Rental Application

Rental Application

Application Fee: $0.00
Property to Occupy*
Desired Date of Occupancy*

MonthDayYear
Date
Total Number of Adults to Occupy the Apartment (age 18 and older)*
Total Number of Children to Occupy the Apartment (under the age of 18)*
*No pets allowed.
Primary Applicant's Information
Name*

First NameMiddle NameLast Name
Social Security Number*
Date of Birth*

MonthDayYear
Date
Drivers License Number*
Driver's License State of Issue*
i.e., Illinois
Cell Phone Number*
Format: (000) 000-0000.
Email Address*
example@gmail.com
Emergency Contact: First Name, Last Name, Cell Phone Number*
Primary Applicant's Rental and Criminal History
Has the Primary Applicant ever...

Been evicted or asked to move out?Declared bankruptcy within the past 4 years?Been sued for non payment of rent?Been arrested for a felony or misdemeanor involving: violent or sexual crime, fraud, embezzlement, theft, public lewdness, indecent exposure, destruction of property, violence, stalking, fire arm crimes, illegal drugs, or any other crime involving a minor that was resolved by conviction, probation, or deferred adjudication?Other
If No, please type "None" in the box below. If Yes, please explain each item below...*
Primary Applicant's Vehicle Information
What is the Make, Model, and Color of the Primary Applicant's Vehicle?*
(i.e., Ford, F-150, White)
Primary Applicant's Current Residence
Address*

Address

Street Address Line 2

CityState

Postal / Zip Code
Zip Code*
How Long At This Address?*
Monthly Rent/Mortgage Payment $*
Landlord Name/Mortgage Company*
Landlord Phone Number*
Format: (000) 000-0000.
Have you given written notice to your current landlord of your intent to leave?

YesNo
Primary Applicant's Employment History
Employed By*
Supervisor's Name*
Supervisor's Phone Number*
Format: (000) 000-0000.
Length of Employment*
Department or Position*
After-Tax Monthly Income*
Employer's Address*

Address

Street Address Line 2

CityState

Postal / Zip Code
Other Income (source and amount)
Co-Applicant's Information (if applicable)
Name

First NameMiddle NameLast Name
Social Security Number
Date of Birth

MonthDayYear
Date
Driver's License Number
Driver's License State of Issue
i.e., Illinois
Cell Phone
Format: (000) 000-0000.
Email Address
example@example.com
Co-Applicant's Rental and Criminal History
Has the Co-Applicant ever...

Been evicted or asked to move out?Declared bankruptcy within the past 4 years?Been sued for non payment of rent?Been arrested for a felony or misdemeanor involving: violent or sexual crime, fraud, embezzlement, theft, public lewdness, indecent exposure, destruction of property, violence, stalking, fire arm crimes, illegal drugs, or any other crime involving a minor that was resolved by conviction, probation, or deferred adjudication?Other
If No, please type "None" in the box below. If Yes, please explain each item below...
Co-Applicant's Vehicle Information
What is the Make, Model, and Color of the Co-Applicant's Vehicle?
(i.e., Ford, F-150, White)
Co-Applicant's Employment History (if applicable)
Employed by
Supervisor's Name
Supervisor's Phone Number
Format: (000) 000-0000.
Length of Employment
Department or Position
After-Tax Monthly Income
Co-Applicant's Employer's Address

Address

Street Address Line 2

CityState

Postal / Zip Code
Zip Code
Other Income (source and amount)
Signature(s) and Terms & Conditions
By signing, both the Primary Applicant and Co Applicant (if applicable), hereby confirm that each has read, understood, and agrees to the Rental Agreement Terms & Conditions as detailed in the below hyperlink.
Primary Applicant's Full Legal Name*
Today's Date*

MonthDayYear
Date
Co Applicant's Full Legal Name (if applicable)
Today's Date

MonthDayYear
Date
Should be Empty:

Rental Application

*No pets allowed.

Primary Applicant's Information

Primary Applicant's Rental and Criminal History

Primary Applicant's Vehicle Information

Primary Applicant's Current Residence

Primary Applicant's Employment History

Co-Applicant's Information (if applicable)

Co-Applicant's Rental and Criminal History

Co-Applicant's Vehicle Information

Co-Applicant's Employment History (if applicable)

Signature(s) and Terms & Conditions