Cougar Crest Apartments
(509) 334-6028
(509) 334-6218 Fax
IDENTIFICATION
Applicant’s
Name____________________________D.O.B._____/_____/____S.S.N.#__________________
Driver’s
Lisc./ID#__________________________Driver’s Lisc. Address_____________________________
Additional
Names Used__________________________Cell Phone
#________________________________
E-mail
address____________________________________________________________________________
Permanent/Parent’s
Address_________________________________________Phone#_________________
RESIDENTIAL HISTORY/
DORM
Address_______________________Apt#_______ Address______________________Apt#_______
City__________
_______State______Zip________ City_________________State______Zip________
Apt.
Community___________________________
Apt.
Community___________________________
Phone
(____)_______________
Phone (____)_______________
__Rent___Own Dates (mo/yr) From_____to___ __Rent__Own Dates
(mo/yr) From____to___
Owner/Mgr.
Name_____________Amt. $______ Owner/Mgr.
Name___________Amt. $____
Reason
For Move___________________________ Reason For
Move___________________________
REFERENCES
Local
Aquaintance______________________Phone_____________Address________________________
Nearest
Relative________________________Phone_____________Address_______________________
Emergency
Contact______________________Phone_____________Address_______________________
HAVE YOU EVER BEEN
EVICTED? Yes__
No__ If yes, property name, address, and phone:
____________________________________________________________________________________
Broken
a rental contract? Yes_____ No____ If
yes explain________________________________________
Refused
to pay rent? Yes______ No______ If yes explain__________________________________________
Do
you own a: Waterbed_____ Aquarium________ Cat_______ Describe any Other
pets______________
I
understand that I acquire no rights to the rental until the rental contract is
signed. Applicant represents that all of
the above statements are true and complete and authorizes the release of
information with regard to residency, public records, and references to Cougar
Crest Apartments. Applicant further
authorizes the disclosure of the information to owner/agent and acknowledges
that false or misrepresented information may constitute grounds for rejection
of this application. Applicant agrees
that this is a routine investigation of character, general reputation, and mode
of living and shall not constitute an invasion of privacy. I have read and agreed to the provisions
above. To the best of my knowledge all
answers are true and correct. I understand
that misleading or false information may result in denial of tenancy or
possible eviction.
Initial_________
Applicant’s
Signature___________________________________________Date______/________/________