Reserve at Walnut Creek New Resident Application This application allows you to type in the information, print it and then fax it, mail it or bring it into the leasing office. You Cannot "Submit" This Form Through The Internet. Fax #: 512-926-6826 8038 Exchange Drive, Austin, TX 78754 Absolute Confidentiality! Information you provide us will be maintained as strictly confidential and will be released to no one other that those you specifically authorized us to share it with. This information is requested both for the application process as well as for security, identification and management purposes once you become a Reserve at Walnut Creek resident. One Person Per Application Form Please complete the entire application providing complete information in each section. In fields that do not apply, put N/A. Please have each applicant fill our an application. In situations where the information is the same for other applicants, the information needs to be included on only one form. When this happens, please put “See Other Form” in that section. Applicant Information Application Date First Name Last Name Names Of Other Applicants Applicant 2: Applicant 3: Applicant 4: Social Security No. Date of Birth Driver's License State Driver's License No. Home Phone No. Work Phone No. Cell Phone No. Email Address Current Address City State Zipcode Landlord Information (Or Mortgage Company) Current Landlord Company Contact Name Contact Phone No. Address City State Zipcode Previous Landlord Company Contact Name Contact Phone No. Address City State Zipcode Employment Information Current Employer Hire Date Contact Name Contact Phone No. Address City State Zipcode Current Monthly Income (Primary Source) Other Monthly Income Previous Employer Hire Date Contact Name Contact Phone No. Reason for Leaving Address City State Zipcode Previous Monthly Income Bank Information Checking Act. No. Bank Name City Bank Is In State Branch Name Pet Information First Pet Type Cat Dog Weight Color Name Breed Age Second Pet Type Cat Dog Weight Color Name Breed Age Vehicle Information (If there are coapplicants, put their vehicle on their application. Only include two, if you own two.) Vehicle One -- Year Make Model Color State Licensed In License Plate No. Vehicle Two -- Year Make Model Color State Licensed In License Plate No. Emergency Contact Name Home Phone Work Phone Cell Phone Address City State Zipcode Personal Infomation Do you require any special accommodations? Yes No If yes, what type? Have you eve been evicted from a place of rental or have you ever violated a lease, rental agreement, or regulations at a former place of rent? Yes No If the above is "Yes", please explain. Do you currently owe any unpaid rent? Yes No If "Yes", how much? Have you ever been charged with misuse or abuse of any rental property? Yes No If the above is "Yes", please explain. Will we encounter any income or credit issues concerning you or have you ever been charged with a misdemeanor or a felony? Yes No If the above is "Yes", please explain. RELEASE (The leasing agent will fill out the blanks below.) This is to inform you that as a part of our procedure for processing your application, an investigative consumer report may be prepared whereby information is obtained through personal interviews with your landlord, employer, other with whom you are acquainted, a credit check, and criminal report. I/We hearby agree, in the event of the approval of this rental application, to execute a lease in accordance with the terms set forth in the rental application and my/our rental liability shall commence on this date ____________________, pursuant to the terms of the lease. The applicant understands that approval of this application is conditional upon the information supplied in the above mentioned consumer report meeting lease criteria. Owner and/or agent for the owner may refuse possession of the above mentioned accommodations because of any derogatory information contained in the consumer report. I/We have read the foregoing and certify that the information herein id TRUE and CORRECT, that this application is submitted for the purpose of inducing approval of this application in my/our behalf, and any errors in this application may be used by the owner and/or agent to terminate the lease at any time. DEPOSIT AND RECEIPT The applicant hereby deposits the amount of $ _________. This amount will be refunded within 7 working days if the applicant is not accepted as a resident by the date of _____________________, 200__, or if the applicant withdraws this application in writing by 5:00 P.m. on ____________________, 200__. If the applicant is accepted and resident does not enter into a lease agreement within 72 hours of notification of acceptance, then the amount deposited shall be retained as liquidated damages for holding the apartment off the market. If applicant does enter into a lease agreement, then the deposit shall be applied to the security deposit required under the lease. If applicant is accepted as a resident and enters into a lease agreement, then the lease shall be voidable upon 3 days notice. If there is an application processing fee, it is nonrefundable. Date Applicants Date Leasing Representative ________ _________________________________ ________ _________________________________ ________ _________________________________ OFFICE USE ONLY: Agent: _________________________________ Lease Term: ___________________ Apartment #: _____________ Scheduled Move In Date: ______________________ Comments/Details: ________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________