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Rental Application

Live in our Apartments or Townhomes

*There will be a $25 application fee

How/Where did you hear about us? 

Apartment address for which you are applying: 

Household Information

First Name: 

MI: 

Last Name: 

Date of Birth:  /  / 

SSN: 

Driver's License Number: 

Attach a photo of Drivers License: 

Main Phone: 

Email: 

  

Number of adults living in the apartment:   (Each adult must fill out an application.)

Number of children (under 18) living in the apartment: 

Any Pets?

What type of pets? 

Pet Weight 

Pet Breed 

Are your pets spayed or neutered?  

Do you or anyone occupying the apartment smoke:  

Address History

Current Address: 

City: 

State: 

Zip: 

Current Landlord: 

Landlord's Phone: 

Rented From:    To:  

Monthly Rent: $

Previous Address: 

City: 

State: 

Zip: 

Previous Landlord: 

Landlord's Phone: 

Rented From:    To:  

Monthly Rent: $

Applicant Income

Rent can not exceed 30-35% of monthly gross income.

Employer: 

Phone: 

Gross Monthly Income: $

Employed From:    To:  

Upload a W2, PayStub, or other proof of income: 

Other Sources of Income

Source of Income: 

Address: 

City: 

State: 

Zip: 

Contact Person: 

Phone: 

Amount: $

Bank Information

Local Bank: 

Phone: 

City: 

State: 

Current Loans: 

Payment Amount: $

Automobile Information

Make: 

Model: 

License: 

State: 

Background Information

In the last year have any of your rent or loan payments been more than 14 days late?

  

In the last year have 3 or more of your rent or loan payments been more than five days late?

  

Have you ever been convicted of a felony?

  

Have you been convicted of any drug related charges within the last five years?

  

Have you been convicted of two or more misdemeanors within the last 10 years?

  

Have you ever been evicted from a previous apartment?

  

Have you ever filed for bankruptcy?

  

If any of the above has not been answered truthfully, this rental application is subject to immediate rejection.

  • I understand that I will be charged a $25 application fee.
  • I have applied for an apartment from this landlord. As part of the application process, the landlord may verify any information contained in my application and in other documents required to process the application. Any false statements or omissions are grounds for immediate application rejection, or future termination of any lease signed pursuant to this application.
  • I authorize you to provide to the landlord, any and all information and documentation that they request. Such information includes, but is not limited to rental history, employment history, income, bank, and credit history. I authorize the landlord to verify such information with the entities on my application.
  • A copy of this authorization may be accepted as an original.

 I understand that checking this box constitutes a legal signature confirming that all the above information is true and that I consent to allow the landlord to complete a credit check before confirming this rental application.

Applicant Name: 

Confirmation Code:
 SUBMIT 
Maintenance Request Housing Application