www.baileyproperties.net                                      Bailey Property Management                            502-456-5181

Application Fee $35.00              1971 Bardstown Road, Louisville, KY 40205      502-451-5507 fax     

                                                        

                                               A P P L I C A T I O N

Premise Address: _________________________________                            Date: _______________________________
Desired Move-In Date:  _____________________________
Last Name _______________________________ First Name __________________________ Middle Name ______________
Birth Date ________________Social Security Copy _________________ Drivers License Copy _________________________   
Cell Phone #_______________________________ Email Address________________________________________________          

(Spouse) Last Name ________________________ First Name __________________________Middle Name ______________          

 Birth Date ________________Social Security Copy _________________ Drivers License Copy _________________________    

Cell Phone #_______________________________ Email Address________________________________________________

Other Persons to reside in Premise______________________________________________________Pets     Yes    No         

Current Address:
Address _______________________ Apartment Number _________ From  _________ To __________ Monthly Rent _______ 
City __________________________ State ______ Zip _________ Home Phone ______________ Mobile_________________
Landlord/Manager___________________________________________ Phone ______________________________________
Prior Address:
 Address _______________________ Apartment Number _________ From _________ To _________ Monthly Rent  _______ 
 City __________________________ State ______ Zip _________ Landlord/Manager _____________Phone______________
Employment: (If Self-employed, Please Submit Proof of Income with Application)

Employer  _______________________________ Work Phone _______________       Position_______________________ Address___________________________________ City ____________________________ State ________ Zip ___________
From______ To _______ Monthly Income (Gross) ______________  (Net) _____________ Supervisor ___________________
Any additional income: ___________________________________________________________________________________

Prior Employment: (List if you have been on your current job less than 2 years)
 Employer   _______________________________ Work Phone _______________     Position_______________________ Address___________________________________ City ____________________________ State ________ Zip____________
From______ To _______ Monthly Income (Gross) ______________  (Net) _____________ Supervisor ___________________


Applicant certifies that all of the above information is true and complete, and hereby authorizes verification of this information, references, criminal history and credit record, and hereby releases all parties from any and all liability for any damage(s) that may result from furnishing this information. Applicant acknowledges that false, incomplete, or misleading information may be grounds for termination of any subsequent lease after approval. Approval generally takes three business days. Reservation of unit is determined by making of deposit and not by application   DEPOSIT PAYMENTS MADE TO RESERVE AN APARTMENT WILL NOT BE REFUNDED AFTER TWENTY-FOUR (24) HOURS IF, AFTER APPROVAL, APPLICANT DECIDES NOT TO EXERCISE THE RESERVATION. REFUNDABLE DEPOSIT PAYMENTS WILL BE REFUNDED WITHIN SEVENTY-TWO (72) HOURS OF APPLICANT’S REQUEST FOR REFUND

APPLICANT’S SIGNATURE ____________________________________________________________ DATE__________________________________

 

COMPANY USE ONLY

Approved or Denied _________________________Reason ______________________Date ____________________

Date Notified _______________________________Fee Amount Paid______________________________________