appinfo.online
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74.115.45.120
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Submitted URL: http://appinfo.online/
Effective URL: https://appinfo.online/
Submission: On October 24 via api from US — Scanned from DE
Effective URL: https://appinfo.online/
Submission: On October 24 via api from US — Scanned from DE
Form analysis
1 forms found in the DOMName: frmApplyOnline — POST https://chl.oap.rentmanager.com/WebApplicationHandler
<form method="post" action="https://chl.oap.rentmanager.com/WebApplicationHandler" id="frmApplyOnline" name="frmApplyOnline">
<input type="hidden" name="rmwebsvc_corpID" value="chl">
<input type="hidden" name="rmwebsvc_applicationdate" value="10/24/2024">
<input type="hidden" name="rmwebsvc_redirectpage" id="rmwebsvc_redirectpage" value="/thanks.aspx">
<p>Each occupant over the age of 18 must complete a separate application, including spouses. Application fees are non-refundable. Security deposit holds will become non-refundable after 24 hours.</p>
<h3>Applying For</h3>
<script>
var arraySelect = [];
</script>
<div style="display:none;">
<script
src="https://chl.ua.rentmanager.com/propertyListing?command=propertyListing&locations=Default&template=propertySelect&fromsearch=fromsearch&mode=javaScript&propuserdef_show_on_websitelk=Yes&headerfooter=false&maxperpage=999">
</script>
<table>
<tbody>
<tr>
<td valign="top">
<script>
arraySelect.push({
option: "Charleston Square Apartments",
value: "csquar",
location: '',
units: [],
name: "Charleston Square Apartments"
})
</script>
</td>
</tr>
<tr>
<td valign="top">
<script>
arraySelect.push({
option: "Chimney Hill Apartments",
value: "chill",
location: '',
units: [],
name: "Chimney Hill Apartments"
})
</script>
</td>
</tr>
<tr>
<td valign="top">
<script>
arraySelect.push({
option: "Fox Pointe Apartments",
value: "fpoint",
location: '',
units: [],
name: "Fox Pointe Apartments"
})
</script>
</td>
</tr>
<tr>
<td valign="top">
<script>
arraySelect.push({
option: "Kensington Ridge Apartments",
value: "kridge",
location: '',
units: [],
name: "Kensington Ridge Apartments"
})
</script>
</td>
</tr>
</tbody>
</table>
<script src="https://chl.ua.rentmanager.com/search_result?command=search_result&locations=Default&template=appunitlist&fromsearch=fromsearch&mode=javaScript&headerfooter=false&maxperpage=999"></script>
<table>
<tbody>
<tr>
<td valign="top">
<script>
for (var i = 0; i < arraySelect.length; i++) {
if (arraySelect[i].value == "Harbor") {
arraySelect[i].units.push({
unitNumber: "HH-7",
});
}
}
</script>
</td>
</tr>
<tr>
<td valign="top">
<script>
for (var i = 0; i < arraySelect.length; i++) {
if (arraySelect[i].value == "fpoint") {
arraySelect[i].units.push({
unitNumber: "04-2590",
});
}
}
</script>
</td>
</tr>
<tr>
<td valign="top">
<script>
for (var i = 0; i < arraySelect.length; i++) {
if (arraySelect[i].value == "kridge") {
arraySelect[i].units.push({
unitNumber: "3121 C2",
});
}
}
</script>
</td>
</tr>
<tr>
<td valign="top">
<script>
for (var i = 0; i < arraySelect.length; i++) {
if (arraySelect[i].value == "kridge") {
arraySelect[i].units.push({
unitNumber: "750 F1",
});
}
}
</script>
</td>
</tr>
<tr>
<td valign="top">
<script>
for (var i = 0; i < arraySelect.length; i++) {
if (arraySelect[i].value == "fpoint") {
arraySelect[i].units.push({
unitNumber: "11-4850",
});
}
}
</script>
</td>
</tr>
<tr>
<td valign="top">
<script>
for (var i = 0; i < arraySelect.length; i++) {
if (arraySelect[i].value == "fpoint") {
arraySelect[i].units.push({
unitNumber: "11-4846",
});
}
}
</script>
</td>
</tr>
<tr>
<td valign="top">
<script>
for (var i = 0; i < arraySelect.length; i++) {
if (arraySelect[i].value == "fpoint") {
arraySelect[i].units.push({
unitNumber: "11-4830",
});
}
}
</script>
</td>
</tr>
<tr>
<td valign="top">
<script>
for (var i = 0; i < arraySelect.length; i++) {
if (arraySelect[i].value == "fpoint") {
arraySelect[i].units.push({
unitNumber: "04-2608",
});
}
}
</script>
</td>
</tr>
<tr>
<td valign="top">
<script>
for (var i = 0; i < arraySelect.length; i++) {
if (arraySelect[i].value == "fpoint") {
arraySelect[i].units.push({
unitNumber: "02-4678",
});
}
}
</script>
</td>
</tr>
<tr>
<td valign="top">
<script>
for (var i = 0; i < arraySelect.length; i++) {
if (arraySelect[i].value == "fpoint") {
arraySelect[i].units.push({
unitNumber: "02-4670",
});
}
}
</script>
</td>
</tr>
<tr>
<td valign="top">
<script>
for (var i = 0; i < arraySelect.length; i++) {
if (arraySelect[i].value == "fpoint") {
arraySelect[i].units.push({
unitNumber: "02-4666",
});
}
}
</script>
</td>
</tr>
<tr>
<td valign="top">
<script>
for (var i = 0; i < arraySelect.length; i++) {
if (arraySelect[i].value == "fpoint") {
arraySelect[i].units.push({
unitNumber: "09-2576",
});
}
}
</script>
</td>
</tr>
<tr>
<td valign="top">
<script>
for (var i = 0; i < arraySelect.length; i++) {
if (arraySelect[i].value == "fpoint") {
arraySelect[i].units.push({
unitNumber: "10-2626",
});
}
}
</script>
</td>
</tr>
<tr>
<td valign="top">
<script>
for (var i = 0; i < arraySelect.length; i++) {
if (arraySelect[i].value == "fpoint") {
arraySelect[i].units.push({
unitNumber: "13-4854",
});
}
}
</script>
</td>
</tr>
<tr>
<td valign="top">
<script>
for (var i = 0; i < arraySelect.length; i++) {
if (arraySelect[i].value == "csquar") {
arraySelect[i].units.push({
unitNumber: "80",
});
}
}
</script>
</td>
</tr>
<tr>
<td valign="top">
<script>
for (var i = 0; i < arraySelect.length; i++) {
if (arraySelect[i].value == "csquar") {
arraySelect[i].units.push({
unitNumber: "53",
});
}
}
</script>
</td>
</tr>
<tr>
<td valign="top">
<script>
for (var i = 0; i < arraySelect.length; i++) {
if (arraySelect[i].value == "csquar") {
arraySelect[i].units.push({
unitNumber: "88",
});
}
}
</script>
</td>
</tr>
<tr>
<td valign="top">
<script>
for (var i = 0; i < arraySelect.length; i++) {
if (arraySelect[i].value == "csquar") {
arraySelect[i].units.push({
unitNumber: "10",
});
}
}
</script>
</td>
</tr>
<tr>
<td valign="top">
<script>
for (var i = 0; i < arraySelect.length; i++) {
if (arraySelect[i].value == "kridge") {
arraySelect[i].units.push({
unitNumber: "3115 N6",
});
}
}
</script>
</td>
</tr>
<tr>
<td valign="top">
<script>
for (var i = 0; i < arraySelect.length; i++) {
if (arraySelect[i].value == "kridge") {
arraySelect[i].units.push({
unitNumber: "730 G6",
});
}
}
</script>
</td>
</tr>
<tr>
<td valign="top">
<script>
for (var i = 0; i < arraySelect.length; i++) {
if (arraySelect[i].value == "kridge") {
arraySelect[i].units.push({
unitNumber: "711 J5",
});
}
}
</script>
</td>
</tr>
<tr>
<td valign="top">
<script>
for (var i = 0; i < arraySelect.length; i++) {
if (arraySelect[i].value == "kridge") {
arraySelect[i].units.push({
unitNumber: "3147 R5",
