Applicant Last Name: First Name: Middle Initial: Mr/Mrs/Ms: Spouse/Co-signer Last Name: First Name: Middle Initial: Mr/Mrs/Ms: Rental Information Building Name: Building Address: Apartment #: Type: Parking: Garage Deck Carport Monthly Rental Apartment: Parking: Total Rental: Utilities Paid by Lessee: Other Occupants Last Name: First Name: Relationship: Age: Last Name: First Name: Relationship: Age: Applicant's Present Address Address: City: State: Zip: Phone: How long?: Total Monthly Rental: Utilities: Name of Owner/Agent: Phone: Applicant's Previous Address Address: Phone: How long?: Total Rental: Utilities: Applicant's Present Employer Employer Name: Address: Position: How long?: Gross Monthly Earnings: Phone: Applicant's Previous Employer Employer Name: Address: Position: How long?: Gross Monthly Earnings: Phone: Co-signer's Present Address Address: City: State: Zip: Spouse's/Co-signer's Present Employer Employer Name: Address: Position: How long?: Gross Monthly Earnings: Phone: Applicant/Spouse/Co-signer Other Income - Explain. Vehicle (Make & Plate) Applicant: Spouse/Co-signer: Bank Name & Branch Applicant: Spouse/Co-signer: Type of Account Applicant: Spouse/Co-signer: I/We understand that if I/we are delivered a lease for the above named premises, the security deposit and the first month's rent is due and payable at the time the lease is signed. Under no circumstances is the security deposit to be construed to be a last month's rental, or can it be applied toward any other regular charge made during my/our tenancy. But it shall be held by the lessor in accordance with the Security Deposit Provisions of the Landlord Tenant Act of 1951 as amended February 23, 1973. Each applicant/spouse/co-signer has submitted the sum of $ 30.00 which is a nonrefundable payment for an application fee and processing charge, receipt of which is acknowledged by management. Such sum should not be considered rental payment, security deposit or payment of administrative fee. In the event this application is disapproved, this sum will be retained by management to cover the cost of processing this application as furnished by the applicant. I/We certify that the information given herein is complete, true and correct. The applicant authorizes and directs any person and/or entity to provide personal, rental and/or credit references regarding the undersigned to McQuarters Realty Company. This authorization is also intended to include employment information from current and/or prior employers. My employers are further authorized to verify current wage information. A copy or fax copy of this authorization shall be deemed an original. Date: 1/5/2009