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Move In Date *

Please indicate your anticipated move in date. If are flexible, please put 11/11/1111.

MM

DD

YYYY

Date of Birth *

MM

DD

YYYY

Current Phone Number *

(###)

###

####

Photo ID *

In order to process the application, we need a copy of your photo ID/Drivers License. Please text a picture of it to 605-303-4130 or email it to livingwatertown@gmail.com. Check "done" to confirm you have sent it.

Done. Photo or copy of my ID has been sent.

I need further help with this option.

Present Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Previous Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Have you ever been convicted, plead guilty or “no contest” of a felony? *

yes

no

Have you ever been convicted, plead guilty, non-guilty or “no contest” of a misdemeanor? *

Do not include traffic tickets.

yes

no

Have you ever had a deferred sentence or a charge removed from your record? *

yes

no

Do you have any animals? If so, what type and how many: *

yes

no

Have you recently applied with another management company? *

yes

no

Have you ever received a notice to vacate or been evicted? *

yes

no

Do you owe any landlord or management company money? *

yes

no

Do you smoke? *

yes

no

Print Name Here allowing the Authorization Release of Information *

First Name

Last Name