Chidren Names & Ages:___________________________________________________

By signing this application, I, the undersigned applicant(s) warrant and represent the information on this application for residency is true and correct and the Management/Owner is authorized to verify this information. However, I acknowledge and understand that Management/Owner undertakes no obligation to verify the accuracy of any information provided by me on this application.

Any person/firms may freely give any requested information concerning me and I hereby knowingly and voluntarily waive all right of action for any consequenence resulting from such information. In addition, I hereby authorize Management/Owner to release any and all information in this application on my behalf and lawfully serve as basis for lease termination and/or eviction.

Management. Owner has my permission and is authorized to run a credit report or credit history.

Signed_________________________________________Date______________________