Square Management

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Desired address and Unit or type:
Date of Application:	7/29/2010	Desired Move-In Date:

PERSONAL INFORMATION

First Name		MI		Last Name
S.S.#	--	Date of Birth	//	Place of Birth
Telephone Numbers:		Home: ()-		Mobile: ()-
Marital Status:	Single Married Seperated Divorced
Cohabitant			Date of Birth	//
S.S.#	--		Mobile Phone #	()-
Name and ages of possible occupants:
Email Address:
Check if you would like to receive a copy of this application.

RESIDENCE HISTORY

Present Address (Including City and Zip Code)
Current Rent:	What Utilities You Pay:
Landlord	Phone #:	()-
Previous Address
Date There: From	To
Has an eviction/forcible detainer ever been filed against you/cohabitant?
If yes, then explain
Is there an unsatisfied judgement against you/cohabitant?
If yes, then explain
Are any child support payments being deducted from your paycheck?
Does you/cohabitant have any pets?	What Kind?

PRIMARY APPLICANTS EMPLOYMENT HISTORY/INCOME SOURCE

Employed By		Supervisor
Address		Phone #	()-
Start Date		Position
Income		Per
Past Employer		Supervisor
Address		Phone #	()-
Start Date	End Date	Position
Income		Per
Other income & How much (Child support, alimony, SSI)

COHABITANT'S EMPLOYMENT

Employed By		Supervisor
Address		Phone #	()-
Start Date		Position
Income		Per
Past Employer		Supervisor
Address		Phone #	()-
Start Date	End Date	Position
Income		Per
Other income & How much (Child support, alimony, SSI)

COHABITANT'S RESIDENCE HISTORY

Present Address (Including City and Zip Code)
Current Rent:	What Utilities Do You Pay:
Landlord	Phone #:	()-
Date There: From	To
Email Address

REFERENCES (PERSONAL & BUSINESS)

Personal	Phone #	()-
Personal	Phone #	()-
Credit Cards	Account #
Outstanding Loans	Account #
Bank Branch
Checking Account #	Savings Account #

MISCELLANEOUS

Automobile Information
Make	Model	Year	Color
License Plate #		Serial #
Lienholder		Lienholder Phone #	()-
In Case of Emergency Notify		Phone # ()-
Relationship		Address

This applicant acknowledges that the $35 non-refundable cash or money order application fee (Per Person) shall be used for a background check from the credit bureau, references, and other investigative agencies that Square Management deems necessary. The $35 non-refundable cash deposit shall be applied to the rental deposit, should applicant be accepted. This application is valid for 30 days only.

I undersigned, hold the above information to be true to the best of my acknowledge. I understand that giving false information is justification for forfeiture of the application fee.
By checking the box acknowleges that you have read and understand.

Applicant		Date: 7/29/2010
Applicant		Date: 7/29/2010