RENTAL APPLICATION
EACH ADULT OCCUPANT MUST SUBMIT A RENTAL APPLICATION AND PAY THE NON-REFUNDABLE SCREENING FEE.
Property Choice
*
Desired move in date
*
Name
*
Title/Suffix
Dr.
Jr.
III
Date of Birth (Month/Day/Year)
*
Social Security Number
Name(s) and birth date of all other occupants (all adults 18 years of age and over must submit a rental application and non-refundable screening fee)
Driver's License/State ID Number
*
Email Address
*
Telephone Number
*
Current Address (street number, apartment number, city, state, zip)
*
Current Residence
*
Rent
Parent's home
Own
Other _________________
Landlord's Contact Information (name, company, telephone number, email, address)
Why are you vacating your current residence?
*
Previous Address (street number, apartment number, city, state, zip)
*
Previous Residence
*
Rent
Parent's home
Own
Other _________________
Previous Landlord's Contact Information (name, company, telephone number, email, address)
Have you been evicted in the last five years?
*
Yes
No
Employment Information
Number of vehicles
*
Make/Model of vehicle
License Plate Number and State
Income Source(s) (click all that apply) * Please note that no applicant will be denied due to legal income source, including Section-8 voucher, TANF, etc.
Employment
Finanicial Aid/Scholarship/Grants (students)
Co-signer/Parental Support
Housing Voucher (Section-8, HUD-VASH, etc.)
Food Stamps, TANF, etc.
Social Security
Other
Total Monthly Gross Income From All Sources (you must provide verification of all income sources)
*
Do you have a pet?
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No pet
Dog (0-25 lbs.)
Dog (26-100+ lbs.)
Bird
Small caged animal (rabbit, mouse, reptile, rat, etc.)
No pet
Service animal (please request a reasonable accomodation form in comments)
cat
Personal Reference
*
Personal Reference
*
Have you ever been convicted of a crime such as a drug related crime, sex-offense, a person crime, a crime involving financial fraud, or any crime that would reasonably threaten or adversely affect the property of a landlord or neighbor, or would threaten the health, safety or right to peaceful enjoyment of the premises by residents, the landlord or someone employed by the landlord?
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Yes
No
If yes, please indicate date, location, and charge(s).
Comments
Attach documents to your application, including income verification (financial aid award letter, paycheck stubs, etc.) and photo identification. These items can also be submitted in person.
I have reviewed all rental requirements and disclosures and authorize a background check, including obtaining a consumer credit report, public records check, rental reference verification and any other inquires determined to be necessary. I understand that if any information contained in this application is determined to be false, it is grounds for termination of tenancy. Please provide your signature by typing in your full name here
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Today's Date
*
Submit Form