Millers Apartments

Millers Apartments Application

Please complete in English
Full Name*

First NameMiddle IntialLast Name
Maiden Name if married
Birth Date*

MonthDayYear
Phone Number

Area CodePhone Number
E-mail*
List of other proposed occupants (if children are listed, please include their ages)
Rental/Residence History
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date Residency*
Rent Amount paid*
Landlord name and phone number*
Reason for moving from current address?*
Dates of Residency*
Previous Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Rent amount paid*
Landlord name and phone number*
reason for leaving*
Employment Information
Current Employment*
Phone Number*
Occupation*
Gross monthly income*
Please upload two recent pay stubs*

Browse Files

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Dates of employments*
Previous Employer*
Occupation
Gross Income*
Dates of Employment*
Other sources of income?
If you came into financial difficulty, is there sombody you can contact and help you? Name and phone number
Misc Questions
Do you have pets?*

YesNo
If yes, what kind and size?*
Misrespresenting a service animal is fraud, punishable by up to $5000 fine and possible jail time.
Does anybody smoke?*

YesYes, but only outsideNo
Has an eviction ever been filed?*

YesNo
Do you have a felony or misdemeanor ?*

YesNo
Can you show proof of paying rent this past 6 months if asked?

YesNo
If we run a background check, will we find anything negative?*

YesNo
Is your current wages being garnished?

YesNoIf yes, please list amount being deducted:
If yes, what?
Vehicle make that you own
How did you hear about Millers Apartment?*

Friend/familyweb searchsigncraigslistFacebookOther
What apartment are you interested in?
What time frame are you looking to move?
References
Full Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Full Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Everybody over the age of 18 needs to fill one out. If there is multiple applicants, please close out current window after submitting it and re-open. Social Security number will be asked if approved. Also, by submitting this application, this gives Millers Apartments approval to contact people/businesses on this application to verify information and for them to release requested information.
Should be Empty:

Millers Apartments Application

Rental/Residence History

Employment Information

Misc Questions