});
}
}
</script>
</td>
</tr>
<tr>
<td valign="top">
<script>
for (var i = 0; i < arraySelect.length; i++) {
if (arraySelect[i].value == "chill") {
arraySelect[i].units.push({
unitNumber: "975 C",
});
}
}
</script>
</td>
</tr>
<tr>
<td valign="top">
<script>
for (var i = 0; i < arraySelect.length; i++) {
if (arraySelect[i].value == "csquar") {
arraySelect[i].units.push({
unitNumber: "15",
});
}
}
</script>
</td>
</tr>
<tr>
<td valign="top">
<script>
for (var i = 0; i < arraySelect.length; i++) {
if (arraySelect[i].value == "fpoint") {
arraySelect[i].units.push({
unitNumber: "12-4855",
});
}
}
</script>
</td>
</tr>
<tr>
<td valign="top">
<script>
for (var i = 0; i < arraySelect.length; i++) {
if (arraySelect[i].value == "kridge") {
arraySelect[i].units.push({
unitNumber: "3121 C5",
});
}
}
</script>
</td>
</tr>
<tr>
<td valign="top">
<script>
for (var i = 0; i < arraySelect.length; i++) {
if (arraySelect[i].value == "kridge") {
arraySelect[i].units.push({
unitNumber: "770 E6",
});
}
}
</script>
</td>
</tr>
<tr>
<td valign="top">
<script>
for (var i = 0; i < arraySelect.length; i++) {
if (arraySelect[i].value == "fpoint") {
arraySelect[i].units.push({
unitNumber: "10-2614",
});
}
}
</script>
</td>
</tr>
<tr>
<td valign="top">
<script>
for (var i = 0; i < arraySelect.length; i++) {
if (arraySelect[i].value == "chill") {
arraySelect[i].units.push({
unitNumber: "955 F",
});
}
}
</script>
</td>
</tr>
<tr>
<td valign="top">
<script>
for (var i = 0; i < arraySelect.length; i++) {
if (arraySelect[i].value == "chill") {
arraySelect[i].units.push({
unitNumber: "935 F",
});
}
}
</script>
</td>
</tr>
<tr>
<td valign="top">
<script>
for (var i = 0; i < arraySelect.length; i++) {
if (arraySelect[i].value == "chill") {
arraySelect[i].units.push({
unitNumber: "947 C",
});
}
}
</script>
</td>
</tr>
<tr>
<td valign="top">
<script>
for (var i = 0; i < arraySelect.length; i++) {
if (arraySelect[i].value == "chill") {
arraySelect[i].units.push({
unitNumber: "947 L",
});
}
}
</script>
</td>
</tr>
<tr>
<td valign="top">
<script>
for (var i = 0; i < arraySelect.length; i++) {
if (arraySelect[i].value == "chill") {
arraySelect[i].units.push({
unitNumber: "967 K",
});
}
}
</script>
</td>
</tr>
<tr>
<td valign="top">
<script>
for (var i = 0; i < arraySelect.length; i++) {
if (arraySelect[i].value == "chill") {
arraySelect[i].units.push({
unitNumber: "947 H",
});
}
}
</script>
</td>
</tr>
<tr>
<td valign="top">
<script>
for (var i = 0; i < arraySelect.length; i++) {
if (arraySelect[i].value == "Harbor") {
arraySelect[i].units.push({
unitNumber: "HH-12",
});
}
}
</script>
</td>
</tr>
<tr>
<td valign="top">
<script>
for (var i = 0; i < arraySelect.length; i++) {
if (arraySelect[i].value == "Harbor") {
arraySelect[i].units.push({
unitNumber: "HH-13",
});
}
}
</script>
</td>
</tr>
<tr>
<td valign="top">
<script>
for (var i = 0; i < arraySelect.length; i++) {
if (arraySelect[i].value == "prp") {
arraySelect[i].units.push({
unitNumber: "Troll House",
});
}
}
</script>
</td>
</tr>
</tbody>
</table>
</div>
<input type="hidden" name="rmwebsvc_eudf_property_0" id="rmwebsvc_eudf_property_0" value="">
<label for="rmwebsvc_propshortname" style="width: 300px;">Property <select name="rmwebsvc_propshortname" id="rmwebsvc_propshortname">
<option value="">Select</option>
<option value="csquar">Charleston Square Apartments</option>
<option value="chill">Chimney Hill Apartments</option>
<option value="fpoint">Fox Pointe Apartments</option>
<option value="kridge">Kensington Ridge Apartments</option>
</select>
</label>
<label for="rmwebsvc_eudf_unit_0">Unit <select name="rmwebsvc_eudf_unit_0" id="rmwebsvc_eudf_unit_0">
<option value=""></option>
</select>
</label>
<script>
//Sort the array alphabetically
$(document).ready(function() {
arraySelect.sort(function compare(a, b) {
if (a.name < b.name) return -1;
if (a.name > b.name) return 1;
return 0;
});
//Get the value of propertyname from the querystring
var sPageURL = window.location.search.substring(1);
var sURLVariables = sPageURL.split('&');
var propertyname = "";
var unitname = "";
for (var i = 0; i < sURLVariables.length; i++) {
var sParameterName = sURLVariables[i].split('=');
if (sParameterName[0] == "property") {
propertyname = sParameterName[1];
}
if (sParameterName[0] == "unit") {
unitname = sParameterName[1];
}
}
//store querystring value as "propertyname"
propertyname = propertyname.replace(/%20/g, " ");
unitname = unitname.replace(/%20/g, " ");
//creates the options in the dropdown
for (var j = 0; j < arraySelect.length; j++) {
$("<option/>").val(arraySelect[j].value).text(arraySelect[j].name).appendTo($('#rmwebsvc_propshortname'));
}
//Selects the option that matches the querystring value "username"
$("#rmwebsvc_propshortname > option").each(function() {
if ($(this).text() == propertyname) {
$(this).attr("selected", "selected");
}
});
var selectedUnit = $("#rmwebsvc_propshortname option:selected").text();
for (var k = 0; k < arraySelect.length; k++) {
if (selectedUnit == arraySelect[k].name) {
$(".appfee").html(arraySelect[k].appFee);
for (var q = 0; q < arraySelect[k].units.length; q++) {
$("<option/>").val(arraySelect[k].units[q].unitNumber).text(arraySelect[k].units[q].unitNumber).appendTo($("#rmwebsvc_eudf_unit_0"));
}
}
}
//When the dropdown is changed, change the hidden fields
$('#rmwebsvc_propshortname').change(function() {
$('#rmwebsvc_eudf_unit_0').find('option').remove();
var selectedUnit = $('#rmwebsvc_propshortname option:selected').text();
$('#rmwebsvc_eudf_property_0').val(selectedUnit);
for (var k = 0; k < arraySelect.length; k++) {
if (selectedUnit == arraySelect[k].name) {
$('.appfee').html(arraySelect[k].appFee);
for (var q = 0; q < arraySelect[k].units.length; q++) {
$('<option/>').val(arraySelect[k].units[q].unitNumber).text(arraySelect[k].units[q].unitNumber).appendTo($('#rmwebsvc_eudf_unit_0'));
}
}
}
});
$('#rmwebsvc_eudf_unit_0').val(unitname);
$('#rmwebsvc_eudf_property_0').val(propertyname);
});
</script>
<br clear="all">
<h3>General Information</h3>
<label for="rmwebsvc_fname"><span class="req">* </span>First Name<input type="text" name="rmwebsvc_fname" placeholder="First Name" required=""></label>
<label for="rmwebsvc_lname"><span class="req">* </span>Last Name<input type="text" name="rmwebsvc_lname" placeholder="Last Name" required=""></label>
<label for="rmwebsvc_hphone"><span class="req">* </span>Phone - Home<input type="text" name="rmwebsvc_hphone" class="phone" placeholder="000-000-0000" required=""></label>
<label for="rmwebsvc_hphone">Phone - Work<input type="text" name="rmwebsvc_hphone" class="phone" placeholder="000-000-0000"></label>
<label for="rmwebsvc_carphone"><span class="req">* </span>Phone - Mobile<input type="text" name="rmwebsvc_carphone" class="phone" placeholder="000-000-0000" required=""></label>
