Residential Lease Application

Fill out the form below then click SUBMIT to email your application to Ellicott Development Company. By completing and submitting this online application, Applicant(s) hereby applies for, and offers to execute a rental agreement for an apartment offered by Ellicott Development Company.

Applicant(s) hereby represent and warrant that all information and statements provided herein are true.

*(denotes required field)

Applicant Information

First Name *

Middle Initial

Last Name *

Home Phone *

Mobile Phone

Email Address

Vehicle Information

Vehicle 1 Make

Vehicle 1 Model

Vehicle 1 Year

Vehicle 2 Make

Vehicle 2 Model

Vehicle 2 Year

Co-Applicant Information

First Name

Middle Initial

Last Name

Home Phone

Mobile Phone

Email Address

Co-Applicant Vehicle Information

Vehicle 1 Make

Vehicle 1 Model

Vehicle 1 Year

Vehicle 2 Make

Vehicle 2 Model

Vehicle 2 Make

Other Intended Permanent Applicants

Name

Description of Pets

Pet Breed

Pet Weight

Pet Breed

Pet Weight

Current Address

Address *

City *

State/Prov *

Zip *

Monthly Payment

Rent or Own?:

Rent

Home Owner

Month/Year moved in *

Reason for Leaving *

Owner/Agent Name

Owner/Agent Address

Owner/Agent City

Owner/Agent State/Prov

Owner/Agent Zip

Owner/Agent Phone

Lender Information

Lender Name

Lender Address

Lender City

Lender State

Lender Zip

Lender Phone

Previous Address

Address

City

State/Prov

Zip

Monthly Payment

Rent or Own?:

Rent

Home Owner

Month and Year moved in

Reason for Leaving

Owner/Agent Name

Owner/Agent Address

Owner/Agent City

Owner/Agent State/Prov

Owner/Agent Zip

Lender Name

Lender Address

Lender City

Lender State/Prov

Lender Zip

Lender Phone

Employment Information

Status:

Full Time

Part Time

Student

Retired

Not Employed

Occupation *

Title

Employer *

How Long? *

Employer Address

Employer City

Employer State/Prov

Employer Zip

Employer Phone

Approximate Montly Income

Co-Applicant Employment Information

Status:

Full Time

Part Time

Student

Retired

Not Employed

Occupation

Title

Employer

How Long?

Employer Address

Employer City

Employer State/Prov

Employer Zip

Employer Phone

Approximate Monthly Income

Bank References

List only name, address and type of account.
DO NOT INCLUDE ACCOUNT NUMBERS!

Bank #1 Name

City/State/Branch

Bank #1 Phone

Type of account

(checking, savings, credit, etc.)

Bank #2 Name

City/State/Branch

Bank #2 Phone

Type of account

(checking, savings, credit, etc.)

Credit References

List only name, address and type of account.
DO NOT INCLUDE ACCOUNT NUMBERS!

Credit Reference #1 Name

City/State/Branch

Credit Reference #1 Phone

Type of account

(checking, savings, credit, etc.)

Credit Reference #2 Name

City/State/Branch

Credit Reference #2 Phone

Type of account

(checking, savings, credit, etc.)

Credit Reference #3 Name

City/State/Branch

Credit Reference #3 Phone

Type of account

(checking, savings, credit, etc.)

Other Sources of Reference

If there are other sources of income you would like us to consider, please list income, source and person (Banker, Employer, etc.) who we could contact for information.

Source #1 Name

Amount

Source #2 Name

Amount

Character References

Please include three (3) non-relative character references.

Reference #1 Name

(first and last)

Reference #1 Address

Reference #1 City

Reference #1 State

Reference #1 Zip

Reference #1 Phone

Reference #1 Relationship to Applicant(s)

Reference #2 Name

(first and last)

Reference #2 Address

Reference #2 City

Reference #2 State

Reference #2 Zip

Reference #2 Phone

Reference #2 Relationship to Applicant(s)

Reference #3 Name

Reference #3 Address

Reference #3 City

Reference #3 State

Reference #3 Zip

Reference #3 Phone

Reference #3 Relationship to Applicant(s)

Location Preferences

Specific Location/Building Preferred

Min. Number of Bedrooms

Min. Number of Full Baths

Any additional information you would like us to know as we process your application:

Comments

Submission of this application together with any required supporting documents, and the required security deposit is subject to approval by Landlord. If approved and the lease is executed, all movies deposited will be applied to Tenant’s Security Deposit. If applicant withdraws or fails to execute a lease within three (3) business days of an approved application, any amount deposited will be retained by Landlord as liquidated damages. By submitting this application on line, Applicant(s) hereby authorizes Landlord and/or its Property Manager to perform a credit and criminal background check of all Applicant(s). I understand I may be contacted for further information to complete these requests, if necessary.

Agree *

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