Mark-Taylor Secure Leasing Application

Each Co-Resident Must Submit A Separate Application

* Required Fields



Applicant's First Name *
Applicant's Last Name *
Birthdate *
Social Security # *
Spouse's First Name
Spouse's Last Name
Birthdate
Social Security #
Marital Status *
Driver License # *
Spouse's Driver License #
 
Applying for which property: *
Promotion Code

Residence History

Present Address *
Apt #
City *
State *
Zip *
Phone #
Ownership *
Own Rent
Monthly Payment *
Move In
Move Out
Landlord/Mortgage Company/Apartment Community
Phone #

Employment History

Present Employer *
Phone #
Supervisor Name
Supervisor Phone
Address *
City *
State *
Zip *
Position
Monthly Gross Income *
How Long
 


Spouse's Present Employer
Phone #
Supervisor Name
Supervisor Phone
Address (Include City, State, Zip)
Position
Monthly Gross Income
How Long
 
Source Additional income such as child support, alimony, or separate maintenance need not be
disclosed unless such additional income is to be included for qualification hereunder Amount of $
per

Personal Data

In Case Of Emergency/Death Contact *
Phone # *
Address
Have you or your spouse ever been evicted? *
Yes No
Broken a rental agreement? *
Yes No
Been convicted of a felony? *
Yes No
Been convicted of a drug related crime? *
Yes No
Will you or the other occupants have a pet? *
Yes No
Kind, Weight, Breed and Age?
Are you a non-smoker?
Yes No
 
List all other occupants under the age of 18.
 
Name
Birthdate
Relationship
Name
Birthdate
Relationship
Name
Birthdate
Relationship
 
List all automobiles to be parked on the premises by applicant, spouse, children.
 
Type of Vehicle #1 *
Year *
License/State *
Color *
Type of Vehicle #2
Year
License/State
Color
How did you hear of this Apartment Community?
What attracted you to this Apartment Community?
Why are you leaving your present residence?
Email Address *


Name of Leasing Consultant Who Assisted You

PLEASE READ CAREFULLY AND CHECK BELOW
Applicant represents that all above statements are true and complete. Applicant hereby authorizes verification of above information, references and credit records, and applicant releases from all liability or responsibility all persons and corporations requesting or supplying such information. Applicant acknowledges that false information may constitute grounds for rejection of this application, termination of right of occupancy and/or of deposits.

Applicant understands that submission of this application in no way guarantees the reservation of an apartment home at the selected community. Rental transaction will be finalized once written confirmation has been provided by a Mark-Taylor employee regarding exact unit number, rental rate, move-in date, etc, Applicant must also pay appropriate holding deposit and qualify under management's rental qualification standards.

  I have read and agree to the provisions as stated.