I authorize Crown-Point Apartments and / or its agent to examine my credit history. I certify that the following information is correct, and I understand that this application may be revoked if any information furnished is found to be incorrect. I hereby grant this property and / or its agent the right to process this application for the purpose of obtaining a Rental / Lease agreement with this property. Additionally, I authorize all current and former employers to release information they may have about me and release them from any liability and responsibility from doing so.

If I submit a deposit of $300.00, I understand that it is refundable if this application is denied. If the reservation is canceled for any reason within three (3) calendar days from the date the deposit is given to a representative of Crown Point Apartments, I agree to forfeit $50.00. If the reservation is canceled for any reason in four (4) or more calendar days, I agree to forfeit the full deposit paid. I also understand I must bring in or submit online a non-refundable $30.00 application fee.

Desired Complex	* Please select the complex you are most interested in.	Select Sugar Creek
Apartment Size Needed	* Choose the desired size of apartment you are interested in.	Desired Size Studio One Bedroom Two Bedroom
Applicant Name	*
Date of Birth	* Enter your date of birth as mm/dd/yyyy.
Social Security Number	* Enter your entire Social Security number. This form is being submitted from a secured site and this number is requird for us to process your application.
Current Address	* Please list your current address.
Owner Name & Contact Number	* List owner of current address name and phone number
Date Moved In	* If you do not know the exact date at least give month and year.
Rent Amount	* Enter your monthly rent. If you are staying with friends or family enter $0.00
Reason for leaving	* Give a brief reason for leaving your current address.
Previous Address	* Give the address of your residence prior to your present location.
Owner Name & Contact Number	* List the owner's name and phone number from your previous address.
Moved IN / Moved Out	* List move in and move out dates as best you can remember.
Rent Amount	* List amount of rent. If you were living with friends or family enter $0.00.
Reason for Leaving	* Give a brief reason for leaving.
Current Employer	* Enter the name of your current employer. If you are receiving disability enter that here. (SSI, SSD)
Contact Number	* Enter your employer's phone number. If receiving assistance enter N/A
Date Hired	* Enter the date you were hired. If you are receiving assistance enter N/A
Wages Per Hour	* Enter your wages per hour, week or month. If receiving assistance, you will be required to show proof of income.
Hours Per Week	* Give approximate number of hours worked per week. If receiving assistance enter N/A
Do You Have a Pet?	*	Yes No
If Yes, What and Weight	If you answered yes to the above pet question, list what the pet is and its weight. Pet can not exceed 25# when it is full grown.
Have You broke lease or Been Evicted	*	Yes No
Have You Been Convicted of a Felony?	*	Yes No
Emergency Contact Name:	* Enter the name of someone we can contact in the event of an emergency.
Emergency Contact Relationship	* Enter the relationship of this emergency contact.
Emergency Contact Phone #	* Enter the emergency contact's phone number, including area code.
Applicant Home Phone	* List the phone number that is easiest to reach you in the event we have additional questions..
Applicant Cell Phone	* Enter an alternate number by which you may be reached. If you do not have one enter NONE.
E-Mail Address	E-mail address is needed for confirmation of receipt.
Comments or Co-Signing For:	List any questions or comments you have. If this form is for a co-signer, list the name of the person you are co-signing for.
Applicant Signature	* Please sign the application.
Today's Date	* Select today's date.
Security Code	* Enter the code exactly as shown.