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

      • There is a non-refundable fee of $50/adult to apply

    First Name

    Middle Name

    Last Name


    Birth Date

    Social Security #

    Driver's License #

    Any Other Names You've Used In The Past

    Home Phone

    Cell Phone

    All Other Proper Occupants

    Birth Date

    Relationship To Applicant

    Rental/Residence History


    Current Residence

    Previous Residence

    Prior Residence

    Street Address


    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 utilises are now billed:




    Dates of Residency

    Employment History

    Current Employment

    Previous Employment

    Prior Employment

    Employment By


    Employeer's Phone


    Name of Supervisor

    Monthly Gross Pay




    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)





    License Plate

    Reference & Emergency Contacts



    Nearest Relative Living Elsewhere


    Street Address


    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.


    Have you ever been served a late rent notice?

    Do any of the people who would be living in the apartment smoke?

    How long 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.

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