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About You

Full Name (exactly as on driver's license or gov't ID card):

Your street address (as shown on your driver's license or gov't ID card):

Current home address (where you now live):

Previous home address (most recent):

Current Employer

Previous Employer (most recent)

Your Credit History

Your Rental/Criminal History

Have you, your spouse, or any occupant listed in this application ever:

Please indicate below the year, location, and type of each felony or sex crime other than those resolved by dismissal or acquittal. We may need to discuss more facts before making a decision.

You represent that the answer to any item not checked above is "no."

Your Spouse

Current Employer

Other Occupants

Names of all people who will occupy the unit without signing the lease.

Occupant 1

Occupant 2

Occupant 3

Your Vehicles

List all vehicles(car, trucks, motorcycles, trailers, etc.) owned or operated by you, your spouse, or any occupant.

Why You Want to Rent Here

If yes, by whom?

If yes, fill in information below:

Emergency

Emergency contact person over 18 who will not be living with you:

If you die or are seriously ill, missing, or incarcerated according to an affidavit of (check one or more) the above person, your spouse, or your parent or child, we may allow such person(s) to enter your dwelling to remove all contents, as well as your property in the mailbox, storerooms, and common areas. If no box is checked, any of the above are authorized at our option. If you are seriously ill or injured, you authorize us to call EMS or send for an ambulance at your expense. We're not legally obligated to do so.

Authorization

I or we authorize KELLER PROPERTY COMPANY to: (1) share the information above with the owner's electric provider; and (2) verify the information above by all available means, including reports from consumer-reporting agencies before, during, and after tenancy on matters relating to my lease, as well as income history and other information reported by employers to any state employment-security agency(e.g. Texas Workforce Commission). Work-history information may be used only for this Rental Application. Authority to obtain work-history information expires 365 days from the date of this application.