Rental Application

Please fill out all applicable fields. For phone number fields, please use the following format: 000-000-0000. Fields marked with a red asterisk (*) are required

First Name *

Middle Initial

Last Name *

Birth Date *

Social Security # *

Driver's Licence # *

Any Other Names You've Used in the Past

Home Phone *

Cell Phone

Other Proposed Occupants

Occupant Name *

Occupant Birth Date *

Relationship to Applicant *

Add Remove

Rental/Residence History

Current Residence

Street Address *

City *

State *

Zip Code *

Owner/Manager

Owner/Manager Phone

Reason for Leaving

Is/Was Rent Paid in Full?

Yes

Did you Give Notice?

Yes

Were You Asked to Move?

Yes

Name(s) in which your utilities are now billed *

Lived Here From:

Lived Here Till:

Previous Residence

Street Address

City

State

Zip Code

Owner/Manager

Owner/Manager Phone

Reason for Leaving

Is/Was Rent Paid in Full?

Yes

Did you Give Notice?

Yes

Were You Asked to Move?

Yes

Name(s) in which your utilities are now billed

Lived Here From:

Lived Here Till:

Prior Residence

Street Address

City

State

Zip Code

Owner/Manager

Owner/Manager Phone

Reason for Leaving

Is/Was Rent Paid in Full?

Yes

Did you Give Notice?

Yes

Were You Asked to Move?

Yes

Name(s) in which your utilities are now billed

Lived Here From:

Lived Here Till:

Employment History

Current Employment

Employed By *

Address *

City *

State *

Zip Code *

Employer's Phone *

Occupation *

Name of Supervisor *

Monthly Gross Pay *

Worked here from: *

Worked Here Till: *

Previous Employment

Employed By

Address

City

State

Zip Code

Employer's Phone

Occupation

Name of Supervisor

Monthly Gross Pay

Worked here from:

Worked Here Till:

Prior Employment

Employed By

Address

City

State

Zip Code

Employer's Phone

Occupation

Name of Supervisor

Monthly Gross Pay

Worked here from:

Worked Here Till:

Credit History

Savings Account Bank Name *

Savings Account Balance on Deposit *

Checking Account Bank Name *

Checking Account Balance on Deposit *

Credit Card Institution Name

Credit Card Balance Owed

Auto Loan Institution Name

Auto Loan Balance Owed

References and Emergency Contacts

Reference 1

Name *

Address *

City *

State *

Zip Code *

Phone Number *

Reference 2

Name *

Address *

City *

State *

Zip Code *

Phone Number *

Nearest Relative Living Elsewhere

Name

Address

City

State

Zip Code

Phone Number

By submitting the application you grant us permission to communicate with all the contacts listed in the references and emergency contacts section in the event we can't locate you. Furthermore, if you abandon the apartment for any reason then you grant us permission to allow your relative listed above to remove all the contents of the dwelling on your behalf.

General Information

Have you ever been served a late rent notice? *

Yes

Do any of the people who would be living in the apartment smoke? *

Yes

How long do you think you would be renting from us? *

Have you ever filed for bankruptcy? If so, when? *

When would you be able to move in? *

Have you ever been convicted of a felony? *

Yes

Have you ever been served an eviction notice? If so, when? *

How many pets do you have?

Type

Breed

Age

Weight

Add Remove

Have you had any reoccuring problems with your current apartment or landlord? If yes, please explain:

Why are you moving from your current address? *

List any verifiable sources to amounts of income you wish to have considered (optional):

If you were to run into financial difficulty in the future and couldn't come up with the money to pay rent, do you know someone that would loan you the money? If so, please provide the person's name, address, & phone # so we can use them as a reference for you.

Have you been a party to a lawsuit in the past? If yes, please explain why:

We may run a credit check and a criminal background check. Is there anything negative we will find that you want to comment on?

How did you hear about this apartment?

Do you have an email address we can reach you at?

Do you know of anybody else looking for an apartment? Please provide their name and number. If you refer a friend and you each end up renting separate apartments from us then we will pay you a referral reward.

Agreement & Authorization Signature

I believe that the statements I have made are true and correct. I hereby authorize a credit and/or criminal check to be made, verification of information I provided and communication with any and all names listed on this application. I understand that any discrepancy or lack of information may result in the rejection of this application. I understand that this is an application for an apartment and does not constitute a rental or lease agreement in whole or part. Any questions regarding rejected applications must be submitted in writing and accompanied by a self-addressed stamped envelope.

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