Rental Application
  • Each adult (18 or older) must fill out a separate application
  • There is a non-refundable fee of $30/adult to apply
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Full Name *
Email Address *
Cell Phone Number *
Home Phone Number
Birth Date *
Social Security # *
Drivers License # *
Any Other Names You've Used In the Past
Please list any Other occupants and their relationship to the Applicant
Birth Dates for Other Proposed Occupants
RENTAL/RESIDENTIAL HISTORY
CURRENT RESIDENCE
Current Residence Address
 *
Last Rent Amount Paid
 *
Owner/Manager Name and Phone number
 *
Reason For Leaving
 *
Is/Was rent paid in full?
 *
Did you give notice?
 *
Where you asked to move?
 *
Name(s) in which your utilities were billed
 *
Date of residency From / To
 *
PREVIOUS RESIDENCE
Previous Residence Address
Last Rent Amount Paid
Owner/Manager Name and Phone number
Reason For Leaving
Is/Was rent paid in full?
Did you give notice?
Where you asked to move?
Name(s) in which your utilities were billed
Date of residency From / To
PRIOR RESIDENCE
Prior Residence Address
Last Rent Amount Paid
Owner/Manager Name and Phone number
Reason For Leaving
Was rent paid in full?
Did you give notice?
Where you asked to move?
Name(s) in which your utilities were billed
Date of residency From / To
EMPLOYMENT HISTORY
CURRENT EMPLOYER
Current Employer
 *
Employer Address
 *
Employer Phone Number
 *
Occupation
 *
Name of Supervisor
 *
Monthly Gross Pay
 *
Dates of Employment From/To
 *
PREVIOUS EMPLOYER
Previous Employer
Employer Address
Employer Phone Number
Occupation
Name of Supervisor
Monthly Gross Pay
Dates of Employment From/To
PRIOR EMPLOYER
Prior Employer
Employer Address
Employer Phone Number
Occupation
Name of Supervisor
Monthly Gross Pay
Dates of Employment From/To
CREDIT HISTORY
Savings Account Bank/Institution Name
Savings Account Balance
Checking Account Bank/Institution Name
Checking Account Balance
Credit Card Bank/Institution
Balance Owed
Auto Loan Bank/Institution
Balance Due
VEHICLES (Include vehicles belonging to other proposed occupants)
Vehicle 1 Make/Model/Year/Color
Vehicle 1 Make/Model/Year/Color
Vehicle 1 License Plate #
Vehicle 2 Make/Model/Year/Color

Vehicle 2 License Plate #

Additional Vehicles
REFERENCES & EMERGENCY CONTACTS
Doctors Name
Doctors Address
Doctors Phone Number
Lawyers Name
Lawyers Address
Lawyers Phone Number
Name of Nearest Relative Living Elsewhere
Address
Phone Number
Have you ever been served a late rent notice?
 *
Do any of the people who would be living in the apartment smoke?
 *
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?

Have you ever been served an eviction notice? If so, when?
How many pets do you have (List Type Breed, approx Weight & Age)?
Have you had any reoccurring problems with your current apartment or landlord? If yes, please explain:
Why are you moving from your current address?

List any verifiable sources and 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 the rent, do you know someone that would loan you the money? If so, provide the person's name, address, & phone# so that 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 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.
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