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You will be denied rental if you misrepresent any information on this application. If misrepresentations are found after a rental agreement is signed, your rental agreement will be terminated.

An application fee of $50 will need to be paid before the application can be processed.
Please Note: (*) Are Required Fields

Property Applying For Roommate Replacement Application Desired Occupancy Date

Contact Information

* First Name * Last Name * Social Security Number * Home Phone Work Phone Cell Phone * Email * Birth Date * Are you a student? * How did you hear about us? Leasing Agent

Residence Information

Current Address

* Street Address * Suite/Apt * City * State * Zip * Rent/Own * Years at this address

Previous Address

Street Address Suite/Apt City State Zip Rent/Own Years at this address

Employment Information

* Employer * Address * City * State * Zip * Position * Date Started * Gross Annual Salary * Supervisor * Supervisor's Phone Other Income Other Income Source(s)

Vehicle Information

* Number of Vehicles?

Emergency Contact

* First Name * Last Name * Relationship * Phone * Address

Pets

*Do you have pets?

Authorization

I hereby authorize Monroe Properties to make such investigations into my credit history as they may deem appropriate. I understand that such investigations typically include (but are not limited to) verification of employment and salary, rental history and consumer credit reports. By signing below, the applicant gives permission to procure a criminal background check and understands the results of such background check could affect the approval of this application.

*Applicant's Name