Barzell. Application for Occupancy

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Barzell Phone: 573-443-3121 1005 Cherry St., Ste. 207 Fax: 573-449-2114 Columbia, MO 65201 Email: barzellapartments@gmail.com Application for Occupancy Please print clearly. Each person over the age of 18 years must fill out a separate application and provide valid photo identification. Co-signers must fill out a separate application, and be willing to sign on the lease. Every applicant/co-signer must fill out and sign their own application, and provide proof of income. All applications for an apartment must be submitted (roommates and co-signers included) and application fees paid, BEFORE APPLICATIONS WILL BE RUN. An incomplete application may be denied. Property applied for: Today's date: Desired date of occupancy: No. of occupants: Personal Information Full legal name: Date of birth: Social Security No.: Your daytime phone #: Email address: List names of ALL occupants over 18 yrs. who will reside at this property, their relationship to you, and their date of birth: Names of ALL occupants under 18 yrs. who will reside at this property, their relationship to you, and their date of birth: Emergency Contact Information Name: Relationship to you: Address (street, city, state and zip): Daytime phone: Cell phone: Vehicle Information (Tenants Only) No. of vehicles you own: Driver's License No.: State: Make/Model: Year: License plate: Make/Model(2nd vehicle): Year: License plate: You will only be allowed to register one vehicle per tenant for a parking pass at locations with parking available. Parking passes do not guarantee parking availability.

Residential History Current Address (street, city, state and zip): Current Landlord Name/Agency: Landlord Phone: How long have you lived there? Previous Address (street, city, state and zip): Previous Landlord Name/Agency: Landlord Phone: How long did you live there? Previous Address (street, city, state and zip): Previous Landlord Name/Agency: Landlord Phone: How long did you live there? Bank Reference Bank name: Address: Phone: Do you have a (circle one): checking savings both Employment References Current Employer: Supervisor Name: Phone: Start Date: Position: Approx. Monthly Income : Previous Employer: Supervisor Name: Phone: Start Date: End Date: Position: Approx. Monthly Income : Other income: Credit References Reference 1 (name): Phone: Reference 2 (name): Phone: Character References Reference 1 (name): Phone: Relationship: Years known: Reference 2 (name): Phone: Relationship: Years known: For Students Only School or University: Program/Area of Study: Years Completed: Graduation Date: Parent Name(s): Phone: Parent Address (street, city, state, zip):

A signed application must be received for all adults who will occupy the apartment before it can be considered by Landlord. Acceptance of this application, and any monies deposited herewith, is not binding upon Landlord until approved by Landlord in writing. If approved, all monies deposited with this application will be held as a reservation deposit to be either returned to applicant, or credited toward any deposit which may be required of applicant at the time a rental agreement is executed. CONSENT TO DISCLOSURE OF INFORMATION. I hereby grant permission to investigate my educational background, residential history, criminal history, employment and bank references, and credit and character references. I release all persons who furnish such information from all liability and damages. I acknowledge and understand that I have hereby received notice in compliance with the Fair Credit Reporting Act that the Company may seek to obtain investigative consumer reports regarding my character, general reputation, personal characteristics or mode of living from a consumer reporting agency. I understand that upon my written request, as required by law, complete and accurate disclosure of the nature and scope of such investigation will be made. By signing, the applicant recognizes that the Landlord or his agent may investigate the information supplied by the the applicant and a full disclosure of pertinent facts may be made to the Landlord. WATER BEDS AND/OR PETS ARE NOT ALLOWED AT ANY TIME. Applicant Signature Print Name

Don't forget! Your application cannot be processed until we receive all necessary supporting documents from all applicants for the apartment. Before sending in your application, please remember to include or attach... Copy of your photo ID Proof of income (like a recent paystub or letter from employer/university, for example) - People applying alone must show they earn at least 3x the monthly rent - People applying jointly must each show they each earn 2x the monthly rent - You will need a guarantor if you cannot meet these requirements; guarantors must show that they earn at least 4x the monthly rent and submit their own completed application and fee. $20 fee per application (must be paid with cash in office or check made out Barzell) Completed application form, including your signature and Social Security Number necessary for credit and criminal background check Completed application forms from all potential roommates (over age 18) and guarantors all people who want to live in the apartment must submit applications and sign the lease. The Missouri Broker Disclosure Form attached to this application is for your information. Please keep it for your own records. There is no need to return that form to Barzell.