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Rental Application

Home » Rental Application
Rental ApplicationJuri Miller2024-03-20T04:56:10-04:00

Step 1 of 6

16%
I agree(Required)
I agree(Required)
Your Name(Required)
MM slash DD slash YYYY
Any Other Names You've Used In The Past 5 years
All Other Proposed Occupants
Occupants Name
Birthdate
Relationship to Applicant
 
Are you current Active millitary?

RENTAL/RESIDENCE HISTORY

Current Residence(Required)
Are you current on rents?
MM slash DD slash YYYY
FROM
MM slash DD slash YYYY
To

PREVIOUS RESIDENCE 1

Previous Residence(Required)
Was all Rent Paid in Full?
MM slash DD slash YYYY
FROM
MM slash DD slash YYYY
TO

PREVIOUS RESIDENCE 2

Previous Residence(Required)
Was all Rent Paid in Full?
MM slash DD slash YYYY
FROM
MM slash DD slash YYYY
TO

Employment History (CURRENT EMPLOYMENT)

Address
MM slash DD slash YYYY
FROM/TO

PREVIOUS EMPLOYMENT

Address
MM slash DD slash YYYY
FROM/TO

PRIOR EMPLOYMENT

Address
MM slash DD slash YYYY
FROM/TO

Credit History

Savings Account
Bank/Institution Name
Balance on Deposit or Balance Owed
 
Checking Account
Bank/Institution Name
Balance on Deposit or Balance Owed
 
Credit Card
Bank/Institution Name
Balance on Deposit or Balance Owed
 
Auto Loan
Bank/Institution Name
Balance on Deposit or Balance Owed
 

Vehicles

Include Vehicles Belonging to other proposed Occupants Also
Vehicle 1
Make
Model
Color
Year
License Plate
 

References & Emergency Contacts

Address
Address
Address
By Filling out the application you grant us permission to communicate with all the contacts listed in the section in the event we can't relocate you. Furthermore, if you abandon the apartment for any reason then you grant us permission to allow you are relative listed above to remove all contents of the dwelling on your behalf.

General information

Do any of the people who would be living in the apartment smoke?
Have you ever been served a late rent notice?
If you were to run into financial difficulty in future and couldn't come up with the money to pay the rent, do you know someone that would loan you the money if so provide th person's name, address, phone number so we can use them as a refernece for you
Name
Address
Phone Number
 
Upload your picture in .jpg, .png
Accepted file types: jpg, png, Max. file size: 5 MB.
Upload your picture in .jpg, .png
Accepted file types: jpg, png, Max. file size: 5 MB.

Agreement and Authorization Signature

I believe that the statements I have made are true and correct. I hereby authorize credit and/or criminal checks to be made, verification of the information I provided, and communication with any and all names listed on this application. I understand that any discrepancy or lack of information may result in the rejection of this application. I understand that this is an application for an apartment and does not constitute a rental or loose agreement in whole or part. I further understand that there is a non-refundable fee to cover the cost of processing my application and I am not entitled to a refund even if I don't get the apartment. Any questions regarding rejected applications must be submitted in writing and accompanied by a self-addressed stamped envelope.

MM slash DD slash YYYY

Once you click Submit, you will be redirected to our payment portal to pay the application fee of $55 per applicant. Please adjust the "quantity" of applicants during check-out to account to pay for each adult (over 18) occupant. Your application will not be considered complete until payment is received.

55
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