Roselawn Apartments Rental Application
Print out and bring in. With application fee and valid
No. of Children Age:
Home Phone Number:
Address of Employer:
Income: Your Monthly Income:
Additional Income where does it come from?
Own Rent Landlord/Mortgagee:
Is present rent up to date?
Have you given notice?
Have you been asked to leave?
current/past landlords with rent, name, and phone no.
No. of Motor Vehicles in family which will be kept at residence:
Color License No. State
Please list 2
personal references (include phone numbers):
No dogs, cats, or other pets allowed WITHOUT PET
I own a .
NO PETS ALLOWED!!!! WITHOUT PET AGREEMENT.
I understand that I
will forfeit my security deposit if I do not give 45 days written notice
when moving. Signed: (Lessee(s)’
must provide forwarding address.)
Have any of the occupants listed above ever
been: convicted of a felony? Received a
deferred adjudication for a felony? been evicted?
Broken a lease declared bankruptcy?
The representations herein made are
true. Applicant hereby authorizes Landlord to verify all of the information
in this application and obtain credit reports on the above listed applicant
and/or applicant’s. Tenant will be listed with LaPorte Property Management
Association and NILA. One month’s rent security deposit is due upon signing
this application. The first month’s rent (prorated) is due before moving
into the apartment. All rent thereafter is due on the first day of the
month in advance. I am not renting room or another apartment under any
other name. If for any reason you break this commitment your security will
not be refunded to you. The owners have the right not to approve you and
your security deposit will be fully refunded.
A current and valid
photo identification (such as Driver’s License) must be submitted prior to
or with this application.
Application fee $ 25.00 (NON-REFUNDABLE) cash or money order
only (per adult over 18 years old) Monthly rent $
Security Deposit $
Key Deposit $25.00 Apt assigned W.
10th St. Apt .
To commit to apt $ Balance due on