Your name:

Your email address:

A phone number we can use to reach you:

A fax number we can use to reach you:

Approximate Move-in date?

How did you hear about this property? Choose One Apartment Book Apartment Guide Apartment Source Drive By Friend/Family Member Military Housing Newspaper Resident Referral Yellow Pages Lawson Companies Website Other Internet Source

How many bedrooms are you looking for? 1 2 3 4 Bathrooms? 1 2

Do you have a pet? Yes No

If yes, what type? Dog Cat Bird Reptile

If the pet is a dog, how much does it weigh? (in pounds)

How tall is the pet? (in inches)

What breed is the dog? ?

Names to Appear on Lease

All Other Occupants to live in Apartment (children must be listed)

Present Address State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Previous Address State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Current Employment Information:

Choose one Weekly Monthly Annually

Previous Employment Information:

Choose one Weekly Monthly Annually

Spouse Employment Information:

Choose one Weekly Monthly Annually

State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Other Income:

Choose one Weekly Monthly Annually

Checking Savings

Do you or any of your family members have any felony convictions?

Yes No

If yes, please explain

Do you or any member of your household currently use illegal/controlled drugs?

Yes No

If yes, please explain

If you are hearing impaired, will you require a visual smoke detector?

Yes No

Automobile: (Please list each car that will be in residence)

State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Emergency Contact:

Additional Comments or Questions:

Application payment option: Please choose Mail Electronic-Paypal

By clicking on the submit button below, I/we understand and agree to the following conditions as they apply to the application for an apartment. I/we give permission for credit, employment, rental history and criminal history checks to be obtained through Resident Data located at: Resident Data, 12770 Coit Road, Suite 1000, Dallas, Texas 75251, Phone number 1-800-487-3246.

An application fee of $32 per adult applicant must be paid to process this application. An approved application and substantial deposit will hold an apartment off the market until the anticipated move-in date. This amount may vary according to the property. I/we understand that the leasing agent will advise me of the actual security deposit amount. I/we understand that this date cannot be guaranteed.

I/we further agree that the entire reservation deposit amount will be applied to my Security Deposit when I/we move in. If I/we fail to sign a lease and take occupancy on the date specified above after the application has been accepted, I/we understand that the deposit will be applied to damages as specified in the Virginia Landlord/Tenant Act.

Should this application be disapproved, an administrative fee of $32 will be deducted from the initial deposit to cover the cost of processing.

I/we also understand that Lawson Realty Corporation serves as broker and represents the landlord in real estate transactions.

By clicking on the submit button, I/we affirm that I/we have read, understand and agree to the terms as written above. I/we also agree that by clicking submit, I/we in effect have electronically signed this document, making it legal and binding. I/we also affirm that the information contained herein is true and correct to the best of my/our knowledge.