Print out the application and fax or mail it to 522 Pinegrove Lane, Fort Wayne, IN 46807
NO APPLICATION FEE!

COVENTRY COURT TOWNHOME APARTMENTS

OUR CORPORATE PHONE NUMBER AND FAX NUMBER: PH: 260-745-2849 FAX: 260-745-4832

Type and size of Apartment____________ Desired Date of Occupancy______________

THIS APPLICATION AND THE CONTENTS THEREOF ARE CONSIDERED AS A PART OF MY LEASE

PERSONAL INFORMATION ATTACHED ARE COPIES OF DRIVER'S LICENSEPAY CK STUB

Applicants Name______________________Social Security #______________Date of Birth:________ Address:____________________________City/State:______________Zip:______Telephone #:________________

Spouse / Co-Applicant:_________________Social Security #______________Date of Birth:________

Address:____________________________City/State:______________Zip:______Telephone #________________

CHILDRENS NAMES AND/OR OTHER PERSONS LIVING WITH YOU:

Name__________________________________Date of Birth__________Relationship_____________________

Are You Current on Your Present Rent? ___________If so why not? ______________________________

Have you ever broken a Lease? __________________ If so Why? ________________________________

Do you own a pet? ______Type? ______________ Weight _____Color _________Name:______________

RESIDENTAL HISTORY

Residence: (supply two years if necessary, use separate paper)

Applicants Landlord or Mortgage Company:

Name__________________________________________________ TELEPHONE # _______________

Street Name _____________________________________________AMT OF RENT $______________

City & State________________________FROM: ______ TO _____Did you pay utilities? ___________

Co-Applicants Landlord or Mortgage Company:

Name __________________________________________________ TELEPHONE # ______________

Street Name _____________________________________________AMT OF RENT $ ______________

City & State _______________________ FROM: ______ TO _____Did you pay utilities? _________

EMPLOYMENT INFORMATION

Applicants Present Employer:

NAME _________________________________________________TELEPHONE # ______________

STREET ADDRESS ______________________________________CONTACT: _________________

CITY & STATE __________________ Employment Date: _______Annual Earnings______________

Co-Applicants or Spouses Present Employer:

NAME _________________________________________________ TELEPHONE # _______________

STREET ________________________________________________CONTACT: _________________

CITY & STATE __________________Employment Date: ________Annual Earnings:______________

I/We hereby authorize and grant MacAusland, Inc (d/b/a Coventry Court Townhome Apartments ) or its designated assigns the unconditional and irrevocable right to obtain consumer credit report, obtain Social Security Traces and Traceplus reports, contact any references, verify employment history, and verify rental history. The above authorization and concent for obtaining consumer credit reports, Social Security traces, Traceplus reports, and/or employment information is also granted for the express purpose of obtaining information to be used in collecting any debts or obligations that may still be owing under the lease agreement after the leased premises has been vacated. I also understand that once my application is approved, all money deposited becomes non-refundable. This Application will become part of my lease agreement upon such time as said lease agreement is executed.

APPLICANT’S SIGNATURE:_____________________________________________________________DATE:____________

COVENTRY COURT TOWNHOME APARTMENTS

THIS APPLICATION AND THE CONTENTS THEREOF ARE CONSIDERED AS A PART OF MY LEASE

PERSONAL INFORMATION ATTACHED ARE COPIES OF DRIVER'S LICENSE______PAY CK STUB______

PERSONAL INFORMATION ATTACHED ARE COPIES OF DRIVER'S LICENSEPAY CK STUB