Application Form Apply Step 1 of 5 20% Legal Name* First Middle Last Current Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Former Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email* Phone*Birth Date* MM slash DD slash YYYY Driverse License # Auto #1 Make & Year Color License Plate # Auto #2 Make & Year Color License Plate # Current Landlord/Mortgage Holder PhoneLandlord Address Dates of Occupancy Rental Rate/Mortgage Payment Reason for Moving Date Looking to Move to Northbrook Apartments Have you ever been Evicted Foreclosed If yes, explain: Employer* Supervisor Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Dates of Employment PhoneJob Title Status Full Time Part Time Monthly Gross Icome Additional Monthly Income & Source Previous Employer Job Title Dates of Employment Phone Emergency Contact Name Relationship PhoneAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Please list 3 relatives or references that will not be living with you:1. Name Phone2. Name Phone3. Name PhoneNames of all other people that will be occupying the apartment:1. Name Date of Birth MM slash DD slash YYYY Relationship 2. Name Date of Birth MM slash DD slash YYYY Relationship 3. Name Date of Birth MM slash DD slash YYYY Relationship I hereby authorize H&H Management & Development Co., LLC, the property management company of Northbrook Apartments, to perform background checks and an employment verification. I will also provide Northbrook Apartments with my most recent credit report. Any falsification of the information can be grounds for denial and/or terms of lease. I agree to provide my social security number and a copy of my driver’s license/state identification card upon application. A non refundable cleaning fee of $200 is to be paid at lease signing along with a $500 security deposit. If an apartment has been assigned with an agreed upon move-in date and the applicant cancels, the deposit will be forfeited. All applications are subject to Management approval in accordance with the attached rental qualification guidelines. All decisions related to applications for tenancy are at the sole discretion of Landlord. No applicant will be refunded for any cost related to application tenancy. Any applicant denied tenancy shall be eligible to re-apply no less than six (6) calendar months from date of denial. We encourage and support the nations affirmative housing program in which there are no barriers to obtaining housing because of race, color, religion, sex, national origin, handicap or familial status.Signature Date MM slash DD slash YYYY PhonePhoneThis field is for validation purposes and should be left unchanged. Maintenance Request Apply Contact We are committed to your privacy. Our website encrypts your personal information using secure SSL technology.