Application - The Residences At Queen's Marque

Applicant

Applicant Name

First

Last

Birthdate MM/DD/YY

Present Address

City

State/Province

Zip/Postal

Country

Home Phone

Work Phone

Cell Phone

Email

Co-Applicant

Name

First

Last

Birthdate MM/DD/YY

Present Address

City

State/Province

Zip/Postal

Country

Home Phone

Work Phone

Cell Phone

Email

Applicant Employment Information

Applicant Occupation

Applicant Current Employer

Applicant Employer Phone

Applicant Years Employed

Employment Income

Applicant Other Income

Applicant Previous Employer

Applicant Previous Employer Phone

Co-applicant Employer Information

Co-Applicant Occupation

Co-Applicant Current Employer

Current Employer Phone

Years Employed

Employment Income

Other Income

Previous Employer

Previous Employer Phone

Applicant Landlord Information

Present Landlord's Name

Landlords Address

City

State/Province

Zip/Postal

Country

Phone

How long have you lived there?

Reason for moving?

Previous Landlord's Name

Previous Address

City

State/Province

Zip/Postal

Country

Previous Landlord's Phone

Co-Applicant Landlord Information

Present Landlord's Name

Present Landlord's Address

City

State/Province

Zip/Postal

Country

Present Landlord's Phone

How Long have you lived there?

Reason for moving

Previous Landlord's Name

Previous Landlord's Address

City

State/Province

Zip/Postal

Country

Previous Landlord's Phone

Next Of Kin

Applicant Next of Kin Name

First

Last

Phone

Co-Applicant Next of Kin Name

First

Last

Phone

Date

Applicant Signature

Clear

Date

Co-Applicant Signature

Clear

The undersigned hereby represents and warrants that all the information provided herein and on any accompanying applications or statements is true, complete and correct. It is understood that the information provided may be fully researched and relied upon by the Residences at Queen’s Marque Limited or any of its affiliates or subsidiaries. The undersigned further expressly consents to the Residences at Queen’s Marque Limited or any of its affiliates or subsidiaries using and disclosing the personal information contained or referenced herein to make any inquiries it deems necessary to fully research this application including inquiries of any credit reporting agency. I/We consent to the collection, use and disclosure at any time of the credit information about me/us to any credit agency or to anyone with whom I/we have financial relations. I expressly consent to the Residences at Queen’s Marque Limited or any of its affiliates or subsidiaries sending me commercial electronic messages related to my tenancy. I/We may revoke consent by contacting (902) 422-4424. For the purposes of this consent the Residences at Queen’s Marque Limited or any of its affiliates or subsidiaries includes its assigns.