Personal Information:
Marital Status
Single
Married
Divorced
I am a co-signer
Other Occupants:
Date of Birth:
Relation to Applicant:
Employment
Information:
Residential
History:
Current Residence:
Why are you leaving your
residence?
Was your lease or
account in any other
name?
No
Yes
Previous Residence:
Emergency
Contact:
Closest Relative:
Vehicle 1:
Vehicle 2:
Pet(s):
A current vet statement
is required. Breed
restrictions apply.
This is to advise you
that part of our
procedure for processing
your application may
include an investigation
report whereby
information is
obtained through
personal interviews with
3rd parties,
such as business
associates, financial
sources or friends. This
inquiry includes
information as to your
character, general
reputation, and mode of
living. You have the
right to make a written
request within a
reasonable period of
time for a complete
disclosure of
information concerning
the nature and scope of
the investigation.
Your
Reservation Deposit will
not be refundable,
unless Notification of
Cancellation of the
Application is made
within 72
hours of signing the
Application.
How did you learn of
these apartments?
What attracted you to
these apartments?
Have you ever been
evicted?
Yes
No
Have you or any
occupants ever been
convicted of a felony or
had adjudication
withheld or differed for
a felony offense?
Yes
No
Date Possession Desired:
Lease Term Desired
(months):
If you have spoken to a
leasing specialist, the
following information
may be completed if
desired.
Amount of Security
Deposit
Deposit
Mailed with application
fee
Online
Payment made after
Submittal
By submitting this
application online,
Applicant represents
that all of the above
statements are true and
complete and hereby
authorizes verification
of the above
information, references
and credit records.
Applicant acknowledges
that false information
herein may constitute
grounds for rejection of
this application,
termination of right of
occupancy and/or fees
charged and may
constitute a criminal
offense under the laws
of this state. S tatement
of Rental Policy
(Initials must be
entered in order to
submit your online
application.)
By
submitting this online
application, I hereby
affirm that I have read
the application and
statement of rental
policy and that I
understand all the terms
and all charges due.
Developed by
Daniel Corporation
Professionally
managed by ContraVest Management
Looking
for an apartment outside of Jacksonville?