Please complete the form as completely as you can. We will contact you within the next business day.
TIP! - you may use your [Tab] key to move forward through the form fields. [Shift + Tab] to move back. Or you may use your mouse to select the appropriate field. When you are completed with your application, click on the Submit Application button at the very bottom of the form. You will be prompted to confirm submission of your application.
Please note, on some browsers, pressing the [Enter] or [Return] key on your keyboard will activate the Submit Application button. You will still be prompted for confirmation to ensure you have completed filling out your application.
Application Disclosures (will open a new page)
Apartment #:
Address:
Monthly Rent:
Lease Term:
Security Deposit:
Complete the following information for each household member that will occupy the unit at the time of move-in and throughout the term of the lease. APPLICATION MUST BE COMPLETED IN FULL. FALSIFICATION OF INFORMATION IS GROUNDS FOR DENIAL
First Name
Last Name
Male / Female
Date of Birth
Driver's Lic. #
Social Security #
#1
#2
#3
#4
Daytime Phone:
Evening Phone:
1.
Do you expect any additions to the household within the next 12 months?
Yes No If so, Name & Relationship:
2.
Have you, or any other person named on this application, ever been convicted of a crime related to disturbance of neighbors, destruction of property, drug-related felonious criminal activity or violence to persons or property?
Yes No If yes, explain:
3.
Do you have or do you anticipate having any pets?
Yes No If so, explain:
4.
Do you owe past due rent or other monetary obligations to your current landlord or a previous landlord?
Yes No
5.
Do you wish to receive a written explanation of denial?
6.
Have you ever refused to pay rent?
7.
Have you ever been evicted or asked to leave?
Name:
Phone:
Relationship:
Present Address:
Rent
City
State
Zip
Home Phone
Name of Landlord/Manager:
Phone
Landlord/Manager Address:
Fax
Start Date:
End Date:
Previous Address:
Apt #
Car #1:
Primary Driver's Name:
Make/Model/Year/Color:
License Plate #:
Driver's License #:
Car #2:
Present Employer:
Position
Start/End Date:
Supervisor:
Supervisor's Phone
Hours / Week:
Gross Monthly Inc.:
Gross Monthly Income Amount $
Will you be receiving any other income that you want considered with this application (e.g. Section 8 Rental Assistance, SSI, Social Security, public assistance, W-2, alimony, child support, savings trust funds, scholarships, or any other type of income)? If so, please provide the following information for verification.
Source / Agency:
Agency Address:
Contact Person:
Phone Number:
Amount ($):
Self Employed Applicants: If you are self employed you will need to provide the following information: Tax returns, business license, bank records and/or vendor names, with addresses and phone numbers for verification.
Have you ever filed for bankruptcy?
Credit Reference
Address & Phone #
Type & Account Number
The purpose of this application is to determine whether I qualify as a tenant. If my application is approved, the Landlord and I shall sign a written lease. I have no rental agreement with the Landlord before teh time of the lease signing.
I have paid the earnest deposit. The earnest money deposit will be applied to my security deposit or my first month's rent if the Landlord enters into a lease or rental agreement with me. If this application is approved, and I fail to enter into a lease or rental agreement, the earnest money and any subsequent payments may be retained to compensate the Landlord's costs and damages, subject to the Landlord's duty to mitigate. If this application is rejected or withdrawn or if no action is taken by the end fo the 10th calendar day following receipt of the earnest money, the earnest money and any subsequent payments will be refunded by the end of the next business day.
I hereby authorize the Landlord and Manager to investigate my credit and financial responsibility, income, rental and eviction history, conviction record and the statements made in this application, and to obtain a customer credit report on me from a consumer reporting agency that compiles and maintains files on consumers on a nationwide basis. My performance under any lease or rental agreement that I may enter into with the Landlord may be reported to such reporting agency.
I acknowledge that the Manager and the agents and employees thereof represent the interests of the Landlord, but they also have a duty to treat all parties fairly and in accordance with fair housing law, and to disclose material adverse facts about the property.
I warrant and represent that I am at least 18 years of age and that all information and answers to the above questions are true and complete to the best of my knowledge. I understand that providing false information or making false statements may be grounds for denial of my application. I also understand that such action may result in criminal penalties. I understand that my occupancy is contingent on meeting management's resident selection criteria.
TO THE BEST OF MY KNOWLEDGE ALL THE ABOVE INFORMATION IS TRUE. ANY FALSE INFORMATION WILL RESULT IN REJECTION OF APPLICATION.
Email Address
Disclosures: I HAVE READ, UNDERSTAND, AND AGREE WITH THE APPLICATION DISCLOSURES: Yes No Application Disclosures (will open a new page)
Signature:
Date:
Do you wish to receive a written explanation of denial? Yes No
Lease Start Date:
Apartment(s):
Rent $
Rent is per month, plus gas & electric. Security Deposit is one-half of a month's rent.
How did you hear about us?
What made you decide to apply here versus elsewhere?
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