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Page 1 of 7 FP ASSOCIATES, INC. t/a FOREST PINE APARTMENTS 201 Forest Pine Drive, Franklin, Virginia 23851 Telephone: (757) 562-2005 FAX: (757) 569-0012 1 Bedroom 2 Bedroom 3 Bedroom *Deluxe Building $655 (1Ba; SqFt 768) $695 (1.5Ba; SqFt 960) N/A *(SEC I 101 Bldg.) $730 (1.5Ba & Den; SqFt 1,010) *Section I $595 (1Ba; SqFt 630) $675 (1Ba; SqFt 834) $720 (1Ba; SqFt (1,085) * Rent in the Deluxe Building and Section I includes water, sewer, trash, heat and hot water. YOU pay electricity. **Section II N/A $620 (1Ba; SqFt 928) $655 (2Ba; SqFt (1,133) Rent in Section II includes water, sewer and trash **All apartments in Section II have dishwashers. Three bedroom apartments have two (2) baths. YOU pay electricity. 1 Bedroom 2 Bedroom 3 Bedroom *Section III N/A $760 (SqFt 1,012) $815 (SqFt 1,127) *Section IV N/A $780 (SqFt 955 1 st Fl. N/A 1,057 2 nd Fl.) *Section V N/A $805 (SqFt 1,012) $870 (SqFt 1,127) *All apartments in Sections III, IV and V have two (2) full baths, washer/dryer hook-ups, dishwashers, Balcony /patio and private entrances. Water, sewer and trash are included in the rent. A $200 MINIMUM & $400 MAXIUM SECURITY DEPOSIT IS REQUIRED FOR ALL APARTMENTS. WE PAY FOR WATER, SEWER AND GARBAGE IN ALL SECTIONS. *Note* Application Fee: $35 per adult (money order only). Security Deposit paid by money order or certified /cashier s check. First month/prorated rent paid by money order or certified/cashier s check. NO CASH accepted in this office. Thank you for your cooperation.

Page 2 of 7 APARTMENT RENTAL APPLICATION FP Associates, Inc. t/a Forest Pine Apartments 201 Forest Pine Road Franklin, VA 23851 757-562-2005 Ph. 757-569-0012 Fax Office Hours: Monday - Thursday. 8:30AM-5:00PM Friday 8:30AM-4:00PM Forest Pine Apartments does not discriminate against any prospective resident or employee because of their race, creed, age, religion, sex, familial status, or disability. TO PROCESS APPLICATION, ALL LINES MUST BE COMPLETED. Any misrepresented, misleading, incorrect or untrue statement discovered at any time will result in application rejection or lease termination. Application Fee $35 per Adult /Security Deposit is based on credit worthiness. Unit size requested: One Bedroom Two Bedroom Three Bedroom Date Desired: 1)Name Middle Name Last Name, S.S. # - - Birthday / / PresentAddress City, State and Zip EmailAddress HomePhone WorkPhone CellPhone 2) Name Middle Name Last Name, S.S. # - - Birthday / / PresentAddress City, State and Zip EmailAddress HomePhone WorkPhone CellPhone Children (Under 18): Name Birth date / / Sex Social Security # Name Birth date / / Sex Social Security # Name Birth date / / Sex Social Security # Employment 1). Place of Employment Employment Address City, State, and Zip Length of Employment Years Gross Monthly Income $ 2). Place of Employment Employment Address City, State, and Zip Length of Employment Years Gross Monthly Income $ A. Does any member of your household work for an organization that pays them in cash? Yes No

Page 3 of 7 Bank Account Household Eligibility Family Member Name & Address Account # Current Balance Other Sources of Income or Anticipated Income from Assets: Income Source Monthly Income Book/Face Value or Balance: Stock/Bond Dividends $ Interest Income (All Sources) $ Social Security and/or SSI$ Alimony$ Child Support $ AFDC/Gov. Assistance $ Unemployment$ Pension $ Have you or anyone else who will be living in your household ever been convicted of a crime? Yes No. If yes, please explain details of the conviction: Have you or anyone else who will be living in your household been evicted in the last three years from federally assisted housing for drug related criminal activity? Yes No Are you or a member of your household now being evicted? Yes No Have you or a member of your household ever been evicted? Yes No If yes, date of eviction IMPORTANT TO APPLICANTS (1) Do you have a pet? No Yes If yes, What Kind? No animals or pets of any kind shall be permitted in the leased premises without our prior written consent. (2) Do you have a car? If so, Auto Make Model Color Tag # and State (3) Do you own or rent? If renting, Management Company/Apartment Complex Current Monthly Rent: $ Rental Agent Name Rental Agent Phone# Previous Address Years at Address Name of Rental Agent Rental Agent Phone # List all States lived in since age of 18 Emergency Contact (Nearest Relative): Name Relationship Phone Address

