Apartmental Location Service Form

Please fill in the information belw and we'll help you find the apartment of your dreams.

Name:
Current Address (street, city, state, zip) :

Email:
Phone (with area code):
When do you want to move in (please enter like: January 12, 2001)?

Looking just for yourself?: yes no
If looking with others, how many?
How many of these are children under 15?
What are their names?
Any smokers? yes no
If so, what?

How about musical instruments? yes no
If yes, what kinds?

Any pets? yes no
If yes,

How many?
what kind? (hold down the control key to choose more than one)
Do they make lots of noise? yes no
Do any of them bite? yes no
How much does the heaviest weigh (in pounds)
If you have dogs, how tall is the tallest?
Are they house trained? yes no

Drives license number:
State of issuance:
Social security number:
Place of employment:
Address:
Supervisor:
Supervisor's phone:
Work hours:
Title:
How long at current job:
Other sources of income:

How long you plan on staying (in years):
Every filed for bankruptcy? yes no
If so, why, and what's the case number:

Are you party to a lawsuit? yes no
If so, please describe:

Are there any judgments against you? yes no
If so, please describe:

Bank name:
Phone:
Account number:
Please list three references, with their name, address phone number and relationship:

What range monthly rent are you looking for?
What's the average income of the people moving in, per month?
How many bedrooms?
How many bathrooms?
Check which features you'd like:
Washer/Drier:
Fitness Center:

Pool
Jacuzzi
Weight machines
Aerobic machines
Lots of mirrors

Parking:

Enclosed Garage ok
Covered parking ok
Parking lot ok

Floors:

Hardwood ok
Any carpet ok
Only shag carpets, wall to wall, please

Furnished? yes no
If so:

Modern furnishings ok
Colonial furnishings ok
Victorian furnishings ok
Any specific requests

Where'd you hear about us? - hold down the control key to choose more than one selection.