Requested Move-in Date/Size Information
Please Note that 3 Bedroom Units are NOT currently available. Availability is subject first come first serve as noted by Property Manager list.
If you wish to be placed on the waiting list please notify Property Manager upon your arrival.
Estimated Move-in Date
Personal Information Section
Date of Birth
Address Line 1
Address Line 2
Spouse/Co-Applicant Personal Information
Note: All residents above the age of 18, that are not full-time students/dependents or spouses are required to remit an additional application fee of $50.00 US.
Spouse or Co-Applicant
Spouse/Co-Applicant First Name
Spouse/Co-Applicant Last Name
Spouse/Co-Applicant Date of Birth
Minor Children Residents
Note: Please list all minor children that will reside in the apartment and their ages. If more than three, please contact the office at (337) 537-2220 to obtain prior approval.
Child 1 Name / Age
Child 2 Name / Age
Child 3 Name / Age
Emergency Contact Information
Note: Listing an emergency contact will assist Country Manor Apartments in proper notification in the event of an emergency.
Emergency Contact First Name
Emergency Contact Last Name
Emergency Contact Relationship
Emergency Contact Phone Number
By clicking the "Submit" button below you agree to have the information contained in this form used to determine your eligibility for renting an apartment at Country Manor Apartments. Upon clicking "Submit" you will be redirected to a payment page where you may pay the $100.00 USD Security Deposit and the non-refundable
USD Application Fee.
48 Hour Non-Refundable Security Deposit
If prospect cancels move in after having placed a security deposit to hold an apartment (48 hours from date of receipt). The Security deposit will be forfeited to recover cost of holding apartment off the market.
Please fill in ALL lines. Enter N/A or None if a line does not apply to you.