Mark Taylor Secure Application

Applicant's First Name*

Applicant's Last Name*

Birthdate (MM/DD/YY)*

Social Security #*

Spouse's First Name

Spouse's Last Name

Birthdate (MM/DD/YY)

Social Security #

Marital Status*

Driver License #*

Spouse's Driver License #

Applying for which property*

Promotion Code

*Military Love discount applies to active, reserve, retired and disabled military. Please show current Military ID card or DD-214. Cannot be combined with any other offer.

Residence History

Present Address*

Apt #

City*

State*

Zip*

Phone #

Ownership*

Own Rent

Monthly Payment*

Move In

Move Out

Landlord/Mortgage Company/Apartment Community:

Phone #

Employment History

Present Employer*

Phone #

Supervisor Name

Supervisor Phone

Address*

City*

State*

Zip*

Position

Monthly Gross Income*

How Long

Spouse's Employer

Phone #

Supervisor Name

Supervisor Phone

Address

City

State

Zip

Position

Monthly Gross Income

How Long

Position

Source Additional income such as child support, alimony, or separate maintenance need not be disclosed unless such additional income is to be included for qualification hereunder Amount of $ per

List all other occupants under the age of 18.

Name

Birthdate (MM/DD/YY)

Relationship

Name

Birthdate (MM/DD/YY)

Relationship

Name

Birthdate (MM/DD/YY)

Relationship

List all automobiles to be parked on the premises by applicant, spouse, children.

Make/Model of Vehicle #1*

Year*

License Plate #*

State*

Color*

Make/Model of Vehicle #2

Year

License Plate #

State

Color

How did you hear of this Apartment Community?

What attracted you to this Apartment Community?

Why are you leaving your present residence?

Email Address*

Phone #*

Name of Leasing Consultant Who Assisted You

Spouse's Email Address

Spouse's Phone #

PLEASE READ CAREFULLY AND CHECK BELOW
Applicant represents that all above statements are true and complete. Applicant hereby authorizes verification of above information, references and credit records, and applicant releases from all liability or responsibility all persons and corporations requesting or supplying such information. Applicant acknowledges that false information may constitute grounds for rejection of this application, termination of right of occupancy and/or of deposits.

Applicant understands that submission of this application in no way guarantees the reservation of an apartment home at the selected community. Rental transaction will be finalized once written confirmation has been provided by a Mark-Taylor employee regarding exact unit number, rental rate, move-in date, etc, Applicant must also pay appropriate holding deposit and qualify under management's rental qualification standards.

I have read and agree to the provisions as stated.