Gillespie Management - Tenant Lease Application

TENANT APPLICATION

GENERAL INFORMATION * = Required
First Name :* Middle Initial :* Last name :* Email address :* Confirm email address :* Telephone :* Social Security Number: Date Of Birth Driver License # State Issued Car Make/Model License Plate # State Issued Roomate's Name

ADDRESS INFORMATION Current Street Current City Current State Current Zipcode Current Address Start Date Current Address End Date Rent Amount Landlord Landlord Phone # Previous Street Previous City Previous State Previous Zipcode Previous Address Start Date Previous Address End Date Permanent Street Permanent City Permanent State Permanent Zipcode

EMPLOYMENT / EDUCATIONAL STATUS Length Employed Emplyment Statuts

Choose all that apply

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Primary Employer/ Educational Insitution Employer's Phone # Employer's City Employer's State Employer's Zipcode Annual Income $

If you are a part-time student,indicate your employer:

Employer Employer's Phone # Employer's City Employer's State Employer's Zipcode Student Status Freshman Sophomore Junior Senior Grad Student

Graduation Date Major

EMERGENCY INFORMATION AND AGREEMENT Emergency Contact Name:* Emergentcy Phone # Emergency City Emergency State Emergency Zipcode Relationship to Contact

Which apartment are you interested in?

CONDITIONS BY CHECKING HERE AND CLICKING "SUBMIT APPLICATION" BELOW, I HEREBY ELECTRONICALLY SIGN THIS TENANT LEASE APPLICATION AND ACKNOWLEDGE AND AGREE TO THE FOLLOWING: IN COMPLIANCE WITH THE FAIR CREDIT REPORTING ACT, THIS IS TO INFORM YOU THAT YOU ARE AUTHORIZING THIS ORGANIZATION AND/OR ITS SUPPLIERS TO OBTAIN, AT ITS SOLE DISCRETION, A CONSUMER AND/OR BUSINESS PROFILE CREDIT REPORT. YOU HAVE THE RIGHT TO DISPUTE THE INFORMATION ON THIS REPORT AND REQUEST ADDITIONAL DISCLOSURES PROVIDED UNDER SECTION 606§1681d(b) OF THE FAIR CREDIT REPORTING ACT, AND A WRITTEN SUMMARY OF YOUR RIGHTS PURSUANT TO SECTION 609(c). YOU MAY DO THIS BY CONTACTING THE PROVIDER OF THE INFORMATION. PLEASE CALL BACKGROUND INVESTIGATIONS, INC. PHONE 1-800-955-1356 AND YOU WILL BE DIRECTED TO THE PROPER CREDIT REPORTING AGENCY OR ASSISTED IN YOU INQUIRY. THIS ORGANIZATION IS NOT ALLOWED TO GIVE YOU A COPY OF YOUR CREDIT REPORT. YOU ALSO RELEASE FROM LIABILITY ANY PERSONS INVOLVED IN THE CREDIT INVESTIGATION.

SUBMIT I/We certify, to the best of my/our knowledge, that all statements above are true and complete. I/We further authorize Gillespie Management, Inc. to obtain any and all information related to credit information and credit worthiness related to obtaining credit from Gillespie Management, Inc. for the purposes of entering into a lease or leases. The IP information for the computer submitting this application will be logged, and a confirmation email sent to the address listed above.