(Preferred) Apartment Address: Unit:
First name: Middle: Last:
Social Security # : Date of Birth: E-mail address:
Driver's License: Maiden or Former Name, if any:
Home Telephone: Cell Phone: Pager:
Present Street Address: City: State: Zip:
Present Landlord: Present Landlord's Telephone:
Monthly Rent: Dates at Current Address: Move-in Date: Lease-ending Date:
Previous Street Address: City: State: Zip:
Previous Landlord: Previous Landlord's Telephone:
Monthly Rent: Dates at Previous Address: Move-in Date:  Move-out Date:
Present Employer: Type of Company:
Employer's address: City: State: Zip:
Dates Employed: From: Current Status:
Monthly Gross Income: $ Other Income $: Supervisor:
Your Work Number:
Supervisor's Number:
Title and Brief Job Description: Additional Comments, Instructions or Information that may be helpful:
Nearest Relative: Phone: Relationship:
Reference Name: Phone: Relationship:
Reference Name: Phone: Relationship:
Have you ever had any involvement whatsoever, in a Landlord/Tenant Court action?  yes Not Sure No If "Yes" or "Not Sure," please describe circumstances in detail, including Case Number, Dates, State and County, Parties, Judgments, Agreed Orders, or Resolutions, etc.:
Name(s) of others who will share apartment with you (including pets)
Car Make:
Car Model:
Year: Color: License Plate:
Issuing State:
We require a $25 application fee, in advance, before we can process this Online Apartment Application. You may send a check or money order under separate cover. If you choose to mail a check, it will delay the application process by several days.
I understand and hereby authorize agent/owner and any consumer or credit reporting agency or bureau employed by it to investigate my character, general reputation, mode of living, credit and financial responsibility, ability to pay rent, and the information provided with this application, and to inquire and check with the persons and references named herein. This application shall become a part of any lease for this apartment. I agree to the terms of jjapartments's application and security deposit policy at http://www.jjapartments as though fully set forth herein. I saved a copy of that policy for my records in the event jjapartments changes the policy subsequent to the date of this application or that webpage becomes otherwise unavailable.

 You must check this box to indicate that you read and agree to the above, and that this is your signature below.

Signature: (s) Date: