Qualification Standards:

  • – Applicant’s monthly household income must exceed three times the rent.
  • – Occupancy is limited to 2 people per bedroom.
  • – Applicant must exhibit a responsible financial life. Credit score must be a minimum of 550.
  • – There are no pets and no smoking allowed in rental home.
Address of property for which you are applying:*
Anticipated move date:*
PLEASE TELL US ABOUT YOURSELF
Full Name*
Email Address*
Phone*
Date of Birth*
SSN*
Education: HS Grad Yr.*
GED
College Degree
Trade school
Your Driver's License Number*
State*

Every person over 18 that will be residing in this unit must supply the following information.
Co-Applicant #1 Name
Co-Applicant Date of Birth
SSN
Co-Applicant Driver's License Number
State

Co-Applicant #2 Name
Co-Applicant Date of Birth
SSN
Co-Applicant Driver's License Number
State

Co-Applicant #3 Name
Co-Applicant Date of Birth
SSN
Co-Applicant Driver's License Number
State

Co-Applicant #4 Name
Co-Applicant Date of Birth
SSN
Co-Applicant Driver's License Number
State

Name of Dependent
Dependent's Date of Birth
Name of Dependent
Dependent's Date of Birth

PLEASE GIVE RESIDENTIAL HISTORY (LAST 3 YEARS)
Current Address*
Apt#
State*
City*
Zipcode*

Month/Year Moved In
Reasons for Leaving

Rent $
Owner/Agent
Phone #

Previous Address (last 3 years)
Rent $
Reasons for Leaving

Owner/Agent
Phone

PLEASE DESCRIBE YOUR CREDIT HISTORY
Have you declared bankruptcy in the past seven (7) years?* YesNo
Have you ever been evicted from a rental residence?* YesNo
Have you had two or more late rental payments in the past year?* YesNo
Have you ever willfully or intentionally refused to pay rent when due?* YesNo

PLEASE PROVIDE YOUR EMPLOYMENT INFORMATION
Your Status?* Full-TimePart-TimeStudentUnemployedOther
Employer
Dates Employed From:
To:
Employed as
Supervisor Name
Phone #
Salary $
per
If employed by above less than 12 months, give name & phone of previous employer or school:

Co-Applicant #1 Status?
Full-TimePart-TimeStudentUnemployedOther
Employer
Dates Employed From:
To:
Employed as
Supervisor Name
Phone #
Salary $
per
If employed by above less than 12 months, give name & phone of previous employer or school:

Co-Applicant #2 Status?
Full-TimePart-TimeStudentUnemployedOther
Employer
Dates Employed From:
To:
Employed as
Supervisor Name
Phone #
Salary $
per
If employed by above less than 12 months, give name & phone of previous employer or school:

Co-Applicant #3 Status?
Full-TimePart-TimeStudentUnemployedOther
Employer
Dates Employed From:
To:
Employed as
Supervisor Name
Phone #
Salary $
per
If employed by above less than 12 months, give name & phone of previous employer or school:

Co-Applicant #4 Status?
Full-TimePart-TimeStudentUnemployedOther
Employer
Dates Employed From:
To:
Employed as
Supervisor Name
Phone #
Salary $
per
If employed by above less than 12 months, give name & phone of previous employer or school:

If you have other sources of income that you would like us to consider, please list income, source, and person (banker, employer, Social Security etc.) who we may contact for confirmation. You do not have to reveal alimony, child support, or spouse's annual income unless you want us to consider it in this application.
Amount$
Source/Contact Name

**Proof of Employment and income must be made – copy of last pay stub or other similar verification.
Please upload pictures of paystub below:

PLEASE LIST YOUR REFERENCES
Personal References – please list two references that can be contacted.
Reference #1 Name
Address
Phone
Relationship
Reference #2 Name
Address
Phone
Relationship

Emergency Contact person: in case of emergency please contact:
Name
Address
Phone
Relationship

ADDITIONAL INFORMATION:
Bank Information – I currently have an account at
Account Type:
SavingsChecking
Please give any additional information that might help owner/management evaluate this application?

I hereby apply to lease the above described premises for the term and upon the set conditions above set forth and agree that the rental is to be payable the first day of each month in advance. I warrant that all statements above set forth are true; however, should any statement made above be a misrepresentation or not a true statement of facts, all of the security deposit will be retained to offset the agent's cost, time, and effort in processing my application.

I recognize that as a part of your procedure for processing my application, and investigative consumer report may be prepared whereby information is obtained through personal interviews with others with whom I may be acquainted. This inquiry includes information as to my character, general reputation, personal characteristics and mode of living.

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

Name of Applicant*
Date*

AUTHORIZATION
Release of Information
I authorize an investigation of my credit, tenant history, banking and employment for the purposes of renting a house, apartment, or condominium from this owner/manager.
Name of Applicant*
Date*