RENTAL APPLICATION

One step closer to your new home

Please be sure to submit the application fee!
APPLICATION FEE


Rental Application

Please note there is a non-refundable fee of $75 (for 2 adults over 18)

Applicant #1

First Name:

Middle Name:

Last Name:

Birth Date:

Social Security#:

Home Phone #:

Cell Phone #:

Email Address:

Applicant #2

First Name:

Middle Name:

Last Name:

Birth Date:

Social Security#:

Home Phone #:

Cell Phone #:

Email Address:

Other Proposed Occupants (under 18):

Other Occupant #1

First Name:

Middle Name:

Last Name:

Birth Date:

Social Security#:

Relationship to Applicant:

Other Occupant #2

First Name:

Middle Name:

Last Name:

Birth Date:

Social Security#:

Relationship to Applicant:

Other Occupant #3

First Name:

Middle Name:

Last Name:

Birth Date:

Social Security#:

Relationship to Applicant:

Current Residence

Street Address:

City:

State:

Zipcode:

Rental Amount:

Landlord Name:

Landlord Phone #:

Reason For Leaving:

Is/Was Rent Paid In Full?:

Did You Give Notice:

Were You Asked To Move:

Date of Residency (From/To):

Prior Residence

Street Address:

City:

State:

Zipcode:

Rental Amount:

Landlord Name:

Landlord Phone #:

Reason For Leaving:

Is/Was Rent Paid In Full?:

Did You Give Notice:

Were You Asked To Move:

Date of Residency (From/To):

Employment

Current Employer:

Street Address:

City:

State:

Zipcode:

Supervisor Name:

Phone #:

Monthly Gross Pay:

Date of Employment (From/To):

Pets:

# of Pets:

Type(s) of Pet(s):

Emergency Contact

Name:

Street Address:

City:

State:

Zipcode:

Phone #:

General Information

How did you hear about this apartment?

When would you be able to move in?

Have you ever been served a late rent notice?

Have you ever been served an eviction notice?

If yes, please explain:

Have you ever been convicted of a crime?

If yes, please explain:

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

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 me 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. I further understand that there is a $75 non-refundable fee to cover the cost of processing my application and I am not entitled to a refund even if I don’t get the apartment. Any questions regarding rejected applications must be submitted in writing and accompanied by a self-addressed stamped envelope.

Signature #1

Date

Signature #2

Date

Signature #3

Date