Rental Application

Each adult (18 or older) must fill out a separate application
There is a non-refundable fee of $35.00 per adult to apply

First	Driver's License #	Social Security #

Any Other Names You've Used In The Past	Home Phone	Cell Phone

All Other Proposed Occupants and Social Security #	Birth Date	Relationship To Applicant

Please fill out the application completely. Please provide proof of income (W-2's), tax return, bank statements and recent credit report on request.

RENTAL/RESIDENCE	Current Residence	Previous Residence	Prior Residence
Street Address
City
State & Zip
Last Rent Amount Paid
Owner/Manager
and Phone Number
Reasons for leaving
Is/Was rent paid in full?	YesNo	YesNo	YesNo
Did you give notice?	YesNo	YesNo	YesNo
Were you asked to move?	YesNo	YesNo	YesNo
Name(s) in which your utilities are now billed:
	From/To	From/To	From/To
Dates of Residency

EMPLOYMENT	Current Employer	Previous Employer	Prior Employer
Employed By
Address
Employer's Phone
Occupation
Name of Supervisor
Monthly Gross Pay
	From/To	From/To	From/To
Dates of Employment

All documents should be current within the last 60 days. You may obtain a free credit report at: www.AnnualCreditReport.com

Make	Model	Color	Year	License Plate
VEHICLES	(Include vehicles belonging to other proposed occupants also)

REFERENCES & EMERGENCY CONTACTS	Doctor	Close Friend	Nearest Relative Living Elsewhere
Name
Street Address
City
State & Zip
Phone Number

By signing the application you grant us permission to communicate with all the contacts listed on this application & in the event we cannot locate you. Furthermore, if you abandon the property for any reason, then you grant us permission to allow the relative listed above to remove all contents of the dwelling on your behalf.

Have you ever been served a late rent notice?	Do any of the people who would be living in the apartment smoke?	How long do you think you would be renting from us?
General Information
YesNo	YesNo
Have you ever filed for bankruptcy? If so, when?	When would you be able to move in?	Have you ever been convicted of a felony?
YesNo		YesNo
Have you ever been served an eviction notice? If so, when?	How many pets do you have? (list Type, Breed, approx Weight & Age)
YesNo
Have you had any recurring problems with your current apartment or landlord? If yes, please explain:
Yes No
Why are you moving from your current address?

List any verifiable sources and amounts of income you wish to have considered (optional):

If you were to run into financial difficulty in the future and could not come up with the money to pay the rent, do you know someone that would loan you the money? If so, provide the person's name, address, & phone # so that we can use them as a reference for you.

Have you been a party to lawsuit in the past? If yes, please explain why:
YesNo
We may run a credit check and a criminal background check. Is there anything negative we will find that you want to comment on?

How did you hear about this rental?	What is your e-mail address? List as many as needed, in case of Emergency:

Please add any additional information or comments here: