One step closer to your new home
Please note there is a non-refundable fee of $50.
Home Phone #:
Cell Phone #:
Other Proposed Occupants (under 18):
Other Occupant #1
Relationship to Applicant:
Other Occupant #2
Other Occupant #3
Landlord Phone #:
Reason For Leaving:
Is/Was Rent Paid In Full?:
Did You Give Notice:
Were You Asked To Move:
Date of Residency (From/To):
Monthly Gross Pay:
Date of Employment (From/To):
# of Pets:
Type(s) of Pet(s):
How did you hear about this apartment?
When would you be able to move in?
Have you ever been served a late rent notice?
Have you ever been served an eviction notice?
If yes, please explain:
Have you ever been convicted of a crime?
We will run a credit check and a criminal background check. Is there anything negative we will find that you want to comment on?
Agreement & Authorization Signature
I believe that the statements I have made are true and correct. I hereby authorize a credit and/or criminal check to me made, verification of 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 lease agreement in whole or part. I further understand that there is a $75 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.