Application

Submit your Application

You can now submit your application by choosing one of the two options:

Applicant Name

*Last:
*First:
MI:
*Soc. Sec. #
Marital Status:
*DOB (M/D/Y):
*Email Address:
Drivers Lic #
State Issued:
*Home Phone:
Cell phone:
How did you hear about us?
Co-Applicant Name (Married applicants ONLY)
Last:
First:
MI:
Soc. Sec. #
*DOB (M/D/Y):
Other Occupants:
(under 18)
Name: Birth Date: SS#: Relationship:
Please provide 5 years of continuous history:
*Complete current address:
Mortgage Rent $:
Dates from:
To:
Landlord/Mortgage company name:
Landlord/Mortgage company address:
Landlord/Mortgage company phone #:
What is your reason for moving?

Complete Previous address:
Mortgage Rent $:
Dates from:
 To:
Landlord/Mortgage company name:
Landlord/Mortgage company address:
Landlord/Mortgage company phone #:
What is your reason for moving?

Complete Previous address:
Mortgage Rent $:
Dates from:
 To:
Landlord/Mortgage company name:
Landlord/Mortgage company address:
Landlord/Mortgage company phone #:
What is your reason for moving?
Please provide 2 years of continuous history
Please check off all applicable:
Employed full time  Employed part time Retired   Self employed Unemployed
Current Employer:
Position:
Address:
Phone Number:
Dates from:
  To:
Current Salary $:    Per hour Per Year   Per pay
Pay Cycle: Weekly Bi Weekly   Monthly
Supervisor's Name:
Supervisor's Phone Number:
Previous Employer :
Position:
Address:
Phone Number:
Dates from:
  To:
Previous Salary $:    Per hour Per Year   Per pay
Supervisor's Name:
Supervisor's Phone Number:
In case of emergency, notify:
Phone:
Relationship:
In the event of serious illness or death of resident(s), the above person may may not enter, remove and/or store all contents found in dwelling or mailbox.
Credit References:
Name of Institution:
   Phone:
Other loans:
Do you have any of the following credit cards:
Visa     Master card      Discover Card      American Express
Other:
Have you ever filed bankruptcy? yes     no   
Discharge date and case #:
Have you ever been evicted? yes     no
When?   
Have you ever willfully or intentionally refused to pay rent when due?
yes     no

The Management relies on the information provided above to be complete and accurate in order for the application to be processed in a timely manner.  Any false statements, misrepresentations, inaccurate information or failure to supply the information requested may serve as a rejection of your application.  By signing this application, you are authorizing the use of any credit reporting/screening agencies to verify credit, validate the accuracy of the information reported.  Further, your signature authorizes the management and the credit reporting/screening agencies to later exchange credit information.

Please select a payment type:

Payment- Option 1

I/We hereby deposit $35.00, which is a non-refundable payment for a credit and processing charge, receipt of which acknowledged by Management, such sum is not a rental payment.  In the event this application is disapproved, this sum will be retained by Management to cover the cost of processing the application as furnished by applicant.  This application must be signed before Management will process it.
There is an additional $99 deposit, which is a holding fee that will be applied to my security deposit. I understand that in the event I/We cancel this application, the Management will retain our holding fee. I/We acknowledge the Landlord will suffer damages as a result of the processing of this application and holding a specified unit for a specified move in date. The deposit will be returned if this application in not approved, providing all questions are answered correctly and truthfully.(Total: $134)

Payment- Option 2

I/We hereby deposit $35.00, which is a non-refundable payment for a credit and processing charge, receipt of which acknowledged by Management, such sum is not a rental payment.  In the event this application is disapproved, this sum will be retained by Management to cover the cost of processing the application as furnished by applicant.  This application must be signed before Management will process it.

(Applicant’s Initials )


The above information, to the best of my knowledge is true and correct.

I AUTHORIZE AN INVESTIGATION OF MY CREDIT, A CRIMINAL BACKROUND CHECK, TENANT HISTORY, BANKING AND EMPLOYMENT FOR THE PURPOSES OF RENTING AN APARTMENT FROM THIS OWNER/MANAGER

Applicant Signature : 
Date
Credit Card Information:
Card Number:
Exp. Month:
Exp. Year:
Comments: