FOSTER TOWER CONDOMINIUM

APT.#1405                                                                                                                                       Deposit:____________               

APPLICATIONFOR RESIDENCY

                                             (PleasePrint Clearly)

NAME           FIRST                   MIDDLE                          LAST                                      SOC. SEC.#                   PRESENT PHONE

PRESENT ADDRESS                Street                                Apt.#                       CITY                            STATE               ZIP CODE

PRESENT (MOST RECENT LANDLORD/AGENT)      PHONE (Incl. Area)    HOW LONG?     REASON FOR LEAVING

EMPLOYMENT  INFORMATION  (If retired,list previous occupation or profession)_____________________________________

EMPLOYER/COMPANY/FIRM             STREET                                      CITY                   STATE     ZIP CODE                PHONE

POSITION HELD                                                                                 HOWLONG EMPLOYED                         SUPERVISOR

LIST OFPERSONS RESIDING WITH YOU (each much be interviewed & approved by theRental Agent.)

NAME            FIRST                   MIDDLE                          LAST                                      SOC. SEC.#                          PRESENT PHONE

EMPLOYER/COMPANY/FIRM             STREET                                      CITY                   STATE     ZIP CODE          BUS.  PHONE

NAME           FIRST                  MIDDLE                         LAST                                     SOC. SEC.#                         PRESENT PHONE

EMPLOYER/COMPANY/FIRM             STREET                                      CITY                   STATE     ZIP CODE          BUS.  PHONE

REFERENCES: (Local Preferred)________________________________________________________________________________

NAME                                          ADDRESS                                   CITY                   STATE        OCCUPATION          PHONE

NAME                                          ADDRESS                                   CITY                   STATE        OCCUPATION          PHONE

VEHICLE/CAR (MAKE)               YEAR        MODEL                   COLOR               LICENSE      STATE                    STALL NO.

EMERGENCYINFORMATION (Repeat name of occupant in same sequence asabove.)__________________________________

NAME OF OCCUPANT                          PHYSICIAN                     PHONE               HOSPITAL PREFERENCE           PHONE

PERSONS TO NOTIFY: NAME           COMPLETE ADDRESS                                                       PHONE:  HOME             BUSINESS

NAME OF OCCUPANT                          PHYSICIAN                     PHONE               HOSPITAL PREFERENCE           PHONE

PERSONS TO NOTIFY: NAME           COMPLETE ADDRESS                                                       PHONE:  HOME             BUSINESS

NAME OF OCCUPANT                          PHYSICIAN                     PHONE               HOSPITAL PREFERENCE           PHONE

PERSONS TO NOTIFY: NAME           COMPLETE ADDRESS                                                       PHONE:  HOME             BUSINESS

Current Income $ _____________  Weekly/Monthly/Yearly         Source _________________________________________________

Current Income $ _____________  Weekly/Monthly/Yearly         Source _________________________________________________

Current (open) include Credit Card(s)

CREDITORS NAME                               ADDRESS                                 ACCOUNT #                           PAYMENT         CURRENT

__________________________________________________________________________  $_______________   [   ] Yes    [  ]  No

__________________________________________________________________________  $ _______________  [   ] Yes    [  ] No

FOSTER TOWERAPPLICATION FOR RESIDENCY Page 2/2

I/we understand that occupancy islimited to those whose names are listed here/or on supplementalapplications.  The Rental Agent and/orthe Owner must approve all applicants prior to occupancy.  Short-term guests must be registered withthe Resident Manager prior to occupancy.

The undersigned applicant agrees tonotify the Resident Manager and request an assignment of an elevator to move inor out of the building at least 48 hours prior to move.  Arrangements will be made for parking moversat that time.

The undersigned applicants areaware that guest parking is available with Resident Manager’s permission only.Without permission any violators will have their cars/vehicles towed away atthe owner’s expense without notice. Manager assigns use of any parking area during office hours for servicepeople.

In case of illness or injury and anambulance is needed, the Association (Foster Tower) or a representative willnot be held responsible for payment of this service.

The undersigned and all occupantsare aware that there is a $100.00 charge for any lost security key, which mustbe reported immediately to Resident Manager.

Security is every resident orguest’s responsibility.  Allow no oneaccess to the lobby, elevator, pool deck, or any floor unless the person is aknown current resident or person showing their security key.  Always be sure all exist doors are securelyshut.

The undersigned has read and understands the Houserules and agrees to abide by them.  Itis also acknowledged that any breach of these House Rules is grounds forimmediate termination of all tenancy rights regardless of any written or verballease or rental agreement.

The undersigned completes thisapplication with the knowledge that the apartment owner/agent  will rely on the accuracy hereof in actingon this application.  If, uponinvestigation, anything of substance contained on this form is found to beuntrue, it is understood that resident and residents, solely and jointly, willbe subject to termination of all tenancy rights.  This application is subject to approval and acceptance by theRental Agent and/or the Owner.

The undersigned Applicant(s)authorizes the owner, and/or the agent, to contact past and present landlords,employers, creditors, credit bureau, neighbours, and any other sources deemednecessary to investigate applicant(s).

ANY PERSON OR FIRM ISAUTHORIZED TO RELEASE INFORMATION ABOUT THE UNDERSIGNED UPON PRESENTATION OFTHIS FORM OR A PHOTOCOPY OF THIS FORM AT ANY TIME.

          AGENT                            APPROVAL      DISAPPROVAL         APPLICANT(S) SIGNATURE

 ___________________              ______              ______                1. _______________________      

 Walt FloodRealty

                                                                                                           2.  _______________________

                                                                                                           3.  _______________________

DATE: _______________                                                               DATE: _____________________

Revised:May 20, 2007 (Walt Flood Realty)