Rental Application

Please fill out our secure rental application.

First	Middle	Last	Birth Date
Mobile Phone	E-mail	Social Security No.	Drivers License No.
This application is for the property at:
Street Address	City	State	Zip
All Other Proposed Occupants		Relationship to Applicant

Rental/Residence History

	Current Residence	Previous Residence	Prior Residence
Street Address
City
State and Zip
Last Rent Amount Paid
Owner/Manager Phone No.
Reason for Leaving
Is/Was Rent Paid in Full?	no yes	no yes	no yes
Did You Give Notice?	no yes	no yes	no yes
Were You Asked to Move?	no yes	no yes	no yes
	From/To	From/To	From/To
Dates of Residency

Employment History

Are you a full-time student?			no yes
	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

Emergency Contact

	Nearest Relative Living Elsewhere
Name
Street Address
City
State and Zip
Phone Number
By signing the application, you grant us permission to communicate with the relative listed above 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

Have you ever been served a late rent notice?	Company policy does not allow smoking. Do you agree to comply?
no yes	no yes
How long do you think you will be renting from us?
Have you ever been served an eviction notice? If so, when?	Have you ever been convicted of a felony?
no yes	no yes
Have you had any recurring problems with your current apartment or landlord? If yes, please explain.
no yes
Why are you moving from your current address?
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, and phone number so that we can use them as a reference for you.
no yes
We will run a credit check and a criminal background check. Is there anything negative we will find that you want to comment on?
no yes
How did you hear about this apartment?

Agreement and Authorization Signature

I believe that the statements I have made are true and correct. I hereby authorize a credit and/or criminal background 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 in part. Any questions regarding rejected applications must be submitted in writing and accompanied by a self-addressed, stamped envelope.