EQUAL HOUSINGOPPORTUNITY Justus Property Management, Inc.

RENTAL APPLICATIONHow did you hear about the property? --;;:=============~

(Office use only)Date Received _Time Received. _Received by: _

(Manager's signature)

Marketing info:

PLEASE PRINT WHEN COMPLETING THIS APPLICATION

IF CO-APPLICANTS ARE APPLYING FOR RESIDENCY, AND HAVE NOT LIVED TOGETHER AT THE SAME

ADDRESS FOR AT LEAST 2 YEARS, SEPARATE APPLICATIONS MUST BE COMPLETED.

Date of Application. Apartment Community Lincolnshire Apartments

Type and Size of Apartment Desired Move-In Date _

APPLICANT'SFULLNAME,~ __~========== __=============================Telephone #~~~~=~~~=~=_~Alternate phone or Cell#= =====~ _

RESIDENT HISTORY {3 years of previous addresses}Current Address (including zip code) Previous Address (including zip code)

Current County Previous CountyHow long have you lived here? How long did you live there?Landlord's Name Landlord's NameLandlord's Phone Landlord's PhoneLandlord's Address Landlord's Address

iAmount of rent paid? Past due? iAmount of rent paid? Past due?Reason for Moving Reason for Moving

VERIFICA TION OF LANDLORDS (for office use only)Contact date Time Contact date TimeSpoke to Spoke toPosition! Relationship of contact Position! Relationship of contact

Contact Phone # Contact Phone #Comments Comments

Rerent? Yes No (circle one) Rerent? Yes No (circle one)

Interviewer's signature Interviewer's signature

228-L Conv application 11-12 1

PERSONAL REFERENCES

Name Address _

Day Phone, Evening Phone ~Relationship _

Name Address ----------------------------------------------------Day Phone ~Evening Phone ~Relationship _

**"' •• "'.*******************"'>i<********************************************.*.*.**************************** ••• **********.*********************************************************

NAMES OF HOUSEHOLD MEMBERS RELATIONSHIP SOCIAL DATE OF STUDENT?TO OCCupy THIS APARTMENT TO HEAD OF SECURITY BIRTH YES or NO

HOUSEHOLD NUMBER

HOUSEHOLD COMPOSITION

ANNUAL INCOME Gross Wages Social Security TANF,AFDC, Otherand Salaries Pensions, SSI, etc. Welfare (Support, Regular gifts)

Head of Household $ $ $ $

Employer or Income source Address Phone number Fax number

Co-Head or Spouse $ $ $ $

Employer or Income source Address Phone number Fax number

Please provide any additional information necessary for contact regarding any other source of Household income

that may not be listed above: _

*****************************************************************************************************Yes_ No_ Isany applicant member of my household, as listed above, subject to a lifetime registration requirement under

any State Sexoffender registration program?

Yes_ No_ In the last three years, have you or any household member been evicted from housing for criminal activity?

*****************************************************************************************BANKING AND CREDIT REFERENCES

Bank or Credit Union name, _

Branch&address _

Checking Account # Savings Account :# _

Other References --------------------------------------------------------------------------

228-L Cony application 11-12 2

MARITAL STATUSI CREDITI PET QUESTION

Head of Household Status: (check one) Married 0 Divorced 0 Legally Separated 0 Single (never married) 0

Filed for Bankruptcy? Yes __ No__ Ifyes, what year was it discharged? _***********************************

Co-Head Status: (check one) Married 0 Divorced 0 Legally Separated 0 Single (never married) C

Filed for Bankruptcy? Yes __ No__ If yes, what year was it discharged? ------***********************************Do you currently own a pet? Yes _ No_ Dog __ Cat__ Descriptionj Weight __ lbs.

If this community accepts pets you will need a complete pet packet: policy, information sheet & agreement.

CREDIT INFORMATION (office use only)

Date Contacted Spoke To .Position. _

Time Comments---------- --------------------------Date Contacted Spoke To Position _

Time Comments----------- --------------------------

In considering this application from you, Management will rely heavily on the information that youhave supplied. It is most important that the information be accurate and complete. By signing thisapplication, you represent and warrant the accuracy of the information and you authorizeManagement to verify any references or information that has been supplied to the communitymanagement. Please be advised that persons with disabilities have the right to request reasonableaccommodations to participate in the application process.

