Address: Unit #: * Monthly Rent: $* Date Applied: * Move-in Date: * Number of Occupants: * IMPORTANT: Please check ALL items below I understand my application fee is non-refundable.* I understand that if after making my application or being accepted, if I do not take occupancy of the apartment, I forfeit my security deposit.* I understand my move-in date, if approved by the owner, is final and I will be responsible for rent beginning on that chosen date.* I understand that the apartment will be rented as is.* I understand and agree possession of apartment will not be prior to the agreed upon move-in date listed above without exception to my lease.* I understand the information presented to me on the apartment I'm applying for is deemed accurate and reliable but not guaranteed or warranted by Sagal Realty Group, LLC or its Authorized Agents.* Application for Rent Applicant Data Name: * Date of Birth: * SSN: * Home Phone: * Cell Phone: E-mail: * Drivers License # & State: * Residence History Current Address: Apartment #: City: State: Zip Code: Monthly Rent/Mortgage: Community Name/Landlord/Mortgage Holder: Phone Number: Occupancy Dates: Employment Information Current Employer: Address: Phone Number: Position: Supervisor's Name: Length of Employment: Gross Monthly Income: Other Monthly Income: Emergency Contacts Name: Address: Phone Number: Relationship: Name: Address: Phone Number: Relationship: Has Applicant Listed Herein Ever: (If any of the answers below are "yes", please explain) Been Convicted of and/or pled "guilty" or "no contest" to any felony charges? YesNo Been evicted from a rental dwelling, or received a notice to vacate? YesNo Have you ever broken a rental agreement? YesNo Have you ever declared bankruptcy? YesNo Security Type the code you see above in the box below