Magnolia Commons · General Application

APPLICATION

ID: Magnolia Date: 07-Jan-09

Single Room Studio Apartment Couple Custom Office Suite

Applicant Information (Use additional form for second applicant) Name:
(Last, First, Middle) Birth date:
(MM/DD/YY) Home Phone: Work Phone: Cell Phone: Email: Social Security: Drivers License No./State: Automobile:
(Make, Model, Year) Auto License No./State:

Rental History Present Address:
(Street, City, State, Zip Code) How long? Payment Amount: $ Present Landlord/ Finance Co: Phone Number: Previous Address:
(Street, City, State, Zip Code) How long? Payment Amount: $ Previous Landlord: Phone Number:

Employment (List last 3 years employers.) Employer: Position: Address: Phone Number: Salary: How long? Supervisor:

Personal & Business References Name: Relationship: Phone: Name: Relationship: Phone: Name: Relationship: Phone:

Emergency Contact Information: Name: Relationship: Phone:

Financial Information: Checking Account:
(Account Number) (Bank) (Branch) Savings Account:
(Account Number) (Bank) (Branch) Other: Have you been a party to a legal dispute within the last five (5) years? If yes, describe:
Have you ever been convicted of a felony? If so, describe:

Referred by: Newspaper Sign Other:
(Please Describe)

The above information is true and correct to the best of my knowledge. You are hereby authorized to verify the information in this application by means of a credit report, criminal background check and by contact with my references and employers.

If, after this application is approved and the deposit is paid, I decide not to complete the transaction, I understand that one half of my deposit will be forfeited.

Date: 07-Jan-09 Authorized:
(Your Name)

Comments - state your hobbies, interest and business goals,
and any comments about your experience in community living:

Room Rental Agreement and Security Deposit Receipt

Magnolia Commons General Application

Home Property Details Photo Gallery Property Reports Community information School information Property Map Tenant Application Contact	APPLICATION Print Version (rtf) ID: Magnolia Date: 07-Jan-09 Single Room Studio Apartment Couple Custom Office Suite Applicant Information (Use additional form for second applicant) Name: (Last, First, Middle) Birth date: (MM/DD/YY) Home Phone: Work Phone: Cell Phone: Email: Social Security: Drivers License No./State: Automobile: (Make, Model, Year) Auto License No./State: Rental History Present Address: (Street, City, State, Zip Code) How long? Payment Amount: $ Present Landlord/ Finance Co: Phone Number: Previous Address: (Street, City, State, Zip Code) How long? Payment Amount: $ Previous Landlord: Phone Number: Employment (List last 3 years employers.) Employer: Position: Address: Phone Number: Salary: How long? Supervisor: Personal & Business References Name: Relationship: Phone: Name: Relationship: Phone: Name: Relationship: Phone: Emergency Contact Information: Name: Relationship: Phone: Financial Information: Checking Account: (Account Number) (Bank) (Branch) Savings Account: (Account Number) (Bank) (Branch) Other: Have you been a party to a legal dispute within the last five (5) years? If yes, describe: Have you ever been convicted of a felony? If so, describe: Referred by: Newspaper Sign Other: (Please Describe) The above information is true and correct to the best of my knowledge. You are hereby authorized to verify the information in this application by means of a credit report, criminal background check and by contact with my references and employers. If, after this application is approved and the deposit is paid, I decide not to complete the transaction, I understand that one half of my deposit will be forfeited. Date: 07-Jan-09 Authorized: (Your Name) Comments - state your hobbies, interest and business goals, and any comments about your experience in community living: Room Rental Agreement and Security Deposit Receipt
Telephone: 503-810-8382 Email: jPoling@ipns.com ©2009, Magnolia Commons date posted: 01-Jan-08

Magnolia CommonsGeneral Application

APPLICATION

Magnolia Commons
General Application