Rental Pre-Application

Snow Belt Housing

Rental Pre-Application
Name

First Name Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

City County

Postal / Zip Code
Tenant info
Names of all household members that contribute to income:
Source of income for each household member:
Total monthly income for each tenant:
What is the total yearly income for everyone in the household?
How many people live in the household?
Is anyone age 60 or over?

Yes No
Is anyone disabled?

Yes No
Is anyone handicapped?

Yes No
Are you currently receiving housing assistance?

Yes No
Are you currently on the waiting list for one of our properties?

Yes No
Are you current with your utility companies?

Yes No
Has anyone in the household been convicted of a felony?

Yes No
Has anyone in the household been convicted of any drug charges?

Yes No
Does anyone in the household smoke?

Yes No
Do you have any pets?

Yes No
Type of apartment desired:
Location?
Number of bedrooms?
Upper or lower unit?
Amount of rent you can afford?
Do you need a handicap accessible unit?
Signature

Clear
Date

Month Day Year
Date
Should be Empty:

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