Lodge at Castle Pines
New Resident Application

This application allows you to type in the information,
print it and then fax it, mail it or bring it into the leasing office.

You Cannot "Submit" This Form Through The Internet.

Fax #: 303.688.1105
Lodge at Castle Pines, 520 Dale Court, Castle Rock CO 80108.

Absolute Confidentiality! Information you provide us will be maintained as strictly confidential and will be released to no one other than those you specifically authorized us to share it with. This information is requested both for the application process as well as for security, identification and management purposes once you become a Lodge at Castle Pines resident.

One Person Per Application Form
Please complete the entire application providing complete information in each section. In fields that do not apply, put N/A. Please have each applicant fill out an application. In situations where the information is the same for other applicants, the information needs to be included on only one form. When this happens, please put “See Other Form” in that section.

Applicant Information
Application Date
First Name
Last Name				Names Of Other Applicants Applicant 2: Applicant 3: Applicant 4:
Social Security No.
Date of Birth
Driver's License State
Driver's License No.
Home Phone No.
Work Phone No.
Cell Phone No.
Email Address
Current Address
	City			State		Zipcode
Landlord Information (Or Mortgage Company)
Current Landlord Company
Contact Name				Contact Phone No.
Address
	City			State		Zipcode
Previous Landlord Company
Contact Name				Contact Phone No.
	Address
	City			State		Zipcode
Employment Information
Current Employer						Hire Date
Contact Name				Contact Phone No.
Address
City				State		Zipcode
Current Monthly Income		(Primary Source)		Other Monthly Income
Previous Employer						Hire Date
Contact Name				Contact Phone No.
Reason for Leaving
Address
City				State		Zipcode
Previous Monthly Income
Bank Information
Checking Act. No.			Bank Name
City Bank Is In			State		Branch Name
Pet Information
First Pet Type		Cat		Dog	Weight		Color
Name			Breed			Age
Second Pet Type		Cat		Dog	Weight		Color
Name			Breed			Age
Vehicle Information (If there are coapplicants, put their vehicle on their application. Only include two, if you own two.)
Vehicle One -- Year		Make			Model
Color		State Licensed In			License Plate No.
Vehicle Two -- Year		Make			Model
Color		State Licensed In			License Plate No.
Emergency Contact
Name				Home Phone
Work Phone			Cell Phone
Address
City			State		Zipcode
Personal Infomation
Do you require any special accommodations?					Yes		No
If yes, what type?
Have you eve been evicted from a place of rental or have you ever violated a lease, rental agreement, or regulations at a former place of rent?
	Yes	No
	If the above is "Yes", please explain.

Do you currently owe any unpaid rent?
	Yes	No	If "Yes", how much?
Have you ever been charged with misuse or abuse of any rental property?
	Yes	No
	If the above is "Yes", please explain.

Will we encounter any income or credit issues concerning you or have you ever been charged with a misdemeanor or a felony?
	Yes	No
	If the above is "Yes", please explain.

RELEASE
(The leasing agent will fill out the blanks below.)

This is to inform you that as a part of our procedure for processing your application, an investigative consumer report may be prepared whereby information is obtained through personal interviews with your landlord, employer, others with whom you are acquainted, a credit check, and criminal report. I/We hearby agree, in the event of the approval of this rental application, to execute a lease in accordance with the terms set forth in the rental application and my/our rental liability shall commence on this date ____________________, pursuant to the terms of the lease. The applicant understands that approval of this application is conditional upon the information supplied in the above mentioned consumer report meeting lease criteria. Owner and/or agent for the owner may refuse possession of the above mentioned accommodations because of any derogatory information contained in the consumer report. I/We have read the foregoing and certify that the information herein is TRUE and CORRECT, that this application is submitted for the purpose of inducing approval of this application in my/our behalf, and any errors in this application may be used by the owner and/or agent to terminate the lease at any time.

DEPOSIT AND RECEIPT

The applicant hereby deposits the amount of $ _________. This amount will be refunded within 7 working days if the applicant is not accepted as a resident by the date of _____________________, 200__, or if the applicant withdraws this application in writing by 5:00 P.M. on ____________________, 200__. If the applicant is accepted and resident does not enter into a lease agreement within 72 hours of notification of acceptance, then the amount deposited shall be retained as liquidated damages for holding the apartment off the market. If applicant does enter into a lease agreement, then the deposit shall be applied to the security deposit required under the lease. If applicant is accepted as a resident and enters into a lease agreement, then the lease shall be voidable upon 3 days notice. If there is an application processing fee, it is nonrefundable.

Date Applicants Date Leasing Representative

________

_________________________________

________

_________________________________

________

_________________________________

OFFICE USE ONLY:

Agent: _________________________________

Lease Term: ___________________ Apartment #: _____________
Scheduled Move In Date: ______________________

Comments/Details: ________________________________________________________________________
________________________________________________________________________________________

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