LEASE APPLICATION
Location __________________ Unit _______________ Rent ____________Applicant #1 (first name, middle, & last) ________________________________________________________________
Social Security __________________ Birth date ______________________________
Address (present) _________________________________________________ City/State _______________ Zip ______
Phone # ___________________ How long at this address? ______________________
Previous Address (if less than 1 year) ___________________________________________________________________
Employment ____________________________________________________________ Phone ________________________
Address ____________________________________________________________ City/State ________________________
Years/Months _________________ Position ________________________________________ Salary _________________
Previous Employer (if less than 1 year) __________________________________________________________________
Present Landlord ________________________________ Phone ____________________
Address _____________________________________________________________ City/State ________________________
Applicant #2 (first name, middle, & last) __________________________________________________________________
Social Security _______________________ Birth date __________________________
Address (present) ________________________________________________ City/State ____________________ Zip ____
Phone # ______________________ How long at this address? ____________________
Previous Address (if less than 1 year) _____________________________________________________________________
Employment ________________________________________________________________ Phone ______________________
Address __________________________________________________________________ City/State ____________________
Years/Months ____________________ Position ______________________________________________ Salary __________
Previous Employer (if less than 1 year) ____________________________________________________________________
Present Landlord _______________________________ Phone ______________________
Address ________________________________________________________________ City/State ________________________
Total number of people residing in apartment: ______ which include _________ Adults and
Children: Boys ______ Ages ________ Girls _____ Ages ________
By signing this application, you are giving the personnel of NWIAPTS LLC permission to proceed with a credit inquiry. By signing, you are also stating that all of the information on this application is correct.
Applicant #1__________________________________________ Date ________
Applicant #2__________________________________________ Date ________
Park Place and Meridian Apartments 5990 Old Porter Road Apt 207 Portage Indiana 219-762-6555