Copperleaf L.L.C.
Fax: 985-662-0083
The
following documents are needed to process an application.
$100.00 – Hold Deposit (To be applied to Security Deposit)
Completed application
Copy
of State I.D. or Drivers License
Copy of your two
most recent pay stubs or Disability Statements
General Information
The
resident(s) is responsible for all utilities. Copperleaf pays for Water, Sewer, Trash, Lawn care, Pest control.
Rent will be $900.00 per month, due on the 1st
day of the month.
(Includes
Water, Sewer, Trash, Lawn care, Pest control.)
Application Personal Information
Applicant’s full name ________________________________________
Phone#________________ Email__________________
Date of Birth ____________Current Address __________________________________
City ________________ State ______ ZIP _________Social
Security # ______________________
Name of Employer _____________________________ Date of Hire ________________
Employer Address ______________________________________ Monthly Salary Range _______________
Position
_______________ Employer Phone ________________
Supervisor ___________________
CO-Applicant Full Name _____________________________________
Phone#________________
Email____________________
Date of Birth ____________Current
Address __________________________________
City ________________ State
______ ZIP _________Social Security # ______________________
Name of Employer _____________________________ Date of Hire ________________
Employer Address ______________________________________ Monthly Salary Range _______________
Position _______________ Employer Phone ________________ Supervisor ___________________
Other Occupants
Occupant’s Full name _________________________________
Phone#________________ Email___________________
Date of Birth ____________Current Address __________________________________
City ________________ State ______ ZIP _________Social Security # ______________________
Name of Employer _____________________________
Date of Hire ________________Employer Address ______________________________________ Monthly Salary Range _______________Position
_______________
Employer Phone ________________ Supervisor ___________________
Other Information
In case of emergency, Notify _____________________________
Relationship _______________Address ____________________________________
Phone _________________
References
#1 Name ____________________
Relationship _______________
Telephone _________________
#2Name ____________________ Relationship _______________
Telephone _________________
Residence
History
Landlord or Mortgage holder ___________________ Length of time ________________
Rental amount ______________ Reason for moving ________________________________________________________
Phone Number of Current Landlord_______________________________
Banking and Credit Information
Bank _______________________ Branch ____________________ Type of account ________________Type of account ________________
The Landlord or Agent to determine whether to accept
this application may use this information. By signing below, you are giving authorization for a Reference,
Criminal Background
check and credit check to be performed.
Tenant ___________________ Date
______________________ Tenant ___________________ Date ______________________
Copperleaf L.L.C.
P.O.BOX 2457
Hammond,
La. 70404