Phone: (573) 339-1505 — Fax: (573) 332-2786

Property Management Company Apartment Name Manager's Name Rental Amount Rush Service Check # File # How did you hear about us?

Applicant's Last Name Applicant's First Name Phone Number Social Security Number Date of Birth Marital Status Spouse's Social Security No. Spouse's Date of Birth Other Tenants & Social Security No. Do you have pets? How many? Type & Size (keeping of pets requires a pet deposit & Owner's Consent) Do you have a waterbed?

Residence

Present Address City State Zip Phone Number Ownership How long? Landlord or Mortgage Holder Phone Number Rental Amount

Previous Address City State Zip Phone Number Ownership How long? Landlord or Mortgage Holder Phone Number Rental Amount

Employment

Applicant Employed By Supervisor's Name How Long? Address City State Zip Phone Number Position Salary

Previous Employment Supervisor's Name How Long? Address City State Zip Phone Number Position Salary

Spouse Employed By Supervisor's Name How Long? Address City State Zip Phone Number Position Salary

Contacts

Applicant's Nearest Relative Relationship Address City State Zip Phone Number

In case of Emergency Call Relationship Address City State Zip Phone Number

Reference Relationship Address City State Zip Phone Number

WE DO BUSINESS IN ACCORDANCE WITH THE FEDERAL FAIR HOUSING LAW.
IT IS ILLEGAL TO DISCRIMINATE AGAINST ANY PERSON BECAUSE OF RACE, COLOR,
RELIGION, SEX, HANDICAP, FAMILY STATUS, OR NATIONAL ORIGIN.

I understand I acquire no rights in an apartment until I sign an agreement in the form submitted to me and make a deposit of
$ on the apartment I have selected, which deposit is to be held in accordance with the rental agreement. Applicant also has submitted the sum of $ which is a Non-Refundable payment for the processing charges. Receipt of which is acknowledge by management. Such sum is not a rental payment. In the event this application is disapproved, this sum will be retained by management to cover the processing charges.

In consideration of the Landlord's holing the apartment for me, I hereby waive all rights to the return of this deposit and said deposit shall be retained as liquidated damages in the event I do not choose to enter into the agreement applied for herein. In the event I do not choose to enter into the agreement applied fore herein. In the event said application for tenancy is not accepted, deposit shall be returned to applicant.

IN SIGNING THIS APPLICATION, THE UNDERSIGNED STATES THAT THE ABOVE INFORMATION IS WARRANTED TO BE TRUE TAND HEREBY AUTHORIZES THE FIRM TO WHOM THIS APPLICATION IS MADE AND C.T.S., INC. TO INVESTIGATE THE REFERENCES HEREIN USED, OR STATEMENTS OR OTHER DATEA OBTAINED FROM ME OR FROM ANY OTHER FIRM OR PERSON, PERTAINING TO MY CREDIT, RENTAL, HISTORY, OR FINANCIAL RESPONSIBILITY, THE UNDERSIGNED AGREES THAT THIS APPLICATION SHALL REMAIN THE PROPERTY OF C.T.S. INC. AND THE FIRM TO PURCHASING OR USING THE SERVICES OF C.T.S., INC.

In consideration for landlord holding said apartment at .
I am making a deposit of $ .

The deposit shall be retained as a security deposit. If application is not accepted said security deposit shall be refunded.

I agree to the above terms and conditions.