If you are interested in renting one of our properties either complete the online rental application below or print and return a hard copy of our rental application .
Online Rental Application |
| EQUAL HOUSING OPPORTUNITY |
| Please fill out the application completely. Incomplete applications will be discarded. |
| The undersigned hereby makes an application to rent unit #
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| located at
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| Anticipated move date of
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| at a monthly rent of $
and security deposit of $
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| PLEASE TELL US ABOUT YOURSELF |
Full Name |
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Home Phone |
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Date of Birth |
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Social Security # |
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Email Address |
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Other Phone |
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Co-Applicant Full Name |
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Home Phone |
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Date of Birth |
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Social Security # |
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Email Address |
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Other Phone |
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Your Driver's License Number |
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State |
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Vehicle Information |
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Vehicle Make/Model |
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Vehicle Year |
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License Plate # |
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License Plate State |
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Vehicle Make/Model |
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Vehicle Year |
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License Plate # |
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License Plate State |
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Names of Dependents |
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Dependents Dates of Birth |
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Pets? If so, please list |
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Do any of the applicants smoke? |
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Enter your initials here to indicate that you understand that all of our properties have a strict no smoking policy |
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| PLEASE GIVE RESIDENTIAL HISTORY (LAST 3 YEARS) |
Current Address |
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City/Zip code |
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Month/Year Moved In |
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Reason for Leaving |
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Owner/Agent |
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Phone Number |
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Previous Address |
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City/Zip code |
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Month/Year Moved In |
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Reason for Leaving |
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Owner/Agent |
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Phone Number |
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Previous Address |
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City/Zip code |
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Month/Year Moved In |
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Reason for Leaving |
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Owner/Agent |
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Phone Number |
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Previous Address |
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City/Zip code |
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Month/Year Moved In |
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Reason for Leaving |
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Owner/Agent |
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Phone Number |
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Previous Address |
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City/Zip code |
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Month/Year Moved In |
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Reason for Leaving |
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Owner/Agent |
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Phone Number |
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| PLEASE DESCRIBE YOUR CREDIT HISTORY |
Have you declared bankruptcy in the past seven (7) years? |
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Have you ever been evicted from a residential residence? |
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Have you had two or more late rental payments in the past year? |
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Have you ever willfully refused to pay rent when due? |
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| PLEASE PROVIDE YOUR EMPLOYMENT INFORMATION |
Your Status: |
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Employer |
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Dates Employed |
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Title |
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Supervisor Name |
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Phone Number |
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Monthly income |
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| If employed by above for less than 12 months, give name & phone number of previous employer or school: |
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| If you have any other sources of income that you would like us to consider, please list income, source, and person (banker, employer, etc) who we may contact for confirmation. You do not have to reveal alimony, child support, or spouse's annual income unless you want us to consider it in this application. |
Amount |
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Source/Contact name |
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Amount |
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Source/Contact name |
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Amount |
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Source/Contact name |
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| PLEASE LIST YOUR REFERENCES |
| Personal References an Emergency Contacts |
Name |
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Address |
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Phone Number |
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Relationship |
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Name |
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Address |
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Phone Number |
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Relationship |
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| Business Reference (A company or person who can verify you pay your bills) |
Name |
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Address |
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Phone Number |
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Relationship |
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| ADDITIONAL INFORMATION |
| Please give any additional information that might help owner/manager evaluate this application |
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| Where might we reach you to discuss this application? |
Day Phone Number |
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Night Phone Number |
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I hereby apply to lease the above described premises for the term and upon the set conditions set forth and agree that the rental is to be payable the first day of each month in advance.
I hereby authorize landlord/agent to verify the validity of all the above information, and to inquire with my employers, financial institutions, and any of the credit reporting bureaus available. I agree to supply any additional information needed by owner/agent to process this application & I acknowledge that my deposit will be forfeit if I do not comply with any such request. I agree that my screening fee of $20 per adult applicant is non-refundable.
I agree that landlord may terminate any agreement entered into in reliance on any misstatement made above. I declare, under penalty of perjury, all of the above information to be true and correct to the best of my knowledge.
You agree, by entering your name, initials and date below, that your initials will be binding as your digital signature. |
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Applicant |
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Initials |
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Date |
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Co-Applicant |
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Initials |
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Date |
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