Rental Application for Residents and Occupants

Each co-applicant and each occupant 18 years old and over must submit a separate application.
Spouses may submit a single application.
Date when filled out:

ABOUT YOU Full name (exactly as on driver's license or govt. ID card) YOUR RENTAL/CRIMINAL HISTORY Check only if applicable. Have you,
your spouse, or any occupant listed in this Application ever: Â been evicted or asked
to move out? Â moved out of a dwelling before the end of the lease term without the
Your street address (as shown on your driver's license or government ID card): owner's consent? Â declared bankruptcy? Â been sued for rent? Â been sued for
property damage? Â been charged, detained, or arrested for a felony, misdemeanor
involving a controlled substance, violence to another person or destruction of
Driver's license # and state:
property, or a sex crime that was resolved by conviction, probation, deferred
OR govt. photo ID card #: adjudication, court-ordered community supervision, or pretrial diversion? Â been
Former last names (maiden and married): charged, detained, or arrested for a felony, misdemeanor involving a controlled
substance, violence to another person or destruction of property, or a sex crime that
Your Social Security #: has not been resolved by any method? Please indicate below the year, location and
Birthdate: Height: Weight: type of each felony, misdemeanor involving a controlled substance, violence to
another person or destruction of property, or sex crime other than those resolved by
Sex: Eye color: Hair color: dismissal or acquittal. We may need to discuss more facts before making a decision.
Marital Status:  single  married  divorced  widowed  separated You represent the answer is "no" to any item not checked above.
Are you a U.S. citizen?  Yes  No Do you or any occupant smoke? yes  no
Will you or any occupant have an animal?  yes  no
Kind, weight, breed, age: YOUR SPOUSE Full name:
Former last names (maiden and married):
Current home address (where you now live):
Spouse's Social Security #:

City/State/Zip: Driver's license # and state:

Home/cell phone: ( ) Current rent: $ OR govt. photo ID card #:

Email address: Birthdate: Height: Weight:

Name of apartment where you now live: Sex: Eye color: Hair color:

Current owner or manager's name: Are you a U.S. citizen?  Yes  No

Their phone: Date moved in: Present employer:

Why are you leaving your current residence? Address:

City/State/Zip:
Work phone: ( )
Your previous home address:
Position:
Date began job: Gross monthly income is over: $
City/State/Zip:
Supervisor's name and phone:
Apartment name:
Name of above owner or manager: OTHER OCCUPANTS Names of all persons under 18 and other adults who will
occupy the unit without signing the lease. Continue on separate page if more than three.
Their phone: Previous monthly rent: $
Name: Relationship:
Date you moved in: Date you moved out:
Sex: DL or govt. ID card # and state:
YOUR WORK Present employer: Birthdate: Social Security #:
Address: Name: Relationship:
City/State/Zip: Sex: DL or govt. ID card # and state:
Work phone: ( ) Birthdate: Social Security #:
Position: Name: Relationship:
Your gross monthly income is over: $ Sex: DL or govt. ID card # and state:
Date you began this job: Birthdate: Social Security #:
Supervisor's name and phone:
YOUR VEHICLES List all vehicles owned or operated by you, your spouse, or any occupants
Previous employer: (including cars, trucks, motorcycles, trailers, etc.). Continue on separate page if more than three.

Address: Make and color of vehicle:

Year: License #: State:
City/State/Zip:
Make and color of vehicle:
Work phone: ( )
Year: License #: State:
Position:
Make and color of vehicle:
Gross monthly income was over: $ Year: License #: State:
Dates you began and ended this job:
EMERGENCY Emergency contact person over 18, who will not be living with you:
Previous supervisor's name and phone:
Name:
YOUR CREDIT HISTORY Your bank's name, city, state: Address:
City/State/Zip:
List major credit cards: Work phone: ( ) Home phone: ( )
Other non-work income you want considered. Please explain: Relationship:

AUTHORIZATION I or we authorize (owner's name)

Past credit problems you want to explain. (Use separate page.)
Stone Manor Condominiums
WHY YOU APPLIED HERE Were you referred?  Yes  No.
If yes, by whom: to obtain reports from any consumer or criminal record reporting agencies before,
during, and after tenancy on matters relating to a lease by the above owner to me
Name of locator or rental agency:
and to verify, by all available means, the information in this application, including
Name of individual locator or agent: criminal background information, income history and other information reported by
employer(s) to any state employment security agency. Work history information
Name of friend or other person:
may be used only for this Rental Application. Authority to obtain work history
Did you find us on your own?  Yes  No If yes, fill in information below: information expires 365 days from the date of this Application.
 On the Internet  Stopped by  Newspaper (name): Applicant's signature
 Rental publication: Spouse's signature
 Other:
Applicant must also sign on the next page of this Application.

© 2007, National Apartment Association, Inc. - 4/2007 04072008060001ar07100250 Page 1 of 2

 Contemplated Lease Contract Information
To be filled in only if the Lease Contract is not signed by resident(s) at time of application for rental.
The Arkansas Multi-Family Housing Association Lease Contract to be used must be the latest version published by the association unless an earlier version is
initialed by resident(s) and attached to this Application. The blanks in the Lease Contract will contain the following information:
• Names of all residents who will sign Lease Contract • Prorated rent for:  first month or  second month $ ;
• Monthly rental due date ;
; • Late charges due if rent is not paid on or before the 3 ;
• Name of Owner/Lessor Stone Manor Condominiums • Initial late charge $ 50.00 ; Daily late charge $ 5.00 ;
• Returned-check charge $ 25.00 ;
; • (Check one):  furnished or  unfurnished;
• Property name and type of dwelling (bedrooms and baths) • Utilities paid by owner (check all that apply): Â electricity, Â gas, Â water,
; Â wastewater, X Â trash, Â cable TV, Â master TV antenna;

• Complete street address 5001 • You are (check one): Â required to purchase personal liability insurance or
Stoney Brook Road
City/State/Zip ; Â not required to purchase personal liability insurance;
Rogers, AR 72758
• Names of all other occupants not signing Lease Contract (persons under age • Agreed reletting charge $ ;
18, relatives, friends, etc.) • Special provisions regarding parking, storage, etc.: (see attached page if
; necessary):
• Total number of residents and occupants ;
• Beginning date and ending date of Lease Contract
;
• Total security deposit $ ; Animal deposit $ ;
• Other fees $ ;
• Total monthly rent for dwelling unit $ ;
.
• Rent to be paid at (check one) Â
X on-site manager's office or  at
;

Application Agreement
1. Lease Contract Information. The Lease Contract contemplated by the 8. Completed Application. An Application will not be considered "com-
parties is attached or, if no Lease Contract is attached, the Lease Contract pleted" and will not be processed until all of the following have been
will be the current Lease Contract noted above. Special information and provided to us (unless checked): Â a separate Application has been fully
conditions must be explicitly noted on an attached Lease Contract or in
filled out and signed by you and each co-applicant; Â an application fee
the Contemplated Lease Contract Information above.
has been paid to us; Â an application deposit has been paid to us. If no
2. Application Fee (nonrefundable). You have delivered to our represen- item is checked, all are necessary for the Application to be considered completed.
tative an application fee in the amount indicated below, and this payment
partially defrays the cost of administrative paperwork. It's nonrefundable. 9. Nonapproval. We will notify you whether you've been approved within
10 days after the date we receive a completed Application. Your
3. Application Deposit (may or may not be refundable). In addition to any Application will be considered "disapproved" if we fail to notify you of
application fee, you have delivered to our representative an application your approval within 10 days after we have received a completed
deposit in the amount indicated below. The application deposit is not a Application. Notification may be in person or by mail or telephone unless
security deposit. However, it will be credited toward the required security you have requested that notification be by mail. You must not assume
deposit when the Lease Contract has been signed by all parties; OR it will approval until you receive actual notice of approval. The 10-day time
be refunded under paragraph 10 if you are not approved; OR it will be period may be changed only by separate written agreement.
retained by us as liquidated damages if you fail to sign or attempt to
withdraw under paragraph 6 or 7. 10. Refund after Nonapproval. If you or any co-applicant is disapproved or
deemed disapproved under paragraph 9, we'll refund all application
4. Approval When Lease Contract Is Signed in Advance. If you and all deposits within 30 days of such disapproval. Refund checks may be made
co-applicants have already signed the Lease Contract when we approve the payable to all co-applicants and mailed to one applicant.
Application, our representative will notify you (or one of you if there are
co-applicants) of our approval, sign the Lease Contract, and then credit the 11. Extension of Deadlines. If the deadline for signing, approving, or re-
application deposit of all applicants toward the required security deposit. funding under paragraphs 6, 9, or 10 falls on a Saturday, Sunday, or a state
or federal holiday, the deadline will be extended to the end of the next day.
5. Approval When Lease Contract Isn't Yet Signed. If you and all co- 12. Notice to or from Co-applicants. Any notice we give you or your co-
applicants have not signed the Lease Contract when we approve the applicant is considered notice to all co-applicants; and any notice from
Application, our representative will notify you (or one of you if there are you or your co-applicant is considered notice from all co-applicants.
co-applicants) of the approval, sign the Lease Contract when you and all
co-applicants have signed, and then credit the application deposit of all 13. Keys or Access Devices. We'll furnish keys and/or access devices only
applicants toward the required security deposit. after: (1) all parties have signed the contemplated Lease Contract and
other rental documents referred to in the Lease Contract; and (2) all
6. If You Fail to Sign Lease Contract After Approval. Unless we authorize applicable rents and security deposits have been paid in full.
otherwise in writing, you and all co-applicants must sign the Lease
Contract within 3 days after we give you our approval in person or by 14. Receipt. Application fee (nonrefundable): $
telephone or within 5 days after we mail you our approval. If you or any Application deposit (may or may not be refundable): $
co-applicant fails to sign as required, we may keep the application deposit as Other move-in fees (may or may not be refundable): $
liquidated damages, and terminate all further obligations under this Agreement. Total of above application fee and application deposit: $
7. If You Withdraw Before Approval. You and any co-applicant may not Total amount of money we've received to this date: $
withdraw your application or the application deposit. If you or any co-
applicant withdraws an Application or notifies us that you've changed your mind 15. Signature. Our representative's signature is consent only to this
about renting the dwelling unit, we'll be entitled to retain all application deposits Application Agreement. It does not bind us to accept applicant or to sign
as liquidated damages, and the parties will then have no further obligation to each the proposed Lease Contract.
other.

Acknowledgment. You declare that all your statements on the first page of this Application are true and complete. You authorize us to verify same through any
means. If you fail to answer any question or give false information, we may reject the application, retain all application fees and deposits as liquidated damages for
our time and expense, and terminate your right of occupancy. Giving false information is a serious criminal offense. In lawsuits relating to the application or Lease
Contract, the prevailing party may recover all attorney's fees and litigation costs from the losing party. We may at any time furnish information to consumer
reporting agencies and other rental housing owners regarding your performance of your legal obligations, including both favorable and unfavorable information
about your compliance with the Lease Contract, the rules, and financial obligations.
If you're seriously ill or injured, what doctor may we notify? (We're not responsible for providing medical information to or calling doctors or emergency personnel.)
Doctor's Name: Doctor's Phone: ( )
Important medical information about you in an emergency:

Applicant's Signature: Date:

Signature of Spouse: Date:

Signature of Owner's Representative: Date:

FOR OFFICE USE ONLY

1. Apt. name or dwelling address (street, city):Stone Manor Condominiums
Unit # or type:
2. Person accepting application: Phone: ( )
3. Person processing application: Phone: ( )
4. Date that applicant or co-applicant was notified by  telephone,  letter, or  in person of  acceptance or  nonacceptance:
(Deadline for applicant and all co-applicants to sign lease is three days after notification of acceptance in person or by telephone, five days if by mail.)
5. Name of person(s) who were notified (at least one applicant must be notified if multiple applicants):
6. Name of owner's representative who notified above person(s):

Stone Manor Condominiums 04072008060002ar07100250

© 2007, National Apartment Association, Inc. Page 2 of 2 Arkansas Multi-Family Housing Association Official Form B-07, April 2007