Renter's Application

Renter's Application
**Application fee is $30.00 and is nonrefundable**

APPLICATION WILL NOT BE PROCESSED UNTIL $30 PAYMENT IS RECEIVED.

You must to enter in your Debit Card info in order to pay the $30 fee upon submition of this application. (Debit Cards only, Credit Cards will not work)

When you turn your application in, remember the following:

1. Your application must be filled out COMPLETELY before we can process it.

2. A separate application must be filled out for each applicant (whose name will be on the lease) that is over 21.

3. You must furnish us with proof of your income. (Last two pay stubs, printouts from SSI. .. )

4. Bring in your driver's license.

5. Remember: Deposits and Rent MUST to be paid by Direct Deposit. (All tenants MUST have a bank account)

6. If your application is denied, you will receive an Adverse Action letter by mail, sent to the Current Address listed on your application. WE WILL NOT ANSWER QUESTIONS ABOUT APPLICATION DENIAL OVER THE PHONE.

Your Basic Info
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Birth Date:

MonthDayYear
Date
Driver license #:
Social Security #:
E-mail*

BANK ACCOUNT INFORMATION:
Name on account:

First NameLast Name
Name of Bank
Account #:
Routing #:

CURRENT EMPLOYMENT:
Current Employment
Empolyer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Empolyer's Phone Number

Area CodePhone Number
Supervisor's Name
Length of Employment
Are you still employed?
Earnings
PREVIOUS EMPLOYMENT:
Previous Employer
Previous Employer's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Previous Employer's Phone Number

Area CodePhone Number
Supervisor's Name
Length of Employment

RESIDENTIAL HISTORY
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Dates Lived At This Address
Reason for Leaving
Landlorod
Landlord's Phone Number

Area CodePhone Number

PREVIOUS RESIDENTIAL ADDRESS
Previous Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Dates Lived At This Address
Reason for Leaving
Landlorod
Landlord's Phone Number

Area CodePhone Number

MONTHLY INCOME
Employment Income
Child Support Received
Disability
SSI
Section 8 voucher amount
other
TOTAL MONTHLY INCOME*

MISCELLANEOUS
Do you have pets?*
Have you ever been evicted?*
Have you ever filed for bankruptcy?*
Ever been convicted of a felony?*
If you answered yes to any of the previous question please explain here

PERSONAL REFERENCES
Personal References 1 of 3
Name

First NameLast Name
Phone Number

Area CodePhone Number
Relationship
How long have you known this person?

Personal References 2 of 3
Name

First NameLast Name
Phone Number

Area CodePhone Number
Relationship
How long have you known this person?

Personal References 3 of 3
Name

First NameLast Name
Phone Number

Area CodePhone Number
Relationship
How long have you known this person?

WHO IS YOUR EMERGENCY CONTACT?
Name

First NameLast Name
Phone Number

Area CodePhone Number
Relationship

HOUSEHOLD MEMBERS
List all persons, including you, who will occupy the residence applied for.
Note: No more than two adults may occupy the same bedroom.
FULL NAME - RELATIONSHIP - AGE - SS#

I hereby certify and affirm that all information provided is true and correct. I fully understand that my lease or rental agreement may be terminated if I have made any false, misleading, or incomplete statements in this application. I hereby authorize verification of all information provided in this application, including credit information, via credit bureaus, and/or contact with current and previous employers, current and previous landlords, and personal references.
I have read and agree to this statement.
Should be Empty: