RENTAL APPLICATION

•	Each adult (18 or older) must fill out a separate application 

•	There is a non-refundable fee of $20/adult to apply 

First 	Middle	Last	Birth Date	Social Security #		Driver’s License #	
							
Any Other Names You’ve Used In The Past		Home Phone	Cell Phone	
			
All Other Proposed Occupants				Birth Date	Relationship To Applicant	

			

RENTAL/RESIDENCE HISTORY							
				Current Residence		Previous Residence		Prior Residence			
	Street Address							
												
	City							
												
	State & Zip							
												
	Last Rent Amount Paid							
												
	Owner/Manager							
											
	and Phone Number							
												
	Reason for leaving							
									
	Is/Was rent paid in full?							
												
	Did you give notice?							
												
	Were you asked to							
	move?							
	Name(s) in which your					
	utilities are now billed:					
				From/To		From/To		From/To			
	Dates of Residency							
												
EMPLOYMENT HISTORY							
				Current Employment			Previous Employment		Prior Employment			
	Employed By						
													
	Address						
													
	Employer’s Phone						
													
	Occupation						
													
	Name of Supervisor						
													
	Monthly Gross Pay						
													
				From/To			From/To		From/To			
	Dates of Employment						
													
CREDIT HISTORY										
				Bank/Institution Name		Balance On Deposit or Balance Owed				
	Savings Account							
											
	Checking Account							
											
	Credit Card							
											
	Auto Loan							
								
VEHICLES (Include vehicles belonging to other proposed occupants also)							
	Make		Model	Color		Year		License Plate			

PLEASE PRINT

REV 9.1

REFERENCES & EMERGENCY CONTACTS

	Doctor	Lawyer	Nearest Relative Living Elsewhere	
Name				
				
Street Address				
				
City				
				
State & Zip				
				
Phone Number				
				
By signing the application you grant us permission to communicate with all the contacts listed in this section in the event we can’t locate you. Furthermore, if you abandon the apartment for any reason then you grant us permission to allow your relative listed above to remove all contents of the dwelling on your behalf.

GENERAL INFORMATION

		Do any of the people	How long	
Have you ever been served a late rent notice?		who would be living in the apartment smoke?	do you think you would be renting from us?	
			
Have you ever filed for bankruptcy? If so, when?		When would you be able to move in?		Have you ever been convicted of a felony?	
			
Have you ever been served an eviction notice? If so, when?	How many pets do you have (list Type, Breed, approx Weight & Age)?	
		
Have you had any reoccurring problems with your current apartment or landlord? If yes, please explain:	
	
Why are you moving from your current address?						
	
List any verifiable sources and amounts of income you wish to have considered (optional):			
	
If you were to run into financial difficulty in the future and couldn’t come up with the money to pay the rent, do you know someone that would	
loan you the money? If so, provide the person’s name, address, & phone # so that we can use them as a reference for you.	
	
Have you been a party to a lawsuit in the past? If yes, please explain why:			
	
We may run a credit check and a criminal background check. Is there anything negative we will find that you want to comment on?	
	
How did you hear about this apartment?		Do you have an e-mail address we can reach you at?	
		
Do you know of anybody else looking for an apartment? Please provide their name and number. If you refer a friend and you each end up renting	
separate apartments from us then we will pay you a referral reward.		

Agreement & Authorization Signature

I believe that the statements I have made are true and correct. I hereby authorize a credit and/or criminal check to be made, verification of information I provided and communication with any and all names listed on this application. I understand that any discrepancy or lack of information may result in the rejection of this application. I understand that this is an application for an apartment and does not constitute a rental or lease agreement in whole or part. I further understand that there is a non-refundable fee to cover the cost of processing my application and I am not entitled to a refund even if I don’t get the apartment. Any questions regarding rejected applications must be submitted in writing and accompanied by a self-addressed stamped envelope.

Signature: _	_		Date: _	_

PLEASE PRINT	REV 9.1