Rooms Application

First Name*

Last Name *

Phone Number*

Driver's License or Photo ID*

Browse

Take Picture Attach Diver's or Photo ID

E-mail*

Date of Birth*

How Soon Are You Wanting To Move*

Social Security #*

Current Street Number*

Current Street Name *

Current City*

Current State *

Current Zipcode *

How Long At Current Address*

Previous Street Number*

Previous Street Name *

Previous City *

Previous State*

Previous Zipcode*

How Long At Previous Address*

Employers Name

Employers Ph. #

How Long Have You Worked There

NET Income Per Month *

Take Home Pay

Last 30 Days of Pay Stubs or Proof of Income

Upload a File

Last 30 Days Pays Stubs or Bank Statements

Do You Have Any Drug Charges Against You In The Last 5 Years*

Are You A Registered Sex Offender*

Are You Incarcerated Or Have Been Within The Last 6 Month*

Have You Been Evicted Within The Last 5 Years*

Do you have a Emotional Support Animal

Applicants requesting a special accommodation for an assistance animal will be asked to substantiate, via written documentation their disability under the ADA,their need for the animal. Landlord will not accept documentation from online companies that simply charge a fee to issue paperwork but do not actually evaluate the need for an assistance animal or ESA (emotional support animal)

RENTAL APPLICATION TERMS AND CONDITIONS

By submitting this rental application, the Applicant (“you”) agrees to the following terms and conditions:

1. Application Fee
A non-refundable application fee of $30. is required to process your application. Payment of this fee does not guarantee approval.

2. Application Screening
You authorize the Landlord/Property Manager to:

Verify the information provided on this application.
Obtain a consumer credit report.
Conduct a criminal background check.
Contact your references, employers, and previous landlords.
Accuracy of Information.
You certify that all information provided is complete and accurate. False, misleading, or omitted information may result in denial of the application or termination of tenancy.

4. Approval Process
Approval is based on factors including, but not limited to:

Credit history
Rental history
Employment/income verification
Background check
We reserve the right to deny any application that does not meet our criteria or to modify criteria as required by law.

5. Fair Housing Compliance
We comply with all federal, state, and local fair housing laws. We do not discriminate against any applicant based on race, color, religion, sex, national origin, disability, familial status, sexual orientation, or gender identity.

6. Lease Signing
If your application is approved, you will be required to sign a lease agreement within [30] days. Failure to do so may result in cancellation of your application and forfeiture of any holding deposit paid.

7. Privacy
Your personal information will be used solely for the purpose of evaluating your application and will be kept confidential to the extent required by law

Today's Date *

MonthDayYear

Signature

Application Fee *

Application Fee $30.00

Application Fee

Total $0.00

Payment Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration