The Cornerstone Apartments
                                                     Rental application
                                       Fax# 423-551-4392
                            A copy of Drivers License required

Full name of applicant___________________________________________________________
Present Address________________________________________________________________
Telephone #home_______________________________work___________________________
D.O.B._______________Driver's license__________________e-mail____________________

Employment
Name of present employer_______________________________________________________
Address______________________________________________________________________
Position___________________________Date started__________Monthly income__________
Supervisor's name________________________________phone_________________________
Name of previous employer______________________________________________________
Address______________________________________________________________________
Position___________________________Date started_________Monthly income___________
Supervisor's name________________________________phone_________________________
Other sources of income_________________________________________________________

Spouse/Co-Tenant
Full name_____________________________________________________________________
Present Address________________________________________________________________
Telephone#home_________________________________work__________________________
D.O.B._________________Driver's license__________________e-mail__________________

Spouse/Co-Tenant employment
Name of present employer_______________________________________________________
Address______________________________________________________________________
Position_________________________Date started___________Monthly income___________
Supervisor's name_______________________________phone__________________________
Name of previous employer______________________________________________________
Address______________________________________________________________________
Position________________________Date started___________Monthly income____________
Supervisor's name______________________________phone___________________________
Other sources of income_________________________________________________________

Present Landlord or Mortgage Company
Present landlord or mortgage company______________________________________________
Telephone#home__________________________work#________________________________
Monthly rent / mortgage payment________date of move-in_______date of move-out________
Previous Landlord or Mortgage Company
Previous landlord or mortgage company____________________________________________
Telephone#home_________________________work#________________________________
Monthly rent / mortgage payment_________date of move-in________date of move-out______










                                                           Page 2

Personal References
Name________________________________________phone___________________________
Address______________________________________________________________________
Name________________________________________phone___________________________
Address______________________________________________________________________

Emergency
In case of emergency contact_____________________________________________________
Relationship____________________________________phone__________________________

Occupants
List all occupants_______________________________________________________________

Vehicles
List vehicles to be parked at premises_______________________________________________
                                                Make                               model                           year
                                                _______________________________________________
                                                Make                               model                           year
Credit/Criminal History
Bank name____________________________________phone___________________________
Address______________________________________________________________________
Checking account#_____________________________________________________________
List all credit obligations with minimum monthly payments:____________________________
_____________________________________________________________________________
_____________________________________________________________________________

Have any of the occupants listed above ever been: convicted of a felony?__________________
Received deferred adjudication for a felony?__________
Been evicted?______________broken a lease?________________
Declared bankruptcy?____________________

The above listed applicant declares that all statements made in this application are true and
complete.  Applicant hereby authorizes The Cornerstone Apartment owners to verify all of the
information in this application and obtain credit reports on the above listed applicant/or applicants.  If
applicant or application's spouse/co-tenant has given any false information landlord is entitled to
reject the application.

Signature of applicant________________________________date______________________
Signature of Spouse/Co-Tenant________________________________date______________
Signature of Landlord________________________________________date______________