Property Address for which you are applying   

Desired Move-In Date 


Applicant Name                  
Second Applicant Name     
Relationship to Applicant SpouseRoommateFamilyOtherNot Applicable

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Applicant 1 Data:

Current Address     (Don't forget apartment, if applicable)
City   State  Zip 

Telephone                E-mail 
                 Other contact Method     (fax, cellular, second line, second email)

Date of Birth                 Social Security Number
                Drivers License Number State

Do you own, rent, or simply reside at your current residence?   Rent Own Neither own or rent

Name of Current Landlord Telephone number of Current Landlord
                                  Current Rent 

Current Employer Telephone      Supervisor
               Duration of Employment    Monthly Income

Emergency Contact Information: (Not Applicant 2)
      Name Address  Phone

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Applicant 2 Data:
(Items in Red do not need to be completed if the information is the same as Applicant 1)

Current Address     (Don't forget apartment, if applicable)
City   State  Zip 

Telephone                E-mail 
                 Other contact Method     (fax, cellular, second line, second email)

Date of Birth                 Social Security Number
                Drivers License Number State

Do you own, rent, or simply reside at your current residence?   Rent Own Neither own or rent

Name of Current Landlord Telephone number of Current Landlord
                                  Current Rent 

Current Employer Telephone      Supervisor
               Duration of Employment    Monthly Income

Emergency Contact Information: (not Applicant 1)
      Name Address  Phone

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Others who will be living in property and not subject to lease (e.g. Children under 18 or Family members cared for by you)
*Note - All persons residing in property age 18 and older must complete application, unless they are exempt as above*

Names & Ages 

Do you have any pets?  No Yes      If yes, Description (Type, size, age)

Vehicle Type(s) (including make/model, year and license #):

 

Why are you leaving your current residence?
Need more space Dissatisfied with last property Relocated Closer to Work or Family Just felt like moving Other

Have you ever been evicted or broken a rental agreement?
Yes No 

Have you been sued for non-payment of rent or damages to rental property?
Yes No

Have you been convicted of any crimes, other than minor traffic violations?
Yes No

How did you hear about us?
Internet Newspaper Friend Flier Sign

Further Comments, Explanations, or Questions