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Cornerstone Realty Management Corp. On-line Rental Application
 
Thank you for choosing our on-line application service. All on-line applications require a $200.00 earnest money deposit. This amount may be more or less due to credit rating and/or special promotions. The property manager will have more details when contacting you concerning the status of your application.
 
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*Application for more than one person?
Choose A Community
Estimated Move Date
Select Unit Size
*Applicant Name
*Social Security Number
*Date of Birth
*Daytime Phone Number
*Marital Status
Other Occupants under 18
*Current Address
*City, State Zip
*Phone Number
*Landlord/Mortgage Company
*Contact Person and Phone Number
*Resided From
*Resided To
*Reason For Moving
*Previous Address
*Previous City, State Zip
*Previous Landlord/Mortgage Company
*Contact Person and Phone Number
*Resided From
*Resided To
*Reason For Moving
*Current Employer
*Job Title
*Hire Date
*Supervisor Name and Phone Number
*Previous Employer
*Job Title
*Hire Date
*Supervisor Name and Phone Number
*Driver`s License Number and State
*Gross Income per Month
*Auto Make, Model, Year and Condition
*License Plate Number
*Checking Account Number
*Bank Name and Address
*In Case of Emergency Notify
*Do you have a waterbed?
Yes No 
*How many autos do you own?
*Have you given notice to move?
Yes No 
*Have you ever broken a lease agreement?
Yes No 
*Have you ever been evicted?
Yes No 
*Are you subject to out-of-town transfer?
Yes No 
*Installment/charge accounts current?
Yes No 
Have you ever been convicted, pled guilty or no contest (whether or not convicted)
to felony charges, or to misdemeanor charges involving sexual misconduct?
*Criminal Background
Yes No 
*Do you own a pet
Yes No 
If yes, describe
*Card Type
*Card Number
*Expiration Month
*Expiration Year
*3 Digit Verification Code
*Transaction Amount
*Name As It Appears On Card
*Address
*Daytime Phone
*Email Address
 
I hereby attest that the information provided in this application is true, accurate and correct. Cornerstone Realty Management Corp. is authorized to obtain consumer reports, and any other information it deems necessary, for the purpose of evaluating my application. I understand that such information may include, but is not limited to, credit history, civil and criminal information, records and/or any arrest, rental history, employment/salary details, vehicle records, licensing records, and/or any other necessary information. I/we understand that subsequent consumer reports may be obtained and utilized under this authorization in connection with an update, renewal, extension or collection with respect or in connection with the rental or lease of a residence for which application is made. Applicant has received, read and understands the form titled ``Summary of Rental Criteria`` prior to making an earnest money deposit. I/we hereby attest that the information provided is true accurate and correct. I/we understand the $30.00 application fee is non-refundable and I hereby deposit $200.00 as earnest money, which will be retained and converted to a security deposit upon taking occupancy of the Premises. I/we understand that the application fee, if any and/or earnest money deposit will be forfeited as liquidated damages resulting from the misrepresentations or omissions of facts or my refusal to sign a lease and take possession after I have been approved to rent an apartment. Upon acceptance, I/we will be signing a one-year lease, the application fee, if any, will not be applied toward the security deposit. I/we understand and agree that any credit granted by Cornerstone shall be paid promptly in accordance with the terms and agreements, that the credit grantor may add late charges to any balance owed, and in the event application is withdrawn prior to acceptance or in the event of applicant rejection the earnest money deposit shall be returned.
 
I hereby authorize Cornerstone Realty Management Corp. to charge my credit card, using the information that I have provided, for the required application fees and earnest money deposit. Further, cardmember acknowledges receipt of goods and/or services in the amount of the total shown hereon and agrees to perform the obligations set forth by the cardmember`s agreement with the issuer.
 
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