West Jefferson Apartments

The Good Life Address

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2 Bedroom

3 Bedroom

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Applications

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Applications

West Jefferson Apartments

Online Applications

We are now offering

Applications ONLINE.

To apply online use the simplified application to the right.

Or

Print Full Application from PDF format

and fax to us

574-259-1222

All parties on the lease must
 fill out individual applications
Must be 18 years of age to fill out.
First Name
Middle Name
Last Name
Date Of Birth
Social Security #
Monthly Income
Address Line 1
City
State
ZIP
Daytime Phone() -
Evening Phone() -
E-mail Address
Apartment Size
Number of Occupants
Other Roommate's Name
Other Roommate's Last Name
Other Date of Birth
Other Social Security
Move In Date
Document
Printable Application Fax To 574-259-1222

 Please call 574-259-9669

Fax 574-259-1222