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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?
No
No
Yes
Choose A Community
Choose a
Choose A Community
Augusta Square
Beaver Ridge Run
Governours Square
Ivy Hills Place
Kugler Mill Square
Prince Frederick Townhomes
Walnut Creek Townhomes
Estimated Move Date
Select Unit Size
Choose a
Select Unit Size
One bedroom apartment
Two bedroom apartment
Three bedroom apartment
Two bedroom townhome
Three bedroom townhome
*Applicant Name
*Social Security Number
*Date of Birth
*Daytime Phone Number
*Marital Status
Choose a
Marital Status
Single
Married
Divorced
Seperated
Other Occupants under 18
Name, Relationship, Age and Social Security Number Required
*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
Name, Relationship, Address, Phone Number
*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
Breed and weight
*Card Type
Choose a Card
Master Card
Visa
*Card Number
*Expiration Month
Choose a Expiration Month
Jan
Feb
Mar
Apl
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
*Expiration Year
Choose a Expiration Year
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
*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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