Rental Application
Unit Size Requested (Please Select All That Apply)
*
1 Bedroom
2 Bedroom
3 + Bedrooms
Which town would you prefer?
*
Gaylord
Lewiston
Either Town Is Fine
Date Unit Needed
*
-
Month
-
Day
Year
Date
Maximum Monthly Budget
*
Primary Tenant Personal Information
Full Name
*
First Name
Middle Name
Last Name
Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
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31
Day
Please select a year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
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1928
1927
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1925
1924
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1922
1921
1920
Year
Phone #:
*
Social Security #:
*
E-mail
*
What is your preferred method of communication?
*
Phone
Email
Text Message
Drivers License #:
*
Current Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Previous Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you currently own or rent?
*
Own
Rent
What is your current Monthly Rent?
*
For how long have you been at your current address?
*
Current Landlord / Rental Company Name
*
Current Landlord / Rental Company Phone Number
*
Current Employer Name
*
Supervisor Name
*
Best Contact Number or Email for your supervisor?
*
What is your job title?
*
Employer Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Monthly Income
*
How Long Have you been here?
*
Previous Employer Name
*
Previous Supervisor Name
*
Best Contact Number or Email for your previous supervisor?
*
What was your job title?
*
Previous Employer Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Monthly Income
*
How Long were you here for?
*
Have you declared bankruptcy in the past 7 years?
*
YES
NO
Have you ever been evicted from a residential residence?
*
YES
NO
Have you had two or more late payments within the last year?
*
YES
NO
Have you ever been convicted of a felony?
*
YES
NO
Are you, or a member of the household subject to a registration requirement under a state sex offender program?
*
YES
NO
Are you a medical marijuana caregiver?
*
YES
NO
Co- Applicant Personal Information
Full Name
First Name
Middle Name
Last Name
Birth Date
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Phone #:
Social Security #:
E-mail
example@example.com
What is your preferred method of communication?
Phone
Email
Text Message
Drivers License #:
Current Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Previous Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you currently own or rent?
Own
Rent
What is your current Monthly Rent?
For how long have you been at your current address?
Current Landlord / Rental Company Name
Current Landlord / Rental Company Phone Number
Current Employer Name
Supervisor Name
Best Contact Number or Email for your supervisor?
What is your job title?
Employer Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Monthly Income
How Long Have you been here?
Previous Employer Name
Previous Supervisor Name
Best Contact Number or Email for your previous supervisor?
What was your job title?
Previous Employer Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Monthly Income
How Long were you here for?
Have you declared bankruptcy in the past 7 years?
YES
NO
Have you ever been evicted from a residential residence?
YES
NO
Have you had two or more late payments within the last year?
YES
NO
Have you ever been convicted of a felony?
YES
NO
Are you, or a member of the household subject to a registration requirement under a state sex offender program?
YES
NO
Are you a medical marijuana caregiver?
YES
NO
Other Information
Pets (please describe)
*
Vehicles to be parked on premise, please include Vehicle Type and License Plate(s)
*
Make/Model/Year/License #
Please include any additional information you believe would help us evaluate this application.
*
Please include any other people who will be sharing the unit with you.
*
Emergency Contact Name (Someone Not Residing With You)
*
Emergency Contact Phone Number
*
Final Submit
Terms
The information on this application is true and correct to the best of my knowledge. I hereby authorize to verify the above information and obtain consumer or investigative credit report, criminal background report, and/or eviction records at a cost of $35 per person over the age of 18. I / We also agree that the landlord may terminate any agreement entered into in reliance on any false statement or material omission above.
*
I Agree
Primary Tenant Signature
*
Co-Applicant Signature
Submit Application
Should be Empty: