Please Print and fill out

COMPANY BILLING INFORMATION     

Company:___________________________ 

Accounts Payable Contact:______________  

Address:____________________________

Email Address:_______________________   

Phone: (    )_________________________   

Fax: (    )___________________________  

RESIDENT FORMATION

Name:___________________________

Title:____________________________  

Department:______________________  

Daytime Phone: (    )_______________  

Cell Phone:(   )___________________

Evening Phone: (    )_______________  

Email Address:____________________

Fax: (    )________________________  

Permanent Address:_______________  

PLEASE CHECK HOW YOU HEARD ABOUT US:

_____ Internet _____ Apartment Guide _____ Apartment Finder

_____ Referral _____ Newspaper _____ Other

 APARTMENT SPECIFICS  

All leases subject to the following terms:

• $100 exit fee paid at move in
• $35 per tenant application fee
• $300 deposit paid at reservation time.  May be applied to last payment if no damage.
• Six month minimum lease
• $250 cancellation fee if canceled within 14 days of move in date on application
• $350 per pet fee.  Limited to 25lbs and breed restrictions apply.  Limit of two pets per townhome
• $50 charge for keys not turned in
• $50 fee for proximaty cards (gate control) not turned in
• Must give 30 days written notice to vacate

LEASE INFORMATION

Move-in Date: ___/___/___

Move-out Date: ___/___/___

Approved Lease Length: _____ , Minimum 6 months

Do you have a pet?  _____ Yes  _____ No

PAYMENT INFORMATION

____ Company Check  ____ Credit Card
____ Debit Card  ____ Personal Check

Name on Card: ___________________

Card #: _________________________

____ Amex  ___ Visa/MC  ____ Disc  ____ Debit Card

Expiration Date: __________________

________________________________________
Print Name of Company Representative/Individual

Signature: ________________________________

Title: _____________________________________

Date: ____________________________________

    Please fax to 865.357.6201 / Phone 865.357.6200