Page 4 of 7 I hereby authorize Forest Pine Apartments to obtain consumer reports, and any other information it deems necessary, for the purpose of evaluating my application. I understand that such information may include, but is not limited to credit history, civil and criminal information, records of arrest, rental history, employment/salary details, vehicle records, licensing records, and/or any other necessary information. I understand that subsequent consumer reports may be obtained and utilized under this authorization in connection with an update, renewal, extension or collection with respect or in connection with the rental or lease of a residence for which application was made. I hereby expressly release Forest Pine Apartments, and any procurer or furnisher of information, from any liability whatsoever in the use, procurement, or furnishing of such information, and understand that my application information may be provided to various local, state and/or federal government agencies, including without limitation, various law enforcement agencies. I further certify that the statements made in this application are true and complete to the best of my knowledge and belief and are aware that false statements may result in rejection of your lease or lease agreement termination at a later date and are punishable under Federal law. Rents are promptly due on the 1st of each month. Rents paid after the fifth will incur a late charge. Two late payments constitute grounds for automatic eviction under Virginia law. Proof of renter s insurance with a minimum of $100,000.00 General Liability is required prior to occupancy, naming Forest Pine Apartments as additional certificate holder. Subletting is never permitted. Only those residents who have specifically executed a lease agreement with Forest Pine Apartments are permitted occupancy. Residency by others is grounds for immediate termination of the lease agreement and forfeiture of security deposit. The holding fee submitted with this application will reserve your apartment for occupancy on the move-in date. At that time, the holding fee will be applied as the Security Deposit. Applicant(s) may cancel this application within seventy-two hours of application submittal without penalty for full return of the holding fee. Upon approval of this application and after the initial seventy-two hour grace period, applicant(s) are irrevocably bound to the full term of the lease. Should the applicant(s) elect to cancel or fail to move-in after the seventy-two hour grace period, the applicant(s) shall continue to be responsible for the rental payments during the term of the lease or until the apartment is re-rented. Similarly, applicant(s) shall also be responsible for reimbursement of all marketing costs until the apartment is otherwise assigned or re-rented to another applicant(s). The application fee of $35.00 per adult is non-refundable and shall be paid by money order payable to: Forest Pine Apartments. This application along with all supporting documentation will expire ninety (90) days from the date this application is signed. How did you hear about Forest Pine Apartments? Please tell us how you learned about this apartment community: Newspaper Advertisement Current Resident Website Community Outreach Property sign Other I, the undersigned Applicant, do hereby swear (or affirm) that the information supplied herein is true and complete, to the best of my knowledge and belief. Final approval of this application requires proof of identity that includes Social Security card and a valid form of picture identification. All Signatories to this application understand and agree to the following: Applicant Signature Date Applicant Signature Date Office Use Only: Apartment Assigned: Move-In Date: Pro-Rated Rent $ Monthly Rent Amount: $ Sec. Deposit Pd.: $ Lease Expiration: Processed By: Approved by (Manager Only)/Date: /

Page 5 of 7 Forest Pine Apartments 201 Forest Pine Road Franklin, Virginia 23851 Telephone (757) 562-2005 Fax (757) 569-0012 ADDENDUM TO APPLICATION I certify that this application is complete and correct. All information has my permission to be checked, including credit, police report/criminal background, landlord reference(s), employment and/or income, assets and debts. Initial: I understand that a one-time, non-refundable $35 application fee per adult shall be paid with either money order or certified/cashier s check (No Cash). Upon approval of my application, I understand that the $200 or $400 security deposit shall be paid with either a money order or certified/cashier s check and will be used to hold an apartment for not more than two (2) weeks. Additionally, I understand that the move-in monies, including pro-rated rental amount and/or 1 st month s rent shall be paid with either a money order or certified/cashier s check. Initial: I agree to furnish original pay stubs or other verifiable income documentation to Forest Pine Apartments. I understand that copies of my pay stubs/income documentation will be kept on file in the manager s office. Initial: Upon approval of my application, I agree to furnish current state or government issued photo identification to Forest Pine Apartments. Persons without current state or government issued Photo ID must provide valid documentation to show legal presence in the United States (e.g., Permanent Resident Green Card or Passport Visa). All applicants must have valid social security number in order to apply. I understand that a copy of my photo ID will be kept on file in the manager s office. Initial: Residents of Forest Pine Apartments are required to have Renters Insurance. As a prospective resident, I agree to provide proof of current/valid Renters Insurance before taking possession of an apartment at Forest Pine. Initial: I agree to allow Forest Pine Apartments to use the information in this application for any credit, criminal, or rental searches needed for approval to rent an apartment. Initial: Applicant Signature: Date: Applicant Printed Name and *Social Security Number Date:

Page 6 of 7 FOREST PINE APARTMENTS 201 FOREST PINE ROAD FRANKLIN, VIRGINIA 23851 PHONE: 757 562-2005 FAX: 759-0012 IMPORTANT INFO TO KNOW AT MOVE-IN AT FOREST PINE APARTMENTS: 1. TAKE COPY OF LEASE AGREEMENT TO CITY OF FRANKLIN TO HAVE ELECTRIC TURNED ON IN YOUR NAME. 2. TAKE COPY OF LEASE AGREEMENT TO YOUR INSURANCE CARRIER TO PURCHASE RENTER S INSURANCE. 3. ALL WORK ORDERS MUST BE SUBMITTED THRU THE RENTAL OFFICE. CALL 562-2005, LEAVE NAME, APT#, AND DETAILED DESCRIPTION OF YOUR PROBLEMS. 4. GARBAGE IS COLLECTED EACH TUESDAY AND FRIDAY IN ALL SECTIONS PLEASE DO NOT PLACE LARGE HOUSEHOLD ITEMS IN OR AROUND THE TRASH COLLECTION BINS. 5. FOR FIRE OR MEDICAL EMERGENCIES CALL 911 AND REPORT TO THE RENTAL OFFICE AS SOON AS POSSIBLE-CALL EMERGENCY # IF NECESSARY. 6. ANY COMPLAINTS OR PROBLEMS WITH OTHER TENANTS MUST BE SUBMITTED TO THE PROPERTY MANAGER S OFFICE IN WRITING. 7. REPORT ANY CRIMINAL ACTIVITY, NOISE, VIOLENCE TO FRANKLIN CITY POLICE DEPT. NON EMERGENCY #562-8575 AND REPORT TO THE PROPERTY MANAGER OUR MANAGEMENT AND STAFF ARE HERE TO SERVE YOU!!

Page 7 of 7 RENTAL PAYMENT POLICIES: As per the Lease Agreement, rent is due on the first day of each month. A grace period is provided until the 5 th day of the month. For your convenience, rent can be paid in person; through the postal service or by utilizing the night drop management has provided. In the event you pay through the postal service, the postmark must not be later than the 5 th of the month for rent to be considered on time. Rent is considered late on the 6 th day of each month, in which a 5% late charge is assessed. Late payments without the late fee included will be accepted with reservation. Late payments are accepted by cashier s check or money order only. Personal checks will not be accepted for the payment of late rent. No exceptions will be made. Checks returned from the bank for any reason are subject to a $25.00 returned check charge for non-sufficient funds. Should said check be returned after the aforementioned grace period of the month, resident will also be charged a 5% late fee of the rent. Payment for returned checks will only be accepted by cashier s check or money order. Personal checks will not be accepted and no exceptions will be made. In the unlikelihood it is a bank error the said bank will need to reimburse you as a result and all fees will still be assessed. Should any resident have two returned checks on file management will only accept rental payments by cashier s check or money order for the remainder of said lease term. Only one check will be accepted per apartment for the payment of rent. Leaseholders are responsible for collecting shared amounts from one another.