Lease Application Agreement
Rail South Apartments
Date submitted: 5/28/2025 1:44:39 PM CST
Resident Information
Name: Carolyn Rose Coleman
Site Address: 3656 Dewitt Lane
Lease Start: 5/29/2025
Lease End: 5/28/2026
Advertising Source: Word_of_Mouth/Friend/Family_
Referred by: N/A
Application - Carolyn Rose Coleman
Date Of Birth: 1952
Gender: Female
SSN/ITIN: 3520
Total Household Rental Voucher
Amount: $0.00
Est. Annual Gross Income: $17,500.00
Other Annual Income: $1,100.00
Driver's License/State ID: ***6095 - NC
Home Phone: 704-***-****
Work Phone:
Work Phone Ext:
Mobile: 704-***-****
Email: ***************@*****.***
Background Information - Carolyn Rose Coleman
Has felony, sex-related crime, or misdemeanor assault conviction?: No Has been evicted?: No
Emergency Contact - Carolyn Rose Coleman
Name: Rahmn Thomas
Relationship: Son
Address: 11001 Morgan Creek Dr Apt 105
Charlotte, NC 28273
US
Home Phone:
Work Phone:
Mobile: 704-***-****
Fax:
Email: ***********@*****.***
Current Residence - Carolyn Rose Coleman
Residence/Mortgage Company: Woodland Housing
Rent/Own/NA: Rent
Address: 1315 E Woodlawn Rd Apt 328
Charlotte, NC 28209
US
Rent Amount: $437.00
Manager/Contact: Mrs K Wripple
Move-In Date For Current Residence :
Phone: 980-***-****
Reason for leaving: Need accommodation for bathroo Fax:
Email:
$H - I$
Current Employer - Carolyn Rose Coleman
Job Type: Retired
Est. Annual Gross Income: $17,500.00
Additional Annual Income: $1,100.00
Pet / Animal Information
I do not have pets / animals.
Vehicle Information
I don't have Vehicles.
Household Additional Information
2Monthly Discount N/A
Acknowledgement and signature
I certify that all the information provided on this application is correct and true. CAROLYN ROSE COLEMAN 5/28/2025
Applicant signature Date
$H - S$