Empty Eye Inc.
44422 Highway 290 Business, Ste.12
P.O. Box 126
Prairie View, Texas 77446

Property Manager:(832) 282-9327 (C)
Leasing Office:
(936) 857-9500 (O)

Rental Application Form
Full Name: ______________________________________
Home Address: __________________________________
Drivers License#: _________________________________
Or Govt. ID#: ____________________________________
Address on ID: ___________________________________
Vehicle Plate#: ___________________________________

Lease Term-From: _______________
Lease Term-To: _________________
College Attending ________________
_______________________________
_______________________________
_______________________________

Social Security#: __________________________________
Birthday: _________________________________________
Height & Weight: __________________________________
Sex, Eyes/Hair Color: M__ F__ Eye ________ Hair _______
Marital Status: ____________________________________
Are You a Citizen: Y__ N__ Other _____________________

Do You Have a Cosigner: __________
Cosigner’s Name: ________________
Cosigner’s Cell#: ________________
Do You Have a Roommate: ________
Roommate’s Name: ______________
Roommate’s Cell#: ______________

Cell Phone#: _____________________________________
Home Phone#: ___________________________________
Email Address: ___________________________________

Requesting A Roommate: Y___ N___
RM Gender: ____________________
RM Approx. Age: ________________

Name of Apartment you Live at Now: __________________
Current Manager’s Name: ___________________________
Their Phone#: ____________________________________
Move In Date: ____________________________________

Present Employer: ________________________________
Address: ________________________________________
Work Phone: _____________________________________
Position: