Personal Information
Property:	Scottish Manor 1BR 1 Bath Tenth Street 2BR 1 Bath Charles Street 2 BR 2 Bath
Last Name:		First Name:
Middle Initial:		SSN:
Marital Status:		Date of Birth:
Phone #:
Present Address:		City:
State:		Zip:
How long have you been at the present address?
(enter number in field)			Years Months Weeks
Name of Current Landlord:
Landlord's Phone Number:
Your Previous Address:		City:
State:		Zip:
How long were you at your previous address?
(enter number in field)			Years Months Weeks
Name of Previous Landlord:
Landlord's Phone Number:
Contact Information
Name of Closest Relative:
Relative's Phone Number:
Address		City
State		Zip
Driving Information
Driver's License Number:		State of Issue
Current Employment Information
Name of Current Employer
Employer's Phone Number:
Address of Current Employer:
City:		State:
Zip:
Your Position:		How Long Employed?	Years Months Weeks
Income Information
Gross Monthly Income:
Wages, Salaries, & Tips:	$	Per Month
Other Income	$	Per Month
Total Monthly Income:	$
Banking Information
Name and Location of your bank:
Bank's Phone Number:
Do you have a checking account ?			Yes No
		Account #:
Do you have a savings account?			Yes No
		Account #: