Georgetown of St. Louis

Notice: Co-Applicant must complete a separate Rental Application Form.

The undersigned hereby makes an application to rent apartment number located at beginning on at a monthly rental of $

Other Adult Occupants

Other Minor Occupants

Pets

Current Residence

Previous Residence

Present Employer

Previous Employer

Auto #1

Auto #2

Checking Account

Savings Account

Emergency Contact

Personal Reference (must be different from Emergency Contact)

Have you ever (past or present):
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Applicant acknowledges that false information herein WILL constitute for automatic REJECTION.

Applicant represents that all of the above statements are true and complete, and hereby authorizes verification of above information. I authorize an investigative consumer report to be completed as part of the procedure for processing the above information. I understand that there is a $35 non-refundable fee per person for the processing of this report.
I hereby deposit $as earnest money to hold the apartment off the market Upon acceptance of this application this deposit shall be retained as part of the security deposit The deposit is non-refundable after 72 hours from submittal of application, unless your application is rejected. When so approved and accepted I agree to execute a lease for months before possession is given and to pay the balance of the security deposit (if required) within 72 hours of being notified of acceptance or the deposit will be forfeited as liquidated damages.