"EAST PARK" / "GARFIELD SQUARE" APPLICATION - Centerville, SD

Garfield Square: all 1-bedroom apartments ($600 monthly rent / $575 deposit required & 6 month lease)

East Park: all 2-bedroom apartments ($550 monthly rent / $550 deposit required & 6 month lease)

SMOKE FREE COMPLEX

DATE: * +

UNIT SIZE NEEDED: *

Please complete the application thoroughly. Any incomplete applications will be returned.

When your application is received and there is an apartment available, your application will be reviewed and you will be contacted. If there are no apartments available your application will be placed on an Active Waiting List. When a vacancy occurs and your name comes up on the waiting list your application will be reviewed and you will be contacted at that time.

HOUSEHOLD COMPOSITION AND RESIDENCE HISTORY

APPLICANT

Applicant Full Legal Name *

CO-APPLICANT

Co-Applicant Full Legal Name

Present Address *

Present Address

City *

State *

Zip *

City

State

Zip

Length at Present Address: *

Length at Present Address:

Birthdate * +

Birthdate +

Social Security #: *

Social Security #:

Home Telephone: *

Home Telephone:

Cell Phone Number: *

Cell Phone Number:

Work Phone Number:

E-Mail Address:

OCCUPANCY

List all persons who will live in the rental unit:

	Full Name	Relationship	Social Security #	Birth Date
1)	Full Name	Relationship	Social Security #	Birth Date
2)	Full Name	Relationship	Social Security #	Birth Date
3)	Full Name	Relationship	Social Security #	Birth Date
4)	Full Name	Relationship	Social Security #	Birth Date

Present Landlord:

Address:

Phone Number:

Former Landlord:

Address:

Phone Number:

EMPLOYMENT

Applicant's Employer:

Address:

Phone Number:

How long have you been employed at this job?

Date you started: +

BANK REFERENCE

Name: *

Phone Number:

Address:

CREDIT REFERENCE

Name: *

Phone Number:

Address:

PERSONAL REFERENCE

Name: *

Phone Number:

Address:

HAS THE APPLICANT / CO-APPLICANT EVER:

Been evicted or asked to move out of a property? *

Yes

Been sued for damage to rental property? *

Yes

Been sued for non-payment of rent? *

Yes

Broken a Rental Agreement or Lease? *

Yes

Been convicted of a crime? *

Yes

If so explain:

Are you currently being investigated or prosecuted for a crime pending? *

Yes

If so explain:

Are applicant / co-applicant listed as a registered sex offender in any state? *

Yes

If so, what state?

When do you want to move in? *

I (We) authorize Skogen Company to obtain one or more "consumer reports" as defined in the Fair Credit Reporting Act, 15 US C, Section 1681a(d), seeking information on our creditworthiness, credit standing, credit capacity, character, general reputation, personal characteristics, or mode of living. I (We) also authorize Skogen Company to obtain present and previous landlord references. Any information given shall be held in strict confidence.

I (We) certify that the foregoing information is true and complete to the best of my knowledge. I (We) authorize inquires to be made to verify the statements above.

Signature of Applicant *

clear

Date * +

Signature of Co-Applicant

clear

Date +

PLEASE RETURN THIS APPLICATION TO:

SKOGEN COMPANY

P.O. BOX 216

IRENE, SD 57037

Application inquiries may be directed to the above address or made by calling (605) 263-3941, between the hours of 9am - 4:30 pm, Monday - Friday.

“This institution is an equal opportunity provider and employer.” Revised 5/2017