Davis Landings Waiting List Application Form
APPLICANT
Applicant First Name:
Applicant Last Name:
Date of Birth:
Current Address:
City:
State:
ZIP Code:
Marital Status
Single
Married
Divorced
Separated
Widowed
Home Phone:
Work Phone:
Cell Phone:
Fax:
Email:
Do you live in Palm Beach County?
Yes
No
Is there a co-applicant?
Yes
No
CO-APPLICANT
Co-Applicant First Name:
Co-Applicant Last Name:
Date of Birth:
Current Address:
City:
State:
ZIP Code:
Marital Status
Single
Married
Divorced
Separated
Widowed
Home Phone:
Work Phone:
Cell Phone:
Fax:
Email:
Household Information
Total Household Size?
Please select...
1
2
3
4
5
6
7
8
9
10+
Annual household income
before taxes
and to include all income from employment, social security/disability, child support, alimony etc.?
Apartment Size desired (Number of Bedrooms)
Please select...
1
2
3
4
5
6+
Is anyone in the household disabled?
Yes
No
Is anyone in the household receiving a Section 8 subsidy?
Yes
No
Contact Information