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* Date Format: MM slash DD slash YYYY Driverse License #Auto #1 Make & YearColorLicense Plate #Auto #2 Make & YearColorLicense Plate # Current Landlord/Mortgage HolderPhoneLandlord AddressDates of OccupancyRental Rate/Mortgage PaymentReason for MovingDate Looking to Move to Northbrook ApartmentsHave you ever been Evicted Foreclosed If yes, explain: Employer*SupervisorAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Dates of EmploymentPhoneJob TitleStatusFull TimePart TimeMonthly Gross IcomeAdditional Monthly Income & SourcePrevious EmployerJob TitleDates of EmploymentPhone Emergency Contact NameRelationshipPhoneAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Please list 3 relatives or references that will not be living with you:1. NamePhone2. NamePhone3. NamePhoneNames of all other people that will be occupying the apartment:1. NameDate of Birth Date Format: MM slash DD slash YYYY Relationship2. NameDate of Birth Date Format: MM slash DD slash YYYY Relationship3. NameDate of Birth Date Format: MM slash DD slash YYYY RelationshipI 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 $200 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.SignatureDate Date Format: MM slash DD slash YYYY PhoneNameThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms. Maintenance Request Apply Contact We are committed to your privacy. Our website encrypts your personal information using secure SSL technology.