Rental Application
Each resident must submit separate applications.
Submit $30 for credit check with application. You will be asked for payment after submitting.
Application is made to lease known as
NUMBER where we can reach applicant if needed during processing
Applicants Name
Last
Current Landlord or
Mortgage Company
First
Phone
Middle
Rent/Mortgage
Per Month
Jr./Sr.
If Mortgage
give Acct #
Why moving?
Current
Address:
Previous Landlord or
Mortgage Company
How Long
Phone
Previous
Address:
Name
How Long
Applicant
Employed by:
Employers
Address:
Social Security #
Date of Birth:
Yearly Base
Salary:
Drivers
Lic. #
Supervisor:
Lic.
Plate #
Phone:
State
Insurance
How long at
Present Employer:
Position:
Bank Name:
Bank Address:
Had a Judgement
against you?
Have you ever
filed for Bankruptcy?
Have you been
Convicted of a
Crime?
Been Evicted?
Bank Phone:
Have you been
Convicted of a
Sex Crime?
Remarks or
Unusual
Circumstances:
Spouse Name
Social
Security#
Notify in case of emergency (other than spouse). Please list 2 names.
Spouse
Employer
Name
Name
Employer
Address
Relationship
Relationship
Address
Yearly Base
Salary:
Address
Supervisor:
Phone
Phone
Phone:
How long at
Employer:
Please Read The Following Statement Before agreeing to terms and conditions:
I (We) hereby certify that the foregoing information is true and accurate to the best of my (Our) knowledge. I (We) hereby authorize the person or
firm to whom this application is made, any credit bureau or other investigative agency employed by such person, to investigate the references,
statements or other data herein listed, obtained from me or from any other person pertaining to my credit and financial responsibility. I (We)
under·stand that there is a nonrefundable application fee. I (we) further understand that the credit check is for qualifying purposes only and , in
accordance with federal regulations, I (we) will not be given a copy of the report. After I (we) are notified of approval and I (we) CONFIRM that I
(We) want to occupy the unit I (we) understand that the security deposit is nonrefundable until lease is up and 30 day notice is properly given.
I Agree to the Terms and Conditions
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No