Online Application Form
Applicant Information
First Name  * Last Name  * Birth Date  *
Academic Year  
Email Address  * Home Phone Cell Phone
Sex: Male Female  
 
Other Applicants Information
First Name Last Name Birth Date
Academic Year  
Email Address Home Phone Cell Phone
Sex: Male Female  
 
First Name Last Name Birth Date
Academic Year  
Email Address Home Phone Cell Phone
Sex: Male Female  
 
Address of Applicant
Street Suite City
State/Province Postal Code Country
 
Address of Other Applicants
Street Suite City
State/Province Postal Code Country
 
Street Suite City
State/Province Postal Code Country
 
 
Rental History
 
Current Address
Street Suite City
State/Province Postal Code Country
Monthly Rent (US $) Dates (From/To) Reason For Leaving
Owner/Manager Name Phone Address
 
Street Suite City
State/Province Postal Code Country
Monthly Rent (US $) Dates (From/To) Reason For Leaving
Owner/Manager Name Phone Address
 
Street Suite City
State/Province Postal Code Country
Monthly Rent (US $) Dates (From/To) Reason For Leaving
Owner/Manager Name Phone Address
 
Previous Address
Street Suite City
State/Province Postal Code Country
Monthly Rent (US $) Dates (From/To) Reason For Leaving
Owner/Manager Name Phone Address
 
Street Suite City
State/Province Postal Code Country
Monthly Rent (US $) Dates (From/To) Reason For Leaving
Owner/Manager Name Phone Address
 
Street Suite City
State/Province Postal Code Country
Monthly Rent (US $) Dates (From/To) Reason For Leaving
Owner/Manager Name Phone Address
 
Employment History
 
Current Employer: Address: Phone:
Occupation: Dates of Employment: Monthly Pay:
Previous Employer: Address: Phone:
Occupation: Dates of Employment: Monthly Pay:
 
Other Source of Income: Amount (Monthly):
 
STUDENTS ONLY
 
School Name: School Address:
Program: Graduation Date:
 
Unit Applied For
 
Unit Address: Unit Number: Unit Type:
Lease Terms: Move in Date: Rent Begins:
 
Emergency Contacts
 
Name: Phone Number: Relationship:
Name: Phone Number: Relationship:
 
General Information
 
Applicant1: Have you declared bankruptcy in the past seven (7) years? Yes No
Applicant2: Have you declared bankruptcy in the past seven (7) years? Yes No
Applicant3: Have you declared bankruptcy in the past seven (7) years? Yes No
 
Applicant1: Have you ever been evicted from a rental residence? Yes No
Applicant2: Have you ever been evicted from a rental residence? Yes No
Applicant3: Have you ever been evicted from a rental residence? Yes No
 
Applicant1: Have you had two or more late rental payments in the past year? Yes No
Applicant2: Have you had two or more late rental payments in the past year? Yes No
Applicant3: Have you had two or more late rental payments in the past year? Yes No
 
Applicant1: Have you ever willfully or intentionally refused to pay rent? Yes No
Applicant2: Have you ever willfully or intentionally refused to pay rent? Yes No
Applicant3: Have you ever willfully or intentionally refused to pay rent? Yes No
 
Applicant1: Have you ever been party to a lawsuit? Yes No
Applicant2: Have you ever been party to a lawsuit? Yes No
Applicant3: Have you ever been party to a lawsuit? Yes No
 
Applicant1: Do you smoke? Yes No
Applicant2: Do you smoke? Yes No
Applicant3: Do you smoke? Yes No
 
Applicant1: Do you have any pets? Yes No
Applicant2: Do you have any pets? Yes No
Applicant3: Do you have any pets? Yes No
 
If yes to any of the above, please explain why.
Why are you moving from your current address?
Is there anything negative in your credit or background check you want to comment on?
Additional questions:
 
How did you hear about us?:
 
References
 
Name: Phone Number: Relationship:
Name: Phone Number: Relationship:
Name: Phone Number: Relationship:
Name: Phone Number: Relationship:
Name: Phone Number: Relationship:
Name: Phone Number: Relationship:
 

Agreement & Authorization

By signing this application, I/We verify that the statements in this application are true and correct. I/We authorize the use of the information and contacts provided to complete a credit, reference, and/or background check. I/We understand that false or lack of information may result in the rejection of this application.

If the application is denied, the applicant(s) sole remedy shall be the return of any deposit made hereunder. Any person signing on behalf of an applicant warrants and represents that said person has the authority to sign on behalf of such applicant. Any deposit hereunder shall be deemed made by such applicant regardless of whether the applicant personally signs or through a representative and such by signing in such capacity waives all rights to such deposit. The undersigned warrants and represents that all statements contained in this application are true, and recognized that the landlord will execute a lease in reliance upon the truthfulness thereof.

Applicant(s) agree to execute a Tenant Rental Agreement Lease, as from time to time revised, and on the terms and conditions contained therein. Any deposit made by applicant, up to one month's rent, may be retained by Landlord as liquidated damages for failure of applicant to execute such Lease, make any payment hereunder, or if such Lease is terminated prior to occupancy for the untruth of any statement contained herein.
 
Signature of applicant1: Date:
Signature of applicant2: Date:
Signature of applicant3: Date:
 
    

 



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