Rental Application
Residents and Occupants
Each co-resident and each occupant over 18 must submit a separate application. Spouses may submit a joint application. Please Note: Fields are limited to the amount of space allowed on the actual application form. Abbreviate as needed to fit the space provided.
Note that submitting this form electronically is the beginning of the application process. You will be required to sign a printed Rental Application.
This interactive form provides enough information for the property to which you are applying to get started, but you will be contacted for further information which will be used to complete the entire printed version of the Rental Application. You also will be required to forward a non-refundable application fee your application is processed. The property to which you are submitting this application will contact you regarding any requirements.
To view our Privacy Policy click here.
TYPE OF APARTMENT WANTED
1 Bedroom
2 Bedrooms/1Bath 2 Bedrooms/1.5 Baths
3 Bedrooms
PRICE RANGE
Less than $400
$400 - $499
$499 - $599
$599 or more
YOUR PERSONAL INFORMATION
Full Name: (exactly as on driver's license or govt. ID card)
Street Address: (include city, state and zip)
Driver's License or Govt. photo ID number and state
Former last names: (maiden and married)
Your Social Security number:
Birth date (MM/DD/YYYY)
Marital status:
single married divorced widowed separated
Current home address: (where you now live)
City/State/Zip
Phone number:
Date moved in:
Landlord name
Landlord phone number
Current monthly rent:
Reason for moving:
Previous home address:
Date moved in: Date moved out:
Monthly rent:
WORK HISTORY
Present employer
Supervisor's name
Work phone number
Position:
Gross monthly income
$
Date hired:
Additional income Source
Previous Employer:
Date hired
Date of termination
YOUR SPOUSE
OTHER OCCUPANTS
Names of all persons under 18 and other adults who will occupy the unit
1.
Full Name
Relationship
Social Security number:
2.
3.
CREDIT/RENTAL/CRIMINAL HISTORY
Have you, your spouse or any occupant listed above ever:
declared bankruptcy?
been evicted or asked to move out?
broken a rental agreement?
been sued for rent?
been sued for property damage?
been arrested for a felony or sex related crime that was resolved by conviction, probation, deferred
adjudication, court ordered community supervision, or pretrial diversion?
been arrested for a felony or sex related crime that has not been resolved by any method?
Please indicate the year, location and type of each felony
YOUR VEHICLES
List all vehicles to be parked by you, your spouse, or any occupants (including cars, trucks, motorcycles, trailers, etc.). Continue on separate email if more than three.
Make and color of vehicle Year
License plate number State
OTHER INFORMATION
Emergency contact person over 18, who will not be living with you
Full name
Address
Home phone number
Will you or any other occupant have a pet? Yes No
If yes,
kind weight
breed age
How did you hear about us?
Internet Stopped By Rental Publication
Rental Agency Newspaper
Friend (name) Other
APPLICATION FEE AND PAYMENT METHOD
The application fee is $35.00 per adult unless husband and wife. This fee is non-refundable. This payment partially defrays the cost of administrative paperwork. Depending on the policies of the property to which you are applying, you may also be required to forward an application deposit and/or sign a printed Rental Application before your application is processed.
AUTHORIZATION/ACKNOWLEDGMENT
By typing your full name in the space provided below, you declare that all your statements in this application are true and complete. By submitting this electronic application, you authorize the property to which you are applying to verify this information through any means, including consumer reporting agencies and other rental housing owners. If you fail to answer any question or give false information, the property may reject your application, retain all application fees and deposits as liquidated damages for its time and expense, and terminate your right of occupancy. Giving false information is a serious criminal offense. In lawsuits relating to the application or Lease Contract, the prevailing party may recover all attorneys' fees and litigation costs from the losing party. The property may at any time furnish information to consumer reporting agencies and other rental housing owners regarding your performance of your legal obligations, including both favorable and unfavorable information about your compliance with the Lease Contract, the rules and financial obligations.
Authorized/Acknowledged by: (Type your full name here)
SUBMISSION OF RENTAL APPLICATION
The following information is mandatory for the completion of this electronic rental application.
Submit rental application to:
Name of property in which you are applying.
City/state:
City/state in which property is located.
Email address of property:
Email of property to which you are applying.
Your email address:
Email where we may contact you if needed.
Date of application:
After you submit this electronic application, you may be contacted by the property for any additional information or requirements needed to complete the application process. Please provide the following contact information:
Phone number where we may reach you during business hours:
Type any comments or special requests you may have below:
