APPLICATION - RESIDENT

We subscribe to all Federal, State, and Local Fair Housing Laws

Apartment applying for*

Unit Number

Move In Date

Date

Name*

Home Phone Number

Please enter a valid phone number.

Cell Phone Number*

Please enter a valid phone number.

Date of Birth*

Date

Email*

example@example.com

Driver License*

Driver License Expiration Date*

Date

State License from*

Other Residents (must complete Resident Application if 18 or older)

Relationship

Date of Birth

Date

Other Residents (must complete Resident Application if 18 or older)

Relationship

Date of Birth

Date

Other Residents (must complete Resident Application if 18 or older)

Relationship

Date of Birth

Date

Present Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Present Landlord/Lender*

Present Landlord/Lender Phone Number*

Please enter a valid phone number.

Present Rent/Morgage Per Month*

Starting Date of Residency*

Date

Reason for moving*

Previous Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Previous Landlord/Lender

Previous Landlord/Lender Phone Number

Please enter a valid phone number.

Previous Rent/Morgage Per Month

Previous Dates of residency

Date

Previous Reason for Moving

Are you being / ever been evicted or not renewed by a landlord?*

YESNO

Do you / will you owe any landlord money?*

YESNO

Current Employer*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Start Date*

Date

Position Held*

Monthly Gross Income*

Supervisor*

Phone Number*

Please enter a valid phone number.

If above employment is less than one year, please complete the following section: Previous Employer

Previous Employer

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Start Date

Date

End Date

Date

Position Held

Monthly Gross Income

Supervisor

Phone Number

Please enter a valid phone number.

Source

Monthly Amount

Contact for Verification

Source

Monthly Amount

Contact for Verification

Have you ever filed for bankruptcy?

YESNO

If yes please explain

Make, Model, Year, Color*

License Plate*

Make, Model, Year, Color

License Plate

Full Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone*

Please enter a valid phone number.

Relationship*

Years Known*

Full Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone*

Please enter a valid phone number.

Relationship*

Years Known*

Full Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone

Please enter a valid phone number.

Relationship

Years Known

Do you own any pets?*

YESNO

If yes, please describe:

Have you ever been arrested and/or convicted of drug-related criminal activity, destruction of property, disturbance of neighbors, and/or crimilal activity involving violence to person or property?*

YESNO

Have you ever been arrested and/or convicted of any other crimes within the last two years?*

YESNO

My work/lifestyle requires travel which may include domestic or international travel and/or use of hotel/motels. (Not including vacation travel)*

YESNO

Do you smoke?*

YESNO

Are you military veteran or currently serving in the military?*

YESNO

If yes, please specify Military Branch and years of service (e.g. 1996-2005):

Emergency Contact Name*

Address*

Address

Street Address Line 2

City

Zip

Phone*

Relationship*

The purpose of this application is to determine whether I qualify as a resident. If my application is approved, the Landlord, cosigner (if required), and I shall sign a written Rental Agreement. I have no Rental Agreement with the Landlord before the time of the Rental Agreement signing.
Earnest Money, Rental Agreement, and Cancellation: I have included the earnest money deposit with this application. The earnest money deposit will be applied to my security deposit if the Landlord enters into a Rental Agreement with me. If this application is approved, and I fail to notify Landlord in writing within three calendar days of notification of acceptance that I will not enter into a Rental Agreement, I will be subject to charges including, but not limited to, lost rent and marketing, subject to the Landlord's duty to mitigate. I understand that such costs and damages may exceed the amount of the earnest money deposit. If I do not enter into a Rental Agreement with the Landlord, with or without proper notice, I am subject to a minimum $100.00 processing fee. If this application is rejected or if Landlord takes no action by the end of the third business day following receipt of the earnest money, the earnest money and any subsequent payments will be refunded by the end of the next business day.
Authorization: I hereby authorize the Landlord and Manager to investigate my credit and financial responsibility, income, rental and eviction history, and the statements made in this application, and to obtain a consumer credit report on me from a consumer reporting agency that compiles and maintains files on a nationwide basis. My performance under any Rental Agreement that I may enter into with the Landlord may be reported to such reporting agency. The Fair Credit Reporting Act, Public Law 91-508, requires that I be notified that, as part of normal procedure, a credit inquiry may be made by another company if Landlord is not able to perform the credit inquiry directly. Landlord also maintains the right to review credit information listed above and run periodic credit checks if any accounts associated with my residency are delinquent. Acknowledgement: I acknowledge that the Manager and the agents and employees thereof represent the interests of the Landlord, but they also must treat all parties fairly and in accordance with fair housing law, and disclose material adverse facts about the property.
Warranty: I warrant and represent that I am at least 18 years of age and that all information and answers to the questions on this application are true and complete to the best of my knowledge. I understand that providing false information or making false statements may be grounds for denial of my application, confiscation of my earnest money, and/or eviction. I also understand that such action may result in civil and/or criminal penalties. I understand that my occupancy is contingent on meeting Landlord's selection criteria.
I have been given the opportunity to review Landlord's Rental Agreement and Nonstandard Rental Provisions.
I understand that, if approved, I am JOINTLY & SEVERALLY LIABLE for meeting all terms and conditions.

I, First Name* Last Name* on this date, Date* understand and agree to all disclosures listed above.

Applicant Signature*

Date Signed*

Date

Applicant Social Security Number*

Driver's License Upload

Latest Paystub Upload

Second Latest Paystub Upload

Qualification

DeniedCosigner RequiredApproved

Applicant Notified On

Applicant Notified By

Application and Earnest Money Received on

Date

Photocopy of Driver's License Included

YESNO

Earnest Money Deposit Amount

Unit Number

Move In Date

Date

Type a question

Type option 1Type option 2Type option 3Type option 4

APPLICATION - RESIDENT

THIS IS NOT A LEASE OR RENTAL AGREEMENT

PERSONAL INFORMATION

ADDITIONAL RESIDENTS

RESIDENT HISTORY

EMPLOYMENT AND INCOME VERIFICATION

OTHER INCOME SOURCES

VEHICLE INFORMATION

PERSONAL REFERENCES

OTHER INFORMATION

EMERGENCY CONTACT

DISCLOSURES

FOR OFFICE USE ONLY