Application Submitted For: The 505

Date Submitted: Fri, Aug 13, 2021 02:20 PM MDT IP Address:66.76.80.142

Thank you for your rental application for The 505.

Basic Information

Application ID 18523535

Name : Terri Renee Atchison Applicant Type : Guarantor

Email : jrsgel@yahoo.com

Birth Date : 12/07/1961

Mobile : (417) 827-2684

Unit Info

Property The 505

Floor Plan 4 BEDROOM, 4 BATH Unit Apt.413

Additional Info

Current Address:

Address 621 N. Spout Spring Street

NIXA, MISSOURI 65714
United States

General Questions :
 Have you ever had an eviction filed No
or left owing money to a landlord?

Education
;

Financial

Income Details

Current Employer

Employer HCW Management

Name: Consultants, LLC

Address 153 S. Payne Stewart Drive

BRANSON, MISSOURI 65616
United States

Supervisor Barry Schwartz Supervisor (417) 332-3438

Name: Phone:

Supervisor bschwartz@hcw.us
Email:

Income: 5000.00 Position: Office Manager

Started On: 06/23/2011

Digital Signature

Full Name Terri Atchison

IP Address 66.76.80.142

PLEASE READ THE FOLLOWING CAREFULLY BEFORE SUBMITTING THIS APPLICATION The
application fee is waived when applying online. A Housing Agreement may be offered to Applicant but
space cannot be reserved until Applicant and the property Owner have mutually signed the Housing
Agreement. Any misstatement or omission of fact in this application will be grounds for the application to
be declined and any deposit to be forfeited. I represent that all of the information provided above is
accurate and complete. I authorize Owner and its agent to verify the above and to obtain references,
credit reports and public records. I have reviewed and understand the Housing Agreement. This
application is not a lease or agreement for residency; only a fully signed Housing Agreement will be
 binding on Owner.

Please retain for your records.

Terms and Conditions.
Application Submitted For: The 505
Date Submitted: Fri, Aug 13, 2021 02:20 PM MDT IP Address: 66.76.80.142
Birth Date: 12/07/1961 Email Address: jrsgel@yahoo.com

Please retain for your records.

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