Rental Application Form

Your First and Last Name (required)

Your Email (required)

Please re-type your email address

Desired number of bedrooms? (required)

Current Mailing Address (required)

Apartment Number (if applicable)

Your Primary Phone (required) Alternate Phone

Desired move-in date?

Social Security Number (required) Date of Birth

Spouse/Roommate First and Last Name

Spouse/Roommate Social Security No. Spouse/Roommate Date of Birth

Your Children's Names Your Children's Ages

Others Living in Unit/Co-Signer Total in Unit

Do you own a pet? Pet Type/Size

Present Manager

Phone Current Rental Rate

Reason for Leaving

Previous Street Address

How Long?

Previous Manager Phone

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Employer

Occupation How Long?

Employer Address

Supervisor Business Phone

Gross Income Per

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Previous Employer

Previous Occupation How Long?

Previous Employer Address

Supervisor Business Phone

Gross Income Per

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Spouse Employer

Previous Occupation How Long?

Previous Employer Address

Supervisor Business Phone

Gross Income Per

Do you receive income from other sources? (Please name source)

Total income from other sources:

AUTOMOBILES

Year Make Model Color

Year Make Model Color

Driver's License #1 State

Expiration Date

Address on License #1

Driver's License #2 State

Expiration Date

Address on License #2

BANK INFORMATION

Do you have a checking account? YesNo Bank Name

Do you have a savings account? YesNo Bank Name

Checking account bank address

Checking account city, state and zip

Do you have a credit card? YesNo With Whom?

PERSONAL REFERENCES
Note: Personal References Preclude Relatives

First Reference First and Last Name

Title Phone

First Reference Address, City, State and Zip code

Second Reference First and Last Name

Title Phone

Second Reference address, city, state and zip code

IN CASE OF EMERGENCY

Nearest Relative

Relationship Phone

Nearest Relative Address, City, State and Zip code

How did you hear about us?

Comments

Applicant hereby warrants the above information to be true and authorizes verification. It is understood that:

1. This application shall not be construed as a lease or agreement therefore, until execution and delivery of a lease to the applicant, the owner or its agent reserves the right to reject this application.

2. If this application is not approved, the deposit and/or rent with this application will be returned to the applicant and the parties hereto shall therefore have no further liability to each other.

3. If this application is approved, the deposit will be help as security for the performance and observation of the terms and conditions of the lease agreement.

4. Should applicant fail, through no fault of the Lessor, to complete said Lease Agreement when tendered, security deposited will become forfeited.

5. The applicant will be invoiced for $40 for 1st adult applicant and $25 for additional adult applicants or the applicant can mail in a deposit of $250 to have an apartment saved at time of applying.

NOTICE: ASSIGNED UNITS ARE NOT GUARANTEED, AND SUBSTITUTIONS WITH A LIKE UNIT MAY OCCUR AT LESSOR’S DISCRETION

 

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