Application Form

Rental Application
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Phone Number
Email*

Confirmation Emailexample@example.com
Move in date *

MonthDayYear
Date
Move out date *

MonthDayYear
Date
Preferred length of stay*
Current Address
Current Address*

Street Address

Street Address Line 2

CityState

Zip Code
Length of Time at Current Address*
Reason for Moving:*
Manager Name*
Manager Phone*

Area CodePhone Number
Have you given legal notice to vacate where you live now? *

YesNo
Are you related in any way to your landlord?*

YesNo
Other States you have lived in the past 5 years*
Previous address if at current less than 1 year
Employment Information
Occupation*
Company*
Manager Name*
Manager Phone*

Area CodePhone Number
Current Gross Income*
Time with employer*
If you have other sources of income for us to consider, please list income, source, and person (banker, employer, etc.) who we may contact. You do not have to reveal alimony, child support, or spouse's annual income unless you want us to consider it in this application. Details
Background Information

Financial
Credit Score if known. This can be obtained from your bank or websites like creditkarma.com*
Do you have pets? If so please give details.*

NoOther
Have you declared bankruptcy in the past seven (7) years?*

YesNo
Background Information

Criminal
Have you ever been convicted of a violent felony, Domestic Violence or Arson?*

YesNo
Have you or other person on this application ever been convicted for dealing or manufacturing illegal drugs?*

YesNo
Background Information

Rental
Willfully or intentionally refused to pay rent when due?*

NoYes
Details for refusing to pay rent
Have you had two or more late rental payments in the past year?*

NoYes
Late rent details
Been evicted from a tenancy or left owing money?*

NoYes
Eviction Details
Broken a lease?*

NoYes
Broken Lease Details
Have you ever been served a notice to vacate?*

NoYes
Server Notice Details
How many people will occupy the unit*

Smoke Free Property
This is a smoke free property. You will be required to sign a "No Smoking" agreement upon rental approval.*

I AGREE to sign a "No Smoking" agreementI do NOT agree
Emergency Contact
Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Should be Empty:

	Name	Age	Relationship
Occupant 1
Occupant 2
Occupant 3
Occupant 4

Rental Application

Current Address

Employment Information

Background Information

Background Information

Background Information

Smoke Free Property

Emergency Contact