Lost Creek Rental Application

4505 Call Field Road
Wichita Falls, Texas 76308

Office Address
4607 Wendover
Wichita Falls, Texas 76309

940-393-2777 / 940-627-6362

Apartment #
Move-In Date Move-In Date / MM / DD YYYY
APPLICANT INFORMATION

(If applicant is accepted as a resident, this application becomes part of the rental agreement.)
Applicant's Name Applicant's Name First Middle Last
Date of Birth Date of Birth / MM / DD YYYY
SSN#
Driver's License #
Driver's License State
Home Phone Home Phone - ### - ### ####
Cell Phone Cell Phone - ### - ### ####
Email
APPLICANT SPOUSE INFORMATION

if applicable
Spouse's Name Spouse's Name First Middle Last
Date of Birth Date of Birth / MM / DD YYYY
SSN#
Driver's License #
Driver's License State
Present Address Present Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
How Long?
Monthly Rent / Mortgage
Landlord / Mortgage Co. Name
Landlord Phone Landlord Phone - ### - ### ####
Landlord / Mortgage Co. Address Landlord / Mortgage Co. Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Previous Address (if at current address less than 2 years) Previous Address (if at current address less than 2 years)
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
How Long?
Monthly Rent / Mortgage
Landlord / Mortgage Co. Name
Landlord Phone Landlord Phone - ### - ### ####
Landlord / Mortgage Co. Address Landlord / Mortgage Co. Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Name of Persons (other than Applicant) to Occupy Apartment
Name Name First Last
Relationship to Applicant
SSN#
Date of Birth Date of Birth / MM / DD YYYY
Criminal History
Have you ever been convicted of a crime?

Have you ever been convicted of a crime? Yes No
If yes, was conviction

If yes, was conviction Felony Drug Related
Employment

(or source of income if retired)
Present Employer
Position
Supervisor
Phone Phone - ### - ### ####
Number of Years
Salary $ Per week/month/year

please list Salary and whether it is for week, month or year
Employer Address Employer Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Spouse Employment
Spouse's Employer
Position
Supervisor
Phone Phone - ### - ### ####
Number of Years
Salary $ Per week/month/year

please list Salary and whether it is for week, month or year
Employer Address Employer Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Any additional information or comments?
Personal
Number of Licensed Non-Recreational Vehicles to be Parked on Site
Specify any Motorcycles, Boats, Trailers, Campers you may have.
Vehicle 1
Type
License Number and State
Color
Year
Vehicle 2
Type
License Number and State
Color
Year
I acknowledge that all information stated on the Application is true. I understand that this Application is subject to the review and approval of Management, and I understand that Management has the sole discretion to decide if I can lease this apartment. I hereby consent to allow Lost Creek Apartments, through its designated agents and employees, to obtain my credit information, to review my occupancy history, payment history and criminal history, and to verify the income stated on this application in order to process my application.
Applicant Signature

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Second Applicant Signature

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Date Date / MM / DD YYYY

Lost Creek Rental Application

Lost Creek Rental Application

APPLICANT INFORMATION

APPLICANT SPOUSE INFORMATION

Name of Persons (other than Applicant) to Occupy Apartment

Criminal History

Employment

Spouse Employment

Personal

Vehicle 1

Vehicle 2