note - Address Information required unless parent(s) live outside the country.

Out of Country

Address * City * State * Zip *

Current Employer Employer Address Employer Phone

Mother

Mother Deceased Mother is Single Parent

First Name * Middle Name Last Name * Cell Phone *

Work Phone Home Phone E-Mail

* Note - Address Information required unless parent(s) live outside the country.

Out of Country

Address * City * State * Zip *

Current Employer Employer Address Employer Phone

Parental Release

Parental Release (Select to add responsible party to email correspondence)

Emergency Contact Information

Contact Name * Relationship * Address Phone *

Bank Information

Bank Name Bank Phone Account Type

Housing Selection and Other

Do You Smoke? Do you want a furnished or unfurnished apartment? (Union Square ONLY)

How did you hear about us? *

If you fail to answer any question, or if you have given false information, (1) we are entitled to reject this application (2) retain all processing fees and deposits as liquidated damages for any time and expenses and (3) terminate any right to lease the bedroom or (4) if you have signed a lease, it will be a violation of the lease.

By submitting, I attest that the information contained herein is correct and I am at least 18 years old. United Apartments is authorized to verify my credit history, and all other information submitted for the purpose of evaluating this lease application.

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