Application – Maria Elena Sifuentes Apartments

Legal Notification and Authorizations*

NOTICE OF NO AGENCY RELATIONSHIP. Applicant(s) acknowledge that all employees and agents of this property represent only the owner/landlord and NOT the applicant. This form must be completed by the applicant. You must use the correct legal name for each member of your household. All members of the household who are 18 years of age or older must agree to the following Terms of Use, Credit and Criminal Record Authorization: I/we understand and hereby authorize agent/owner and any consumer or credit reporting agency or bureau employed by it to investigate my (our) character, general reputation, mode of living, credit and financial responsibility and the statements made in the Application, to inquire and check with the persons and references named herein, to inquire into and check for criminal records, civil judgments and other relevant information, and to make a consumer or credit report in connection therewith.

Yes, I agree to the above and would like to continue.

Applicant Name: **

First Last

Mailing Address*

Street Address Address Line 2 City State ZIP Code

Primary Phone*

Alternative Phone

Work Phone

List all persons who intend to occupy the unit for which you are applying, including yourself:

Occupant 1 Name*

First Last

Occupant 1 Date of Birth:*

Occupant 1 Gender:

Occupant 1 Social Security #:

Occupant 1 Relation to Household Head:

Occupant Name 2

First Last

Occupant 2 Date of Birth:

Occupant 2 Gender:

Occupant 2 Social Security #:

Occupant 2 Relation to Household Head:

Occupant Name 3

First Last

Occupant 3 Date of Birth:

Occupant 3 Gender:

Occupant 3 Social Security #:

Occupant 3 Relation to Household Head:

Occupant Name 4

First Last

Occupant 4 Date of Birth:

Occupant 4 Gender:

Occupant 4 Social Security #:

Occupant 4 Relation to Household Head:

The Maria Elena Apartments Application

List all persons who intend to occupy the unit for which you are applying, including yourself:

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