*********************************************************************************************I ATTEST THAT THE INFORMATION CONTAINED IN rms APPLICATION IS TRUE ANDCOMPLETE. I have fully disclosed all relevant information including all household income .. I give mypermission for the managing agent to investigate and verify any & all information given in this application.

APPLICANT (Head of Household) Signature DATE

APPLICANT (Co-Applicant) Signature DATE

The Community and its Management will not discriminate based on race, color, age (except as aneligibility requirement), marital or familial status, religion, sex, national origin, handicap, disability,sexual orientation, gender identity, or socioeconomic class and will comply with all Federal, State andlocal fair housing and civil rights laws and with all equal opportunity requirements in all phases of theoccupancy process.

228-L Conv application 11-12 3

Criminal Background search & Sex Offender Registry PolicyLINCOLNSHIRE STUDIOS & APARTMENTS

In accordance with our management policies, this Community conducts criminal history checks on all applicants (18 yearsof age and older) giving special attention to those applicants with:

1) A history of arrest and/or conviction for criminal activity or eviction involving drug related activity andcrimes of physical violence to persons or property, or other criminal acts which adversely affect the health,safety, or welfare of other residents, including but not limited to:a) possession of drugs b) distribution of drugs c) gang-related activityd) .rape e) child molestation f) murder/attempted murder

2) A pattern of continuous or repeated arrest and/or conviction for the same activity, including but not limited to:a) public intoxication b) disturbance c) resident arrest. d) public indecency

3) Any Felony conviction within the last 5 years from the date of application will result in denial. Any open orpending felony charges will result in denial. A single felony conviction, EXCLUDING violent or sex crimes,over 5 years old from the date of application will not automatically result in denial.

4) We prohibits lifetime registered sex offenders from admission to our housing therefore: Sex Offender Registryscreening of all adult members of the household and in accordance with Indiana state law all juveniles 14years of age or older, willbe conducted prior to approval for occupancy.

Regarding juveniles: A child who is at least 14 years of age and is on probation or paroleor is discharged from a facility by the department of correction, discharged from a secureprivate facility, or discharged from ajuvenile detention facility as a result of beingadjudicated as a delinquent child for an act that would be a listed sex offense that requiredregistry as an adult (IC 31-31~1-1 to -2) and is found by a court to be likely to repeat alisted sex offense that required registry as an adult (IC 31-37-19-5 (b)(l)).

Applicants: I have read and understand this Admissions statement. I understand that the apartment community listedabove will conduct a criminal history check on all members of the household 18 years of age and older. In addition they willconduct a Sex Offender Registry Check on all members of the household who are 14 years of age or older (in accordancewith Indiana State law). I consent to release of my personal history and that of my child's history, if applicable, allowing allrelevant criminal or sex offender information to be released for this purpose. I further understand that our application will bedenied on the basis ofan unfavorable criminal or sex offender history regarding myself or another family member.

Household member (18 year of age or older) DateParental signature consent isnecessary for release of juvenilesex offender registry.

Printed name of juvenile 14 years or older Date of Birth

Maintain original in Resident's file.901-L Criminal search! Sex Offender Policy 11-12

NTN - Indiana

317-579-3520 - Phone

317-579-3524 – Fax

This order is for:

���� Applicant Screening ���� Employment Screening

Applicant Personal Information (Print legibly)

Name: Last First Middle

Address:

City: ST: Zip:

SSN: DOB:_________/__________/_______________

To be filled in by Justus Employees:

� Nationwide Criminal (includes Nationwide Sex Offender)

� Madison County Criminal � County Criminal

Please check box(es) if applicant previously lived in these states:

� Colorado � N Carolina � Massachusetts � New York.

Designate county for state checked above:

� County Criminal � County Criminal

� Nationwide Sex Offender

I certify that the above information is correct and complete and hereby authorize a

criminal background check for resident screening or employment screening purposes

only. I understand that if I am applying for employment and am hired, I will be an

employee of Justus Property Management Inc.

Signature of Applicant:

Date Signed: ___________________________

Fax order to: 877-579-3524 or 317-579-3524

Justus Property Management

Order Form Lincolnshire Apts

IN 3700

Fax- 765-374-0608