Rental Application


Complete the following fields and click SUBMIT to complete the application
  (required of each co-resident over 18 years of age)

   Applicant Information
Please Select Community
 Applicant Legal Name
Last:  First:  MI: DOB:
 Social Security Number:*
   Co-Applicant Information
Last:  First:  MI: DOB:
 Social Security Number:*
   Other Occupants
Name: Birth Date: SS#*         Relationship
Name: Birth Date: SS#*         Relationship
Name: Birth Date: SS#*         Relationship
Name:

Birth Date:

SS#*         Relationship

* Social Security number required to complete application, but not required to submit.  To protect your privacy, we do not allow submittal of Social Security numbers via the internet.
 
  Rental History (last 5 years)
  Current Address

Address:  

Rent/month $:  

City:  

How Long:  
State:   Date Moving:  
ZIP:   Phone:  

   Reason for Moving:  

   

Landlord Name:  

Landlord number:  

  Previous Address 1

Address:  

Rent $  

City:  

How Long  
State:   Date Moving  
ZIP:      

   Reason for Moving:  

   

Landlord Name:  

Landlord number:  

       
  Previous Address 2

Address:  

Rent $:  

City:  

How Long:  
State:   Date Moving:  
ZIP:      

   Reason for Moving:  

   

Landlord Name:  

Landlord number:  

       
  Employment History
  Current Employer
 Employed Full Time:
Employed Part Time:
                 Retired:
       Self-Employed:
        Not Employed:
         Un-employed:
       
Company:   Position:  

Address:  

How Long:  

City:  

Current Salary:
(state per  hour/pay/year)  
State:   Do you receive overtime? Yes   No 
ZIP:    If so, how much?:  
Phone:      
       
  Previous Employer
Company:   Position:  
How Long:   Salary:   
(state per hour/pay/year)  

Address:  

   

City:  

   
State:      
ZIP:      
Phone:      
  Personal References
Name
 Address Phone
 
Name
 Address Phone
 
Name
 Address Phone
 
  Emergency Contact Information
Name
 Relationship Phone
 
  Credit References
Name of Institution Phone
Checking Acct # Savings Acct #
Mortgage Holder Account #
Other Loans    
  Credit Cards
  Credit Cards Owned
     VISA          Mastercard     
Discover  American Express     
  Background
Have you ever filed bankruptcy?

Yes   No

Discharge Date: 
Have you ever been evicted?

Yes   No

When: 

Have you ever been convicted of a crime other than a misdemeanor?

Yes   No

When: 

 If yes, please explain crime:  

       
 Vehicles
   Vehicle 1
Year: Type:
Color  Plate # License #  
Registered To    
   Vehicle 2
Year: Type:
Color  Plate # License #  
Registered To    
  Pets
Have Pets

Yes   No

Dog:  Cat: 
   

Other 

 
Name  Age  Weight  Color 
  How did you hear about us?


The Management relies on the information provided above to be complete and accurate in order for the application to be processed in a timely manner.  Any false statements, misrepresentations, inaccurate information or failure to supply the information requested may serve as a rejection of your application.  By submitting this application, you are authorizing the use of any credit reporting/screening agencies to verify credit, validate the accuracy of the information reported.  Further, your application authorized the management and the credit reporting/screening agencies to later exchange credit information.
 
       
  Authorization and Deposit


I/We hereby deposit $ ___________  as a non-refundable Application Fee and $__________ as a holding fee which will be applied to my required security deposit.  I understand that in the event I / We cancel this application, our holding fee will be retained by the management if this application is approved and I am unable to fulfill the conditions of occupancy.  I/We acknowledge the Landlord will suffer damages as a result of the processing of this application and holding a specified unit for a specified move in date.  The deposit will be returned if this application is not approved, providing all questions are answered correctly and truthfully.
 
You may "sign" this form electronically by typing in your full name and checking the Authorization checkbox below:
Signature:
Date:
Authorization:
The information I have supplied is true and complete to the best of my knowledge and ability:
Check here to confirm the above statement.
 
This application is incorporated into and becomes part of the lease agreement.  You will be required to provide social security numbers, deposit amounts, and physically sign the final application agreement.