Application

Personal Information: *

Name:

Email Address:

Phone Number:

Age:

Date of Birth:

Social Security Number:

Driver's License Number:

Employer:

Car Make and Model:

Housing Information: *

Applying for apartment address:

Your current address:

Lived there from?

Prior address

Lived there from?

Credit History: *

Have you ever filed for Bankruptcy?* Yes No

Have you ever been served an eviction notice?* Yes No

Have you ever refused to pay rent when due?* Yes No

Emergency Contact Information: *

Name:

Phone:

Address:

Signature: *

Notice: Application authorizes Lofgren Properties LLC to contact all references named above. This application is not a rental agreement, contract or a lease. All applications are subject to approval of owner.

Application

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