Apply

It’s easy to apply to become a resident at Lakeside 121 apartments. Choose one of the following options:

Email:

  Download an application PDF | Word, fill it out on your computer, and email back to us at info@lakeside121.com.

Fax:

  Download an application PDF | Word , fill out by hand, and fax it back to us at 1-732-363-9104.

Apply Online:

APPLY ONLINE

BASIC INFORMATION


 Single  Married  Divorced  Widowed  Separated

 Yes  No

 Yes  No

 Yes  No

* Required Fields

Employment

CREDIT HISTORY

* Required Fields

Rental History

You must check if applicable. Please provide details in box below. (You represent the answer is “no” to any item not checked) Have you, your spouse, or any occupant listed in this application ever:







Spouse Information

Other Occupants




Vehicles

Emergency


Emergency contact person over 18, who will not be living with you:




If no box is checked, any of the above are authorized at our option. If you are seriously ill or injured, you authorize us to call EMS or send for an ambulance at your expense. We are not legally obligated to do so.

Referred By

* Required Fields


If yes, by whom?

If yes, please explain (lakeside121.com, Google, Craigslist, Facebook, etc.) If you did not find us online or through a referral, please explain:

Authorization

I hereby authorize any of the above named references to release requested information to Lakeside 121 Apartments/Brezan Management.