<label for="rmwebsvc_email"><span class="req">* </span>Email Address<input type="email" name="rmwebsvc_email" placeholder="Email Address" required=""></label>
<label for="rmwebsvc_bdate"><span class="req">* </span>Date of Birth<input type="text" name="rmwebsvc_bdate" placeholder="MM/DD/YYYY" class="date" required=""></label>
<label for="rmwebsvc_ssn"><span class="req">* </span>Social Security Number<input type="text" name="rmwebsvc_ssn" placeholder="000-00-0000" class="ssn" required=""></label>
<label for="rmwebsvc_eudf_country_0"><span class="req">* </span>Country of Citizenship <select name="rmwebsvc_eudf_country_0" required="">
<option value="">Select</option>
<option value="AFG">Afghanistan</option>
<option value="ALA">Ã…land Islands</option>
<option value="ALB">Albania</option>
<option value="DZA">Algeria</option>
<option value="ASM">American Samoa</option>
<option value="AND">Andorra</option>
<option value="AGO">Angola</option>
<option value="AIA">Anguilla</option>
<option value="ATA">Antarctica</option>
<option value="ATG">Antigua and Barbuda</option>
<option value="ARG">Argentina</option>
<option value="ARM">Armenia</option>
<option value="ABW">Aruba</option>
<option value="AUS">Australia</option>
<option value="AUT">Austria</option>
<option value="AZE">Azerbaijan</option>
<option value="BHS">Bahamas</option>
<option value="BHR">Bahrain</option>
<option value="BGD">Bangladesh</option>
<option value="BRB">Barbados</option>
<option value="BLR">Belarus</option>
<option value="BEL">Belgium</option>
<option value="BLZ">Belize</option>
<option value="BEN">Benin</option>
<option value="BMU">Bermuda</option>
<option value="BTN">Bhutan</option>
<option value="BOL">Bolivia, Plurinational State of</option>
<option value="BES">Bonaire, Sint Eustatius and Saba</option>
<option value="BIH">Bosnia and Herzegovina</option>
<option value="BWA">Botswana</option>
<option value="BVT">Bouvet Island</option>
<option value="BRA">Brazil</option>
<option value="IOT">British Indian Ocean Territory</option>
<option value="BRN">Brunei Darussalam</option>
<option value="BGR">Bulgaria</option>
<option value="BFA">Burkina Faso</option>
<option value="BDI">Burundi</option>
<option value="KHM">Cambodia</option>
<option value="CMR">Cameroon</option>
<option value="CAN">Canada</option>
<option value="CPV">Cape Verde</option>
<option value="CYM">Cayman Islands</option>
<option value="CAF">Central African Republic</option>
<option value="TCD">Chad</option>
<option value="CHL">Chile</option>
<option value="CHN">China</option>
<option value="CXR">Christmas Island</option>
<option value="CCK">Cocos (Keeling) Islands</option>
<option value="COL">Colombia</option>
<option value="COM">Comoros</option>
<option value="COG">Congo</option>
<option value="COD">Congo, the Democratic Republic of the</option>
<option value="COK">Cook Islands</option>
<option value="CRI">Costa Rica</option>
<option value="CIV">Côte d'Ivoire</option>
<option value="HRV">Croatia</option>
<option value="CUB">Cuba</option>
<option value="CUW">Curaçao</option>
<option value="CYP">Cyprus</option>
<option value="CZE">Czech Republic</option>
<option value="DNK">Denmark</option>
<option value="DJI">Djibouti</option>
<option value="DMA">Dominica</option>
<option value="DOM">Dominican Republic</option>
<option value="ECU">Ecuador</option>
<option value="EGY">Egypt</option>
<option value="SLV">El Salvador</option>
<option value="GNQ">Equatorial Guinea</option>
<option value="ERI">Eritrea</option>
<option value="EST">Estonia</option>
<option value="ETH">Ethiopia</option>
<option value="FLK">Falkland Islands (Malvinas)</option>
<option value="FRO">Faroe Islands</option>
<option value="FJI">Fiji</option>
<option value="FIN">Finland</option>
<option value="FRA">France</option>
<option value="GUF">French Guiana</option>
<option value="PYF">French Polynesia</option>
<option value="ATF">French Southern Territories</option>
<option value="GAB">Gabon</option>
<option value="GMB">Gambia</option>
<option value="GEO">Georgia</option>
<option value="DEU">Germany</option>
<option value="GHA">Ghana</option>
<option value="GIB">Gibraltar</option>
<option value="GRC">Greece</option>
<option value="GRL">Greenland</option>
<option value="GRD">Grenada</option>
<option value="GLP">Guadeloupe</option>
<option value="GUM">Guam</option>
<option value="GTM">Guatemala</option>
<option value="GGY">Guernsey</option>
<option value="GIN">Guinea</option>
<option value="GNB">Guinea-Bissau</option>
<option value="GUY">Guyana</option>
<option value="HTI">Haiti</option>
<option value="HMD">Heard Island and McDonald Islands</option>
<option value="VAT">Holy See (Vatican City State)</option>
<option value="HND">Honduras</option>
<option value="HKG">Hong Kong</option>
<option value="HUN">Hungary</option>
<option value="ISL">Iceland</option>
<option value="IND">India</option>
<option value="IDN">Indonesia</option>
<option value="IRN">Iran, Islamic Republic of</option>
<option value="IRQ">Iraq</option>
<option value="IRL">Ireland</option>
<option value="IMN">Isle of Man</option>
<option value="ISR">Israel</option>
<option value="ITA">Italy</option>
<option value="JAM">Jamaica</option>
<option value="JPN">Japan</option>
<option value="JEY">Jersey</option>
<option value="JOR">Jordan</option>
<option value="KAZ">Kazakhstan</option>
<option value="KEN">Kenya</option>
<option value="KIR">Kiribati</option>
<option value="PRK">Korea, Democratic People's Republic of</option>
<option value="KOR">Korea, Republic of</option>
<option value="KWT">Kuwait</option>
<option value="KGZ">Kyrgyzstan</option>
<option value="LAO">Lao People's Democratic Republic</option>
<option value="LVA">Latvia</option>
<option value="LBN">Lebanon</option>
<option value="LSO">Lesotho</option>
<option value="LBR">Liberia</option>
<option value="LBY">Libya</option>
<option value="LIE">Liechtenstein</option>
<option value="LTU">Lithuania</option>
<option value="LUX">Luxembourg</option>
<option value="MAC">Macao</option>
<option value="MKD">Macedonia, the former Yugoslav Republic of</option>
<option value="MDG">Madagascar</option>
<option value="MWI">Malawi</option>
<option value="MYS">Malaysia</option>
<option value="MDV">Maldives</option>
<option value="MLI">Mali</option>
<option value="MLT">Malta</option>
<option value="MHL">Marshall Islands</option>
<option value="MTQ">Martinique</option>
<option value="MRT">Mauritania</option>
<option value="MUS">Mauritius</option>
<option value="MYT">Mayotte</option>
<option value="MEX">Mexico</option>
<option value="FSM">Micronesia, Federated States of</option>
<option value="MDA">Moldova, Republic of</option>
<option value="MCO">Monaco</option>
<option value="MNG">Mongolia</option>
<option value="MNE">Montenegro</option>
<option value="MSR">Montserrat</option>
<option value="MAR">Morocco</option>
<option value="MOZ">Mozambique</option>
<option value="MMR">Myanmar</option>
<option value="NAM">Namibia</option>
<option value="NRU">Nauru</option>
<option value="NPL">Nepal</option>
<option value="NLD">Netherlands</option>
<option value="NCL">New Caledonia</option>
<option value="NZL">New Zealand</option>
<option value="NIC">Nicaragua</option>
<option value="NER">Niger</option>
<option value="NGA">Nigeria</option>
<option value="NIU">Niue</option>
<option value="NFK">Norfolk Island</option>
<option value="MNP">Northern Mariana Islands</option>
<option value="NOR">Norway</option>
<option value="OMN">Oman</option>
<option value="PAK">Pakistan</option>
<option value="PLW">Palau</option>
<option value="PSE">Palestinian Territory, Occupied</option>
<option value="PAN">Panama</option>
<option value="PNG">Papua New Guinea</option>
<option value="PRY">Paraguay</option>
<option value="PER">Peru</option>
<option value="PHL">Philippines</option>
<option value="PCN">Pitcairn</option>
<option value="POL">Poland</option>
<option value="PRT">Portugal</option>
<option value="PRI">Puerto Rico</option>
<option value="QAT">Qatar</option>
<option value="REU">Réunion</option>
<option value="ROU">Romania</option>
<option value="RUS">Russian Federation</option>
<option value="RWA">Rwanda</option>
<option value="BLM">Saint Barthélemy</option>
<option value="SHN">Saint Helena, Ascension and Tristan da Cunha</option>
<option value="KNA">Saint Kitts and Nevis</option>
<option value="LCA">Saint Lucia</option>
<option value="MAF">Saint Martin (French part)</option>
<option value="SPM">Saint Pierre and Miquelon</option>
<option value="VCT">Saint Vincent and the Grenadines</option>
<option value="WSM">Samoa</option>
<option value="SMR">San Marino</option>
<option value="STP">Sao Tome and Principe</option>
<option value="SAU">Saudi Arabia</option>
<option value="SEN">Senegal</option>
<option value="SRB">Serbia</option>
<option value="SYC">Seychelles</option>
<option value="SLE">Sierra Leone</option>
<option value="SGP">Singapore</option>
<option value="SXM">Sint Maarten (Dutch part)</option>
<option value="SVK">Slovakia</option>
<option value="SVN">Slovenia</option>
<option value="SLB">Solomon Islands</option>
<option value="SOM">Somalia</option>
<option value="ZAF">South Africa</option>
<option value="SGS">South Georgia and the South Sandwich Islands</option>
<option value="SSD">South Sudan</option>
<option value="ESP">Spain</option>
<option value="LKA">Sri Lanka</option>
<option value="SDN">Sudan</option>
<option value="SUR">Suriname</option>
<option value="SJM">Svalbard and Jan Mayen</option>
<option value="SWZ">Swaziland</option>
<option value="SWE">Sweden</option>
<option value="CHE">Switzerland</option>
<option value="SYR">Syrian Arab Republic</option>
<option value="TWN">Taiwan, Province of China</option>
<option value="TJK">Tajikistan</option>
<option value="TZA">Tanzania, United Republic of</option>
<option value="THA">Thailand</option>
<option value="TLS">Timor-Leste</option>
<option value="TGO">Togo</option>
<option value="TKL">Tokelau</option>
<option value="TON">Tonga</option>
<option value="TTO">Trinidad and Tobago</option>
<option value="TUN">Tunisia</option>
<option value="TUR">Turkey</option>
<option value="TKM">Turkmenistan</option>
<option value="TCA">Turks and Caicos Islands</option>
<option value="TUV">Tuvalu</option>
<option value="UGA">Uganda</option>
<option value="UKR">Ukraine</option>
<option value="ARE">United Arab Emirates</option>
<option value="GBR">United Kingdom</option>
<option value="USA" selected="">United States</option>
<option value="UMI">United States Minor Outlying Islands</option>
<option value="URY">Uruguay</option>
<option value="UZB">Uzbekistan</option>
<option value="VUT">Vanuatu</option>
<option value="VEN">Venezuela, Bolivarian Republic of</option>
<option value="VNM">Viet Nam</option>
<option value="VGB">Virgin Islands, British</option>
<option value="VIR">Virgin Islands, U.S.</option>
<option value="WLF">Wallis and Futuna</option>
<option value="ESH">Western Sahara</option>
<option value="YEM">Yemen</option>
<option value="ZMB">Zambia</option>
<option value="ZWE">Zimbabwe</option>
</select>
</label>
<label for="rmwebsvc_movein"><span class="req">* </span>Lease Start Date<input type="text" name="rmwebsvc_movein" placeholder="MM/DD/YYYY" class="date" required=""></label>
<label for="rmwebsvc_eudf_monthly_income_0"><span class="req">* </span>Monthly Income<input type="text" name="rmwebsvc_eudf_monthly_income_0" placeholder="Monthly Income" required=""></label>
<label for="rmwebsvc_eudf_additional_income_0">Additional Income Source(s)<input type="text" name="rmwebsvc_eudf_additional_income_0" placeholder="Additional income source"></label>
<label for="rmwebsvc_eudf_additional_income_amount_0">Additional Income Amount<input type="text" name="rmwebsvc_eudf_additional_income_amount_0" placeholder="Additional income amount"></label>
<br clear="all">
<h3>Dependents</h3>
<p>Please select the number of dependents under the age of 18 that will be living with you. Enter the name, birth date and relationship of each dependent. <strong>ALL occupants 18 and over MUST submit a SEPARATE application.</strong></p>
<label for="rmwebsvc_eudf_number_of_dependents_0"><span class="req">* </span>Number of dependents <select name="rmwebsvc_eudf_number_of_dependents_0" id="rmwebsvc_eudf_number_of_dependents_0" required="">
<option value="">Select</option>
<option value="0">0</option>
<option value="1">1</option>
<option value="2">2</option>
<option value="3">3</option>
<option value="4">4</option>
<option value="5">5</option>
<option value="6">6</option>
<option value="7">7</option>
<option value="8">8</option>
</select>
</label>
<table cellpadding="0" border="0">
<tbody>
<tr class="dependent1" style="display: none;">
<td><span class="req">* </span>Last Name</td>
<td><span class="req">* </span>First Name</td>
<td><span class="req">* </span>Relationship</td>
<td><span class="req">* </span>DOB</td>
</tr>
<tr class="dependent1" style="display: none;">
<td><label for="rmwebsvc_lname_0"><input type="text" name="rmwebsvc_lname_0" placeholder="Last Name" required=""></label></td>
<td><label for="rmwebsvc_fname_0"><input type="text" name="rmwebsvc_fname_0" placeholder="First Name" required=""></label></td>
<td><label for="rmwebsvc_eudf_relationship_0"><input type="text" name="rmwebsvc_eudf_relationship_0" value="Self" required=""></label></td>
<td><label for="rmwebsvc_bdate_0"><input type="text" name="rmwebsvc_bdate_0" placeholder="MM/DD/YYYY" class="date" required=""></label></td>
</tr>
<tr id="dependent2" style="display: none;">
<td><label for="rmwebsvc_lname_1"><input type="text" name="rmwebsvc_lname_1" placeholder="Last Name"></label></td>
<td><label for="rmwebsvc_fname_1"><input type="text" name="rmwebsvc_fname_1" placeholder="First Name"></label></td>
<td><label for="rmwebsvc_eudf_relationship_1"><input type="text" name="rmwebsvc_eudf_relationship_1" placeholder="Relationship"></label></td>
<td><label for="rmwebsvc_bdate_1"><input type="text" name="rmwebsvc_bdate_1" placeholder="MM/DD/YYYY" class="date"></label></td>
</tr>
<tr id="dependent3" style="display: none;">
<td><label for="rmwebsvc_lname_2"><input type="text" name="rmwebsvc_lname_2" placeholder="Last Name"></label></td>
<td><label for="rmwebsvc_fname_2"><input type="text" name="rmwebsvc_fname_2" placeholder="First Name"></label></td>
<td><label for="rmwebsvc_eudf_relationship_2"><input type="text" name="rmwebsvc_eudf_relationship_2" placeholder="Relationship"></label></td>
<td><label for="rmwebsvc_bdate_2"><input type="text" name="rmwebsvc_bdate_2" placeholder="MM/DD/YYYY" class="date"></label></td>
</tr>
<tr id="dependent4" style="display: none;">
<td><label for="rmwebsvc_lname_3"><input type="text" name="rmwebsvc_lname_3" placeholder="Last Name"></label></td>
<td><label for="rmwebsvc_fname_3"><input type="text" name="rmwebsvc_fname_3" placeholder="First Name"></label></td>
<td><label for="rmwebsvc_eudf_relationship_3"><input type="text" name="rmwebsvc_eudf_relationship_3" placeholder="Relationship"></label></td>
<td><label for="rmwebsvc_bdate_3"><input type="text" name="rmwebsvc_bdate_3" placeholder="MM/DD/YYYY" class="date"></label></td>
</tr>
<tr id="dependent5" style="display: none;">
<td><label for="rmwebsvc_lname_4"><input type="text" name="rmwebsvc_lname_4" placeholder="Last Name"></label></td>
<td><label for="rmwebsvc_fname_4"><input type="text" name="rmwebsvc_fname_4" placeholder="First Name"></label></td>
<td><label for="rmwebsvc_eudf_relationship_4"><input type="text" name="rmwebsvc_eudf_relationship_4" placeholder="Relationship"></label></td>
<td><label for="rmwebsvc_bdate_4"><input type="text" name="rmwebsvc_bdate_4" placeholder="MM/DD/YYYY" class="date"></label></td>
</tr>
<tr id="dependent6" style="display: none;">
<td><label for="rmwebsvc_lname_5"><input type="text" name="rmwebsvc_lname_5" placeholder="Last Name"></label></td>
<td><label for="rmwebsvc_fname_5"><input type="text" name="rmwebsvc_fname_5" placeholder="First Name"></label></td>
<td><label for="rmwebsvc_eudf_relationship_5"><input type="text" name="rmwebsvc_eudf_relationship_5" placeholder="Relationship"></label></td>
<td><label for="rmwebsvc_bdate_5"><input type="text" name="rmwebsvc_bdate_5" placeholder="MM/DD/YYYY" class="date"></label></td>
</tr>
<tr id="dependent7" style="display: none;">
<td><label for="rmwebsvc_lname_6"><input type="text" name="rmwebsvc_lname_6" placeholder="Last Name"></label></td>
<td><label for="rmwebsvc_fname_6"><input type="text" name="rmwebsvc_fname_6" placeholder="First Name"></label></td>
<td><label for="rmwebsvc_eudf_relationship_6"><input type="text" name="rmwebsvc_eudf_relationship_6" placeholder="Relationship"></label></td>
<td><label for="rmwebsvc_bdate_6"><input type="text" name="rmwebsvc_bdate_6" placeholder="MM/DD/YYYY" class="date"></label></td>
</tr>
<tr id="dependent8" style="display: none;">
<td><label for="rmwebsvc_lname_7"><input type="text" name="rmwebsvc_lname_7" placeholder="Last Name"></label></td>
<td><label for="rmwebsvc_fname_7"><input type="text" name="rmwebsvc_fname_7" placeholder="First Name"></label></td>
<td><label for="rmwebsvc_eudf_relationship_7"><input type="text" name="rmwebsvc_eudf_relationship_7" placeholder="Relationship"></label></td>
<td><label for="rmwebsvc_bdate_7"><input type="text" name="rmwebsvc_bdate_7" placeholder="MM/DD/YYYY" class="date"></label></td>
</tr>
</tbody>
</table>
<br clear="all">
<h3>Pets</h3>
<p>Please list all pets that will be living in the apartment. All pets are subject to Management approval and if approved, a formal pet lease addendum. Our written pet policy is strictly enforced; please carefully review our pet policy before
bringing any pet to the property.</p>
<label for="rmwebsvc_eudf_total_pets_0"><span class="req">* </span>Number of pets <select name="rmwebsvc_eudf_total_pets_0" id="rmwebsvc_eudf_total_pets_0" required="">
<option value="">Select</option>
<option value="0">0</option>
<option value="1">1</option>
<option value="2">2</option>
<option value="3">3</option>
</select>
</label>
<table cellpadding="0" border="0">
<tbody>
<tr id="pets-header" style="display: none;">
<td><span class="req">* </span>Type (dog, cat, etc.)</td>
<td><span class="req">* </span>Breed</td>
<td><span class="req">* </span>Size (lbs)</td>
<td><span class="req">* </span>Color</td>
</tr>
<tr id="pet1" style="display: none;">
<td><label for="rmwebsvc_eudf_pet1_kind_0"><input type="text" name="rmwebsvc_eudf_pet1_kind_0" placeholder="Kind"></label></td>
<td><label for="rmwebsvc_eudf_pet1_breed_0"><input type="text" name="rmwebsvc_eudf_pet1_breed_0" placeholder="Breed"></label></td>
<td><label for="rmwebsvc_eudf_pet1_weight_0"><input type="text" name="rmwebsvc_eudf_pet1_weight_0" placeholder="Weight"></label></td>
<td><label for="rmwebsvc_eudf_pet1_color_0"><input type="text" name="rmwebsvc_eudf_pet1_color_0" placeholder="Color"></label></td>
</tr>
<tr id="pet2" style="display: none;">
<td><label for="rmwebsvc_eudf_pet2_kind_0"><input type="text" name="rmwebsvc_eudf_pet2_kind_0" placeholder="Kind"></label></td>
<td><label for="rmwebsvc_eudf_pet2_breed_0"><input type="text" name="rmwebsvc_eudf_pet2_breed_0" placeholder="Breed"></label></td>
<td><label for="rmwebsvc_eudf_pet2_weight_0"><input type="text" name="rmwebsvc_eudf_pet2_weight_0" placeholder="Weight"></label></td>
<td><label for="rmwebsvc_eudf_pet2_color_0"><input type="text" name="rmwebsvc_eudf_pet2_color_0" placeholder="Color"></label></td>
</tr>
<tr id="pet3" style="display: none;">
<td><label for="rmwebsvc_eudf_pet3_kind_0"><input type="text" name="rmwebsvc_eudf_pet3_kind_0" placeholder="Kind"></label></td>
<td><label for="rmwebsvc_eudf_pet3_breed_0"><input type="text" name="rmwebsvc_eudf_pet3_breed_0" placeholder="Breed"></label></td>
<td><label for="rmwebsvc_eudf_pet3_weight_0"><input type="text" name="rmwebsvc_eudf_pet3_weight_0" placeholder="Weight"></label></td>
<td><label for="rmwebsvc_eudf_pet3_color_0"><input type="text" name="rmwebsvc_eudf_pet3_color_0" placeholder="Color"></label></td>
</tr>
</tbody>
</table>
<br clear="all">
<h3>Rental History Information</h3>
<label class="full-width" for="rmwebsvc_eudf_number_of_residences_0"><span class="req">* </span>Including your current residence, how many places have you lived in the last five years? <select name="rmwebsvc_eudf_number_of_residences_0"
id="rmwebsvc_eudf_number_of_residences_0" required="">
<option value="">Select</option>
<option value="1">1</option>
<option value="2">2</option>
<option value="3">3</option>
<option value="4">4</option>
</select>
</label>
<br clear="all">
<h4>Current Residence</h4>
<label for="rmwebsvc_eudf_residence1_from_0"><span class="req">* </span>Date Start<input type="text" name="rmwebsvc_eudf_residence1_from_0" placeholder="MM/DD/YYYY" class="date" required=""></label>
<label for="rmwebsvc_eudf_residence1_to_0"><span class="req">* </span>Date End<input type="text" name="rmwebsvc_eudf_residence1_to_0" placeholder="MM/DD/YYYY" class="date" required=""></label>
<label for="rmwebsvc_street1"><span class="req">* </span>Street Address<input type="text" name="rmwebsvc_street1" placeholder="Street Address" required=""></label>
<label for="rmwebsvc_street2">Suite/Apt<input type="text" name="rmwebsvc_street2" placeholder="Suite/Apartment"></label>
<label for="rmwebsvc_city"><span class="req">* </span>City<input type="text" name="rmwebsvc_city" placeholder="City" required=""></label>
<label for="rmwebsvc_state"><span class="req">* </span>State<input type="text" name="rmwebsvc_state" placeholder="State" required=""></label>
<label for="rmwebsvc_zip"><span class="req">* </span>Zip<input type="text" name="rmwebsvc_zip" placeholder="Zip" required=""></label>
<label for="rmwebsvc_eudf_residence1_reason_for_leaving_0"><span class="req">* </span>Reason for leaving<input type="text" name="rmwebsvc_eudf_residence1_reason_for_leaving_0" placeholder="Reason for leaving" required=""></label>
<label for="rmwebsvc_eudf_residence1_landlord_0"><span class="req">* </span>Owner/Agent<input type="text" name="rmwebsvc_eudf_residence1_landlord_0" placeholder="Landlord/Owner Name" required=""></label>
<br clear="all">
<div id="residence2" style="display: none;">
<h4>Previous Residence</h4>
<label for="rmwebsvc_eudf_residence2_from_0"><span class="req">* </span>Date Start<input type="text" name="rmwebsvc_eudf_residence2_from_0" placeholder="MM/DD/YYYY" class="date"></label>
<label for="rmwebsvc_eudf_residence2_to_0"><span class="req">* </span>Date End<input type="text" name="rmwebsvc_eudf_residence2_to_0" placeholder="MM/DD/YYYY" class="date"></label>
<label for="rmwebsvc_eudf_residence2_address_0"><span class="req">* </span>Street Address<input type="text" name="rmwebsvc_eudf_residence2_address_0" placeholder="Street Address"></label>
<label for="rmwebsvc_eudf_residence2_address2_0">Suite/Apt<input type="text" name="rmwebsvc_eudf_residence2_address2_0" placeholder="Suite/Apartment"></label>
<label for="rmwebsvc_eudf_residence2_city_0"><span class="req">* </span>City<input type="text" name="rmwebsvc_eudf_residence2_city_0" placeholder="City"></label>
<label for="rmwebsvc_eudf_residence2_state_0"><span class="req">* </span>State<input type="text" name="rmwebsvc_eudf_residence2_state_0" placeholder="State"></label>
<label for="rmwebsvc_eudf_residence2_zip_0"><span class="req">* </span>Zip<input type="text" name="rmwebsvc_eudf_residence2_zip_0" placeholder="Zip"></label>
<label for="rmwebsvc_eudf_residence2_reason_for_leaving_0"><span class="req">* </span>Reason for leaving<input type="text" name="rmwebsvc_eudf_residence2_reason_for_leaving_0" placeholder="Reason for leaving"></label>
<label for="rmwebsvc_eudf_residence2_landlord_0"><span class="req">* </span>Owner/Agent<input type="text" name="rmwebsvc_eudf_residence2_landlord_0" placeholder="Landlord/Owner Name"></label>
<br clear="all">
</div>
<div id="residence3" style="display: none;">
<h4>Previous Residence</h4>
<label for="rmwebsvc_eudf_residence3_from_0"><span class="req">* </span>Date Start<input type="text" name="rmwebsvc_eudf_residence3_from_0" placeholder="MM/DD/YYYY" class="date"></label>
<label for="rmwebsvc_eudf_residence3_to_0"><span class="req">* </span>Date End<input type="text" name="rmwebsvc_eudf_residence3_to_0" placeholder="MM/DD/YYYY" class="date"></label>
<label for="rmwebsvc_eudf_residence3_address_0"><span class="req">* </span>Street Address<input type="text" name="rmwebsvc_eudf_residence3_address_0" placeholder="Street Address"></label>
<label for="rmwebsvc_eudf_residence3_address3_0">Suite/Apt<input type="text" name="rmwebsvc_eudf_residence3_address3_0" placeholder="Suite/Apartment"></label>
<label for="rmwebsvc_eudf_residence3_city_0"><span class="req">* </span>City<input type="text" name="rmwebsvc_eudf_residence3_city_0" placeholder="City"></label>
<label for="rmwebsvc_eudf_residence3_state_0"><span class="req">* </span>State<input type="text" name="rmwebsvc_eudf_residence3_state_0" placeholder="State"></label>
<label for="rmwebsvc_eudf_residence3_zip_0"><span class="req">* </span>Zip<input type="text" name="rmwebsvc_eudf_residence3_zip_0" placeholder="Zip"></label>
<label for="rmwebsvc_eudf_residence3_reason_for_leaving_0"><span class="req">* </span>Reason for leaving<input type="text" name="rmwebsvc_eudf_residence3_reason_for_leaving_0" placeholder="Reason for leaving"></label>
<label for="rmwebsvc_eudf_residence3_landlord_0"><span class="req">* </span>Owner/Agent<input type="text" name="rmwebsvc_eudf_residence3_landlord_0" placeholder="Landlord/Owner Name"></label>
<br clear="all">
</div>
<div id="residence4" style="display: none;">
<h4>Previous Residence</h4>
<label for="rmwebsvc_eudf_residence4_from_0"><span class="req">* </span>Date Start<input type="text" name="rmwebsvc_eudf_residence4_from_0" placeholder="MM/DD/YYYY" class="date"></label>
<label for="rmwebsvc_eudf_residence4_to_0"><span class="req">* </span>Date End<input type="text" name="rmwebsvc_eudf_residence4_to_0" placeholder="MM/DD/YYYY" class="date"></label>
<label for="rmwebsvc_eudf_residence4_address_0"><span class="req">* </span>Street Address<input type="text" name="rmwebsvc_eudf_residence4_address_0" placeholder="Street Address"></label>
<label for="rmwebsvc_eudf_residence4_address4_0">Suite/Apt<input type="text" name="rmwebsvc_eudf_residence4_address4_0" placeholder="Suite/Apartment"></label>
<label for="rmwebsvc_eudf_residence4_city_0"><span class="req">* </span>City<input type="text" name="rmwebsvc_eudf_residence4_city_0" placeholder="City"></label>
<label for="rmwebsvc_eudf_residence4_state_0"><span class="req">* </span>State<input type="text" name="rmwebsvc_eudf_residence4_state_0" placeholder="State"></label>
<label for="rmwebsvc_eudf_residence4_zip_0"><span class="req">* </span>Zip<input type="text" name="rmwebsvc_eudf_residence4_zip_0" placeholder="Zip"></label>
<label for="rmwebsvc_eudf_residence4_reason_for_leaving_0"><span class="req">* </span>Reason for leaving<input type="text" name="rmwebsvc_eudf_residence4_reason_for_leaving_0" placeholder="Reason for leaving"></label>
<label for="rmwebsvc_eudf_residence4_landlord_0"><span class="req">* </span>Owner/Agent<input type="text" name="rmwebsvc_eudf_residence4_landlord_0" placeholder="Landlord/Owner Name"></label>
<br clear="all">
</div>
<h3>Employment Information</h3>
<label for="rmwebsvc_eudf_employed_0"><span class="req">* </span>Are you employed? <select name="rmwebsvc_eudf_employed_0" id="rmwebsvc_eudf_employed_0" required="">
<option value="">Select</option>
<option value="Yes">Yes</option>
<option value="No">No</option>
</select>
</label>
<br clear="all">
<div id="current_employer" style="display: none;">
<h4>Current Employer</h4>
<label for="rmwebsvc_eudf_employer_start_date_0"><span class="req">* </span>Start Date<input type="text" name="rmwebsvc_eudf_employer_start_date_0" placeholder="MM/DD/YYYY" class="date"></label>
<label for="rmwebsvc_eudf_employer_end_date_0"><span class="req">* </span>End Date<input type="text" name="rmwebsvc_eudf_employer_end_date_0" placeholder="MM/DD/YYYY" class="date"></label>
<label for="rmwebsvc_employer"><span class="req">* </span>Employer Name<input type="text" name="rmwebsvc_employer" placeholder="Employer Name"></label>
<label for="rmwebsvc_eudf_job_title_0"><span class="req">* </span>Job Title<input type="text" name="rmwebsvc_eudf_job_title_0" placeholder="Job Title"></label>
<label for="rmwebsvc_eudf_supervisor_0"><span class="req">* </span>Supervisor<input type="text" name="rmwebsvc_eudf_supervisor_0" placeholder="Supervisor"></label>
<label for="rmwebsvc_eudf_employer_phone_0"><span class="req">* </span>Phone<input type="text" name="rmwebsvc_eudf_employer_phone_0" placeholder="000-000-0000" class="phone"></label>
<label for="rmwebsvc_eudf_employer_address_0"><span class="req">* </span>Address<input type="text" name="rmwebsvc_eudf_employer_address_0" placeholder="Employer Address"></label>
<label for="rmwebsvc_eudf_salary_0"><span class="req">* </span>Salary<input type="text" name="rmwebsvc_eudf_salary_0" placeholder="Salary"></label>
<br clear="all">
<label for="rmwebsvc_eudf_previously_employed_0"><span class="req">* </span>Have you had another job? <select name="rmwebsvc_eudf_previously_employed_0" id="rmwebsvc_eudf_previously_employed_0" required="">
<option value="">Select</option>
<option value="Yes">Yes</option>
<option value="No">No</option>
</select>
</label>
<br clear="all">
</div><!--end current employer-->
<div id="previous_employer" style="display: none;">
<h4>Previous Employer</h4>
<label for="rmwebsvc_eudf_prev_employer_start_date_0"><span class="req">* </span>Start Date<input type="text" name="rmwebsvc_eudf_prev_employer_start_date_0" placeholder="MM/DD/YYYY" class="date"></label>
<label for="rmwebsvc_eudf_prev_employer_end_date_0"><span class="req">* </span>End Date<input type="text" name="rmwebsvc_eudf_prev_employer_end_date_0" placeholder="MM/DD/YYYY" class="date"></label>
<label for="rmwebsvc_eudf_prev_employer_0"><span class="req">* </span>Employer Name<input type="text" name="rmwebsvc_eudf_prev_employer_0" placeholder="Employer Name"></label>
<label for="rmwebsvc_eudf_prev_job_title_0"><span class="req">* </span>Job Title<input type="text" name="rmwebsvc_eudf_prev_job_title_0" placeholder="Job Title"></label>
<label for="rmwebsvc_eudf_prev_supervisor_0"><span class="req">* </span>Supervisor<input type="text" name="rmwebsvc_eudf_prev_supervisor_0" placeholder="Supervisor"></label>
<label for="rmwebsvc_eudf_prev_employer_phone_0"><span class="req">* </span>Phone<input type="text" name="rmwebsvc_eudf_prev_employer_phone_0" placeholder="000-000-0000" class="phone"></label>
<label for="rmwebsvc_eudf_prev_employer_address_0"><span class="req">* </span>Address<input type="text" name="rmwebsvc_eudf_prev_employer_address_0" placeholder="Employer Address"></label>
<label for="rmwebsvc_eudf_prev_salary_0"><span class="req">* </span>Salary<input type="text" name="rmwebsvc_eudf_prev_salary_0" placeholder="Salary"></label>
<br clear="all">
</div><!--end previous employer-->
<h3>Vehicle Info</h3>
<p>All automobiles are subject to Community Rules and Policies.</p>
<label for="rmwebsvc_eudf_vehicle_license_0"><span class="req">* </span>License Plate Number<input type="text" name="rmwebsvc_eudf_vehicle_license_0" placeholder="License Plate Number" required=""></label>
<label for="rmwebsvc_eudf_vehicle_state_0"><span class="req">* </span>State<input type="text" name="rmwebsvc_eudf_vehicle_state_0" placeholder="License State" required=""></label>
<label for="rmwebsvc_eudf_vehicle_make_0"><span class="req">* </span>Make<input type="text" name="rmwebsvc_eudf_vehicle_make_0" placeholder="Vehicle Make" required=""></label>
<label for="rmwebsvc_eudf_vehicle_model_0"><span class="req">* </span>Model<input type="text" name="rmwebsvc_eudf_vehicle_model_0" placeholder="Vehicle Model" required=""></label>
<label for="rmwebsvc_eudf_vehicle_year_0"><span class="req">* </span>Year<input type="text" name="rmwebsvc_eudf_vehicle_year_0" placeholder="Year" required=""></label>
<label for="rmwebsvc_eudf_vehicle_description_0"><span class="req">* </span>Description (Color, etc.)<input type="text" name="rmwebsvc_eudf_vehicle_description_0" placeholder="Vehicle Description" required=""></label>
<label for="rmwebsvc_license"><span class="req">* </span>Drivers License Number<input type="text" name="rmwebsvc_license" placeholder="Drivers License Number" required=""></label>
<label for="rmwebsvc_eudf_license_state_0"><span class="req">* </span>Drivers License State<input type="text" name="rmwebsvc_eudf_license_state_0" placeholder="Drivers License State" required=""></label>
<br clear="all">
<h3>Other Information</h3>
<label class="full-width" for="rmwebsvc_eudf_bankruptcy_0"><span class="req">*</span>Have you ever filed for bankruptcy? <select name="rmwebsvc_eudf_bankruptcy_0" class="yes-no" required="">
<option value="">Select</option>
<option value="Yes">Yes</option>
<option value="No">No</option>
</select>
</label>
<div class="hidden-div" style="display: none;">
<br clear="all">
<label class="full-width" for="rmwebsvc_eudf_bankruptcy_info_0">
<span class="req">*</span>When? Please explain <textarea name="rmwebsvc_eudf_bankruptcy_info_0"></textarea>
</label>
</div><!--end hidden div-->
<br clear="all">
<label class="full-width" for="rmwebsvc_eudf_ever_evicted_0"><span class="req">*</span>Have you ever been evicted? <select name="rmwebsvc_eudf_ever_evicted_0" class="yes-no" required="">
<option value="">Select</option>
<option value="Yes">Yes</option>
<option value="No">No</option>
</select>
</label>
<div class="hidden-div" style="display: none;">
<br clear="all">
<label class="full-width" for="rmwebsvc_eudf_evicted_info_0">
<span class="req">*</span>When? Please explain <textarea name="rmwebsvc_eudf_evicted_info_0"></textarea>
</label>
</div><!--end hidden div-->
<br clear="all">
<label for="rmwebsvc_eudf_heard_about_us_from_0">How did you hear about us?<input type="text" name="rmwebsvc_eudf_heard_about_us_from_0" placeholder="How did you hear about us?"></label>
<br clear="all">
<h3>Emergency Contact</h3>
<table cellpadding="0" border="0">
<tbody>
<tr>
<td><span class="req">* </span>Name</td>
<td><span class="req">* </span>Relationship</td>
<td><span class="req">* </span>Phone</td>
</tr>
<tr>
<td><label for="rmwebsvc_eudf_emergency_contact_name_0"><input type="text" name="rmwebsvc_eudf_emergency_contact_name_0" placeholder="Full Name" required=""></label></td>
<td><label for="rmwebsvc_eudf_emergency_contact_relationship_0"><input type="text" name="rmwebsvc_eudf_emergency_contact_relationship_0" placeholder="Relationship" required=""></label></td>
<td><label for="rmwebsvc_eudf_emergency_contact_phone_0"><input type="text" name="rmwebsvc_eudf_emergency_contact_phone_0" class="phone" placeholder="000-000-0000" required=""></label></td>
</tr>
</tbody>
</table>
<h3>Authorization</h3>
<p><input name="chkApplicationAgreement" type="checkbox" class="required"> <span class="req">* </span> Applicant represents that all above statements are true and correct and hereby authorizes verification of the above items including, but not
limited to, the obtaining of a credit report and criminal records check and agrees to furnish additional credit references upon request. Applicant consents to allow Owner/Agent to disclose tenancy information to previous or subsequent
Owners/Agents and/or to law enforcement. Further, I hereby release and hold harmless Owner/Agent, and affiliates and their respective officers, directors, employees and agents from and against any and all claims, demands, suits, or expenses
arising from or related to the content, validity, or handling of said reports.</p>
<br clear="all">
<br clear="all"><img
src="http://chl.captcha.rentmanager.com/CaptchaImage?key=R0sdjMwLu8u37k0n5DqSXQ%3d%3d3e7rsQC2OI0s%2fxZtfFfrGfReKPF2ii4FKIOQ9pV2KHlmEQdIPEFdqSdmTTiEmLgE5WB%2bLIEhtiCSczMFP2l7FiiMPu8yanCPCkEOMVzqWfPM58Oymqe9vDhXRMs0635auCYPkD81KlY%2bmgHXF7To%2fIexVT3llK96qTVK7jHhCsu%2f3whYxd%2faByr%2bZ5tzibsLPYY4ZcgEqRogJ2pNMK70Pa0gIAtq80THR%2bemP2d3mnh0LTxNEDmlOexNd9zu%2bIiSR1tqLzqmT%2bmM7HdO7ZyGHw%3d%3d"><br><input
type="hidden" name="CaptchaKey" value="GnkWThEzfzoOj0V39dovAw%3d%3dIYVHJBF62fCeEpelf0yeBg%3d%3d">
<br>
<label for="CaptchaChallenge"><span class="req">*</span>Please enter the characters shown above<input type="text" name="CaptchaChallenge" required=""></label>
<br clear="all">
<input class="submit" type="submit" name="submitbutton" value="Submit Application">
</form>
Text Content
ONLINE APPLICATION Each occupant over the age of 18 must complete a separate application, including spouses. Application fees are non-refundable. Security deposit holds will become non-refundable after 24 hours. APPLYING FOR Property Select Charleston Square ApartmentsChimney Hill ApartmentsFox Pointe ApartmentsKensington Ridge Apartments Unit GENERAL INFORMATION * First Name * Last Name * Phone - Home Phone - Work * Phone - Mobile * Email Address * Date of Birth * Social Security Number * Country of Citizenship Select Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia, Plurinational State of Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, the Democratic Republic of the Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia, the former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Réunion Romania Russian Federation Rwanda Saint Barthélemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela, Bolivarian Republic of Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe * Lease Start Date * Monthly Income Additional Income Source(s) Additional Income Amount DEPENDENTS Please select the number of dependents under the age of 18 that will be living with you. Enter the name, birth date and relationship of each dependent. ALL occupants 18 and over MUST submit a SEPARATE application. * Number of dependents Select 0 1 2 3 4 5 6 7 8 * Last Name * First Name * Relationship * DOB PETS Please list all pets that will be living in the apartment. All pets are subject to Management approval and if approved, a formal pet lease addendum. Our written pet policy is strictly enforced; please carefully review our pet policy before bringing any pet to the property. * Number of pets Select 0 1 2 3 * Type (dog, cat, etc.) * Breed * Size (lbs) * Color RENTAL HISTORY INFORMATION * Including your current residence, how many places have you lived in the last five years? Select 1 2 3 4 CURRENT RESIDENCE * Date Start * Date End * Street Address Suite/Apt * City * State * Zip * Reason for leaving * Owner/Agent PREVIOUS RESIDENCE * Date Start * Date End * Street Address Suite/Apt * City * State * Zip * Reason for leaving * Owner/Agent PREVIOUS RESIDENCE * Date Start * Date End * Street Address Suite/Apt * City * State * Zip * Reason for leaving * Owner/Agent PREVIOUS RESIDENCE * Date Start * Date End * Street Address Suite/Apt * City * State * Zip * Reason for leaving * Owner/Agent EMPLOYMENT INFORMATION * Are you employed? Select Yes No CURRENT EMPLOYER * Start Date * End Date * Employer Name * Job Title * Supervisor * Phone * Address * Salary * Have you had another job? Select Yes No PREVIOUS EMPLOYER * Start Date * End Date * Employer Name * Job Title * Supervisor * Phone * Address * Salary VEHICLE INFO All automobiles are subject to Community Rules and Policies. * License Plate Number * State * Make * Model * Year * Description (Color, etc.) * Drivers License Number * Drivers License State OTHER INFORMATION *Have you ever filed for bankruptcy? Select Yes No *When? Please explain *Have you ever been evicted? Select Yes No *When? Please explain How did you hear about us? EMERGENCY CONTACT * Name * Relationship * Phone AUTHORIZATION * Applicant represents that all above statements are true and correct and hereby authorizes verification of the above items including, but not limited to, the obtaining of a credit report and criminal records check and agrees to furnish additional credit references upon request. Applicant consents to allow Owner/Agent to disclose tenancy information to previous or subsequent Owners/Agents and/or to law enforcement. Further, I hereby release and hold harmless Owner/Agent, and affiliates and their respective officers, directors, employees and agents from and against any and all claims, demands, suits, or expenses arising from or related to the content, validity, or handling of said reports. *Please enter the characters shown above