NO PETS                         APPLICATION TO LEASE APARTMENT              $25 Application Fee
Must Be Completed In Full
Applicants:
1.Full Name____________________________________Social Security #_____-_____-_____Birthdate____/_____/_____

Present Address____________________________________________________ Phone (_____)______-_______

              City________________________________State_____________Zip_______________

Landlord/Owner____________________________________        Landlord Phone (_____)______-_______    

Current Employer____________________________Employer’s Phone (_____)______-_______Income$__________

2.Full Name____________________________________Social Security #_____-_____-_____Birthdate____/_____/_____

Present Address____________________________________________________ Phone (_____)______-_______

              City________________________________State_____________Zip_______________

Landlord/Owner____________________________________        Landlord Phone (_____)______-_______   
 
Current Employer_____________________________Employer’s Phone (_____)______-_______Income$________


Residents:     Number of Adults Who Will Occupy Apartment______  Children ______            
                 Children’s Names and Ages____________________________________________________________

Automobiles:             Make/Model                                       Color                                        Tag Number
1 _____________________________________________________________________________________________

2 _____________________________________________________________________________________________
Nearest Relative (One for Each Applicant):
Name                                     Relationship                          Address                                              Phone
1 ______________________________________________________________________________________________

                               City____________________________________State_________Zip_____________

2 ______________________________________________________________________________________________

                               City____________________________________State_________Zip_____________

I certify that the information given on this application is true and correct.  I authorize Lane Properties to contact any reference on this
application.  I also authorize Lane Properties to contact the credit bureau for information and obtain a criminal background history.  I have read
the reverse side and understand that processing of my application will not begin until all information on application is completed and a $25
application fee has been paid. WE DO NOT FEEL THAT THE UPSTAIRS UNITS ARE SAFE FOR SMALL CHILDREN BECAUSE OF
THE IRON AND CONCRETE STAIRWAY.  IF YOU HAVE SMALL CHILDREN AND CHOOSE AN UPSTAIRS UNIT, YOU WILL BE
REQUIRED TO SIGN A WAIVER RELEASING US FROM LIABILITY.

                                                                             ________________________________________________
Desired Move In Date ______________                               Signature of Applicant 1                                     Date

Desired Price Range ______________                            ________________________________________________     
                                                                                   Signature of Applicant 2                                     Date
Desired Floorplan & Community____________________________________________