Apply

Unit Options:

Desired Move In Date

Name:

First

Middle

Last
Present Address:

No. and Street

City

State

Zip
Home Phone #:

Cell Phone #:

Social Security #:

Driver's License #:

State:

Date of Birth:

OTHER OCCUPANTS
Name





Relationship





Age





PETS
Type


Breed


Pounds


Color


Name


Pet Fee per pet: Dog: $300 non-refundable + $30/mo
Cat: $200 non-refundable + $20/mo
Present Landlord:

Name

Address

City

State

Zip
Present Landlord Phone #:

Lease Expires:

Current Rent Amount:

Previous Address:

Dates at this address:

Previous Landlord:

Previous Landlord Phone #:

Previous Address:

Dates at this address:

Previous Landlord:

Previous Landlord Phone #:

Have you ever been evicted or broken a lease?
Yes No 
If yes, please explain:

EMPLOYMENT HISTORY
Current Employment:

Dates Employed:

Current Employment Address:

Telephone number:

Occupation:

Name of Supervisor:

Monthly Gross Income:

Previous Employment:

Dates Employed:

Previous Employment Address:

Telephone number:

Occupation:

Name of Supervisor:

Monthly Gross Income:

Prior Employment:

Dates Employed:

Prior Employment Address:

Telephone number:

Occupation:

Name of Supervisor:

Monthly Gross Income:

IN CASE OF EMERGENCY
Name:

Relationship:

Address:

Home Phone:

Cell Phone:

ANSWER THE FOLLOWING
1. Have you ever been convicted of a sexual offense?

Yes No 

Have you ever plead guilty or been convicted of a felony or misdemeanor?

Yes No 

If yes, please describe

Are you currently or have you ever been in the military?

Yes No 

AGREEMENT
1. It is understood that the applicant cannot take possession of the premises until the application is investigated and is accepted by the landlord, the first month's rent and all fees are paid and all parties sign the lease.
2. If applicant is denied, the application fee will not be refunded.
3. The undersigned hereby acknowledge and agree that Landlord may make inquiry of any individuals noted herein.
4. Lease must be signed within 5 days of approval of application.
Signature:


Please attach a copy of your identification and the proof of income for the two most recent months.

By typing my name in the following box I certify the above statements to be true and correct, to the best of my knowledge.

By typing your name in the box below you are explicitly indicating that you have read and that you agree to terms and conditions of this application and the terms and conditions of the policy documents, and that you have signed them electronically.

Your Name:

Date: