Rental Application "*" indicates required fields NameThis field is for validation purposes and should be left unchanged.Application InformationProperty You Want to Rent*Baker Building ApartmentsKress Building ApartmentsWalnut Street ApartmentsAdams Street ApartmentsCorporate HousingChoose which property that you are looking to rent an apartment at.Baker Building Rentals211-A 1BR ($1550)211-B 1BR ($1850)211-C 1BR ($1550)211-D 1BR ($1550)Commercial ACommercial BChoose the rental you are interested in. Deposit is $1,000 and pet fee is $250.Kress Suites217-A 1BR ($1550)217-B 2BR ($1825)217-C 1BR ($1450)217-D 2BR ($1825)217-E 1BR ($1250)217-F 2BR ($2250)Choose the rental you are interested in. Deposit is $1,000 and pet fee is $250.Walnut Street ApartmentsWalnut normal units ($1750)Walnut studio ($1150)Walnut furnished ($2500)Choose the rental you are interested in. Deposit is $1,750.Adams Street Apartments1BR ($700-$750)2BR ($850)Choose the rental you are interested in. Deposit is $500.Name:*Date of birth:*SSN:*Phone:*Email* Current AddressAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Own / Rent Own Rent Monthly PaymentHow LongPrevious AddressPrevious AddressCity:State:Zip:Own / Rent Own Rent Monthly PaymentHow LongEmployment InformationCurrent Employer:Employer Address:How Long?PhoneFax:E-mail:City:State:Zip:Position:Hourly/Salary Hourly Salary Annual Income:Emergency ContactName of a person not residing with you:Contact's address:City:State:Zip:Relationship:Phone:Co-applicant Information, If MarriedNameDate of Birth:SSN:Phone:Co-App's current address:City:State:Zip:Own / Rent Own Rent Monthly PaymentHow LongPrevious Address:City:State:Zip:Own / Rent Own Rent Monthly PaymentHow LongCo-applicant Employment InformationCurrent Employer:Phone:Fax:E-Mail:Employer Address:City:State:Zip:How Long?Position:Hourly/Salary: Hourly Salary Annual Income:ReferencesName:Phone:Address:Name:Phone:Address:Name:Phone:Address:Residence HistoryStreet, City, State, ZipOwner Manager Number:How Long?Reason For Leaving:Rent Paid in Full? Yes No Did you give notice YES/NO Yes No Were you asked to leave? Yes No General InformationHave you ever been served a late rent notice? Yes No Is anyone living with you a smoker? Yes No When can you move in? MM slash DD slash YYYY Apartment Size Preference 1BR 2BR Consent* I authorize the verification of the information provided on this form as to my credit and employment. I have received a copy of this application.Agreement & Authorization Signature I believe that the statements I made are true and correct. I hereby authorize credit and/or criminal check to be made, verification of information I provided and communicate with any and all names listed on this application. I understand that any discrepancy or lack of information may result in rejection of this application. I understand that this is an application for an apartment and does not constitute a rental or lease in whole or part. I further understand that there is a non-refundable fee to cover the cost of the processing of my application and I am not entitled to a refund even if I do not get the apartment. Any questions on rejected applications must be submitted in writing and accompanied by a self-addressed stamped envelope by mailing to Copech Properties LLC 1800 Riverside Drive Monroe LA 71201. LIVE WITH US, WORK WITH US, THRIVE WITH US!
