Print and Mail the Rental Application


If you'd rather not fill out the rental
application online, please print the
application below, enter all required information, and mail to the address
on the form.

Print the rental application now.

Online Application for Residency

How/Where did you hear about us? 

Apartment address for which you are applying: 

Have you or are you planning on applying for military housing?   Yes   No  (If yes, please discuss with office staff.)

Household Information
Complete the following information for each household member that will occupy the unit at the time of move-in and throughout the term of the lease. Falsification of information is grounds for denial.

First Name: 

MI: 

Last Name: 

Date of Birth:   /  / 

SSN: 

Phone: 

Cell: 

Email: 

Number of adults living in the apartment:   (Each adult must fill out an application.)
Number of children (under 18) living in the apartment: 

Background Information

Do you expect any additions to the household within the next 12 months? If so, please include name and relationship.

 Yes   No

Have you, or any other person named on this application, ever been convicted of a crime?

 Yes   No

Do you smoke?

 Yes   No

Do you have or do you anticipate having any pets?

 Yes   No

In the past two years, have you ever refused to pay rent?

 Yes   No

In the past two years, have you been evicted or asked to leave?

 Yes   No

Have you ever filed bankruptcy?

 Yes   No

Rental History

Current Address: 

City: 

State: 

Zip: 

Current Landlord: 

Landlord's Phone: 

Rented From:    To: 

Monthly Rent: $

Previous Address: 

City: 

State: 

Zip: 

Previous Landlord: 

Landlord's Phone: 

Rented From:    To: 

Monthly Rent: $

Vehicle Information:

Car #1: 

Make/Model/Year/Color: 

Plate #: 

Driver's License Number: 

Car #2: 

Make/Model/Year/Color: 

Plate #: 

Driver's License Number: 

Employment Information

Employer: 

Phone: 

Gross Monthly Wage: $

Employer Address: 

Employed: 

Employed From:     To: 

Job Description: 

Employer: 

Phone: 

Gross Monthly Wage: $

Employer Address: 

Employed: 

Employed From:     To: 

Job Description: 

Other Sources of Income

Source of Income: 

Address: 

City: 

State: 

Zip: 

Contact Person: 

Phone: 

Amount: $

Personal References

Last Name: 

First Name: 

How do you know this person? 

Address: 

Phone: 

Last Name: 

First Name: 

How do you know this person? 

Address: 

Phone: 

Signature Clause

The purpose of this application is to determine whether I qualify as a tenant. If my application is approved, the landlord and I shall sign a written lease. I have no rental agreement with the landlord before the time of the lease signing.

I have paid the credit check fee indicated on this application. If I paid any earnest money deposit, it will be applied to my security deposit if the Landlord enters into a lease or rental agreement with me. If this application is approved, and I fail to enter into a lease or rental agreement, the earnest money and any subsequent payments may be retained to compensate the Landlord’s costs and damages, subject to the Landlord’s duty to mitigate. If this application is rejected or withdrawn or if no action is taken by the end of 3 calendar days following receipt of the earnest money, the earnest money and any subsequent payments will be refunded by the end of the next business day. The credit report fee is nonrefundable.

I hereby authorize the Landlord and Manager to investigate my credit and financial responsibility, income, rental and eviction history, and the statements made in this application, and to obtain a consumer credit report on me from a consumer reporting agency that compiles and maintains files on consumers on a nationwide basis. My performance under any lease or rental agreement that I may enter into with the Landlord may be reported to such reporting agency.

I acknowledge that the agents and employees thereof represent the interests of the Landlord, but they also have a duty to treat all parties fairly and in accordance with fair housing law, and to disclose material adverse facts about the property.

I warrant and represent that I am at least 18 years of age and that all information and answers to the above questions are true and complete to the best of my knowledge. I understand that providing false information or making false statements may be grounds for denial of my application. I also understand that such action may result in criminal penalties. I understand that my occupancy is contingent on meeting management’s resident selection criteria.

Applicant Name:

Date:

Confirmation Code:

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