Arbor Place
200 Arbor Place Court
New Albany, IN 47122
812 944-0900
812 944-1352 fax
"One and Two Bedroom Luxury Apartment Homes"

RENTAL APPLICATION
Please Note: This will NOT be processed until a $35.00 non-refundable application fee and a copy of your drivers license is received at our office.
Online version

PERSONAL INFORMATION

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Applicant's Full Name                      Social Security No.

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Date of Birth                              Marital Status



Others to Reside in Apartment

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Name                  Soc. Sec. No.      Relationship  Date of Birth

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Name                  Soc. Sec. No.      Relationship  Date of Birth

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Name                  Soc. Sec. No.      Relationship  Date of Birth

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Name                  Soc. Sec. No.      Relationship  Date of Birth

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Name                  Soc. Sec. No.      Relationship  Date of Birth

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Name                  Soc. Sec. No.      Relationship  Date of Birth


Have you ever been evicted? _________________________
Have you ever declared bankruptcy? __________________



RESIDENCE HISTORY

Present Address

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Street Address                                        Apt No.

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City                              State      Zip        Phone

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Rent or Own        Dates             To               Monthly Payment

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Landlord/Lender

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Street Address

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City                           State                 Phone


Previous Address

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Street Address                                        Apt No.

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City                              State      Zip        Phone

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Rent or Own        Dates             To               Monthly Payment

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Landlord/Lender

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Street Address

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City                           State                 Phone



EMPLOYMENT INFORMATION

Current Employer
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Name                                  Street

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City                        State        Zip                Phone

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Employment Dates     To        Position              Supervisor

________________________________________
Salary                    Per


Previous Employer
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Name                                  Street

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City                        State        Zip                Phone

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Employment Dates     To        Position              Supervisor

________________________________________
Salary                    Per


Spouse's Employer
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Name                                  Street

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City                        State        Zip                Phone

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Employment Dates     To        Position              Supervisor

________________________________________
Salary                    Per




BANKING AND CREDIT REFERENCES

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Bank                                  Branch

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Checking Account No.                  Savings Account No.


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Credit Reference                      Account Number

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    Entire Address

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Credit Reference                      Account Number

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    Entire Address

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Credit Reference                      Account Number

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    Entire Address

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Credit Reference                      Account Number

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    Entire Address

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Credit Reference                      Account Number

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    Entire Address

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Credit Reference                      Account Number

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    Entire Address

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Other Reference                       Account Number

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    Entire Address



OTHER INFORMATION

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Number of Automobiles (Including Company Cars)     Driver's License No.

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Make                     Year      Color           Tag No.     State

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Make                     Year      Color           Tag No.     State

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Make                     Year      Color           Tag No.     State


Relatives/Emergency Contact (Not Residing With You)

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(1) Name                          Relationship          Phone

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Street Address                   City                State     Zip


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(2) Name                          Relationship          Phone

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Street Address                   City                State     Zip

I hereby make application for an apartment at Arbor Place Apts. and certify that all the information I have provided is correct and complete. I authorize the management of Arbor Place Apts. to contact any references and verify the information listed on this application. This includes obtaining a consumer credit and/or public records report.

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Applicant's Signature

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Co-Signed

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Date Signed

http://www.ArborPlaceApartments.net