Stone Creek Village Apartments

Rental Application

To reserve your apartment at Stone Creek Village, a Rental Application and $40 Application Fee must be provided. You can either use the following online application form or print out a copy of our Application Form: [ MSWord Format ] [ Adobe Acrobat (PDF) Format ]

NAMES:	Name	SSN	DOB
Your Name
Spouse/Other

YOUR APARTMENT NEEDS:
Date Needed	Number of Bedrooms

YOUR PRESENT RESIDENCE:
Address
City-State-Zip
Phone
Email
Dates - From	To Monthly Rent/Mortgage $
Landlord Name/Addr	(if renting)
Landlord Phone	(if renting)

YOUR PREVIOUS RESIDENCE:
Address
Dates - From	To Monthly Rent/Mortgage $
Landlord Name/Addr	(if rented)
Landlord Phone	(if rented)

EMPLOYMENT:
Employed by	How Long?
Position
Address	Phone No.
Supervisor	Salary $
Additional Income $	Source

EMPLOYMENT SPOUSE / OTHER:
Employed by	How Long?
Position
Address	Phone No.
Supervisor	Salary $
Additional Income $	Source

OCCUPANT INFORMATION:
List all occupants and ages:

Convictions	Excluding minor traffic violations, have any of the Occupants ever been charged or convicted of a misdemeanor, felony or other other criminal activity ? Yes No If Yes, please explain (with dates):

PETS:
Will you be maintaining a Pet? Yes No
If "Yes", please provide the information below:
How Many?	(2 maximum)
Type of Pet	Weight at maturity Lbs. (80 Lbs. Maximum)
Pet Rent:	$25 monthly for 1st pet, $10 additional for 2nd pet

IN CASE OF EMERGENCY:
In the event of an emergency or death, name of individual to contact:
Contact	Relationship
Address	Phone

DISCLOSURE:

I hereby make an application for an apartment at Stone Creek Village and certify that I am of legal age and that the above information is correct. I authorize Infinity Management's agent to validate any and all information provided on this application. I agree to pay a non-refundable application fee of $40.00.

I understand that any lease agreement made on the basis of the above information may be terminated at any time at owner's/agent's option if the information is found to be false.

Place a Check Here to signify your agreement with the above.

Please note that it will take three business days to verify all of the above information.

* Applications will not be processed without receipt of $40.00 Application Fee.



Stone Creek Village Apartments 365 Stone Creek Point Charlottesville, Virginia 22902-1525	Copyright © 2010 All Rights Reserved	Phone: 434 872-9000 Fax: 434 872-9050 Toll Free: 1-866-LIVE AT SCV (548-3287)