Applications

Applicant Name (please submit one application per applicant)

Date of Birth

US Citizen?
YesNo

Proof of Identification

Please check one:
Drivers License (please include Drivers License Number below, and a copy of license with application)Other (please describe below)

IF Drivers License was selected above, please provide Drivers License Number

IF Other was selected above, please describe

Please upload proof of identification

Current Residency

Current Address

Current Monthly Rent

Length of Tenancy at this address:

Current Landlord

Current Landlord's Phone

Previous address (if you lived at the above address less than 2 years)

Previous roommate name and phone (for personal reference):


Other names applicant has used in past 5 years:


Do you smoke?
YesNo

Do you have pets?
YesNo

If yes, what type of pet/s?

Applicant Contact Information

Applicant's current home phone:

Is this a cell phone?:
YesNo

Applicant's current work phone:

Is this a cell phone?:
YesNo

Applicant's current cell phone:

Applicant's e-mail address

Would you like to receive communication related to this application at this address?
YesNo

Employment

Current Employer

Position/Title

Current Employer Address

Current Gross Monthly Salary

Other monthly income

Length of Employment

Current Employer Supervisor Name

Current Employer Supervisor Phone

Is this a permanent employer?
YesNo
Please describe additional monthly income, if applicable:

Previous Employer & Position

Position/Title

Length of Previous Employment

Previous Employer Supervisor Name

Previous Employer Supervisor Phone

Most Recent Paystub

If you have not included your most recent paystub, please explain why:

Other recurring monthly expenses in excess of $75 per month (for example. credit cards, mortgages, child support, car payments, student loans, revolving or installment debts, etc.); please list amount and nature of debt:

Emergency and/or Personal Reference Contact
Please list Name, Relationship, Address, Phone number(s) and e-mail address:

Vehicle information

State

License Plate

Make

Model

Renter's Insurance

Do you carry renter's insurance?
YesNo

If yes, list policy number & carrier

I understand that the property's insurance coverage and insurance does not and cannot protect any personal belongings against burglary, vandalism, fire, smoke, and other perils. I also understand that by not having personal liability insurance, I may be liable to third parties and to the property owner for certain perils which are covered by renter's insurance. I further understand that the owner/landlord strongly recommends renter's insurance.

Additional Questions

Have you ever:
(you MUST answer these questions to have your application considered):
Been convicted of a felony?
YesNo

Been convicted of a criminal offense other than minor traffic infractions?
YesNo

Declared Bankruptcy?
YesNo

Been evicted, asked to move out or sued for non-payment of rent?
YesNo

Received deferred adjudication related to a lease?
YesNo

Had a civil judgment against you?
YesNo

Failed to follow through on promised paying a debt in excess of $100?
YesNo

If yes to any of the above questions, please explain in detail:

Active Armed Forces?
YesNo

Other information you would like us to consider with your application:

Affirmations

I affirm that all information contained on this form is correct to the best of my knowledge, and further allow that reasonable inquiry, including, but not limited to: a credit check, police record inquiry and employment/income verification, may be made unless otherwise directed on this form, of all parties shown hereon. You are hereby authorized to make any investigation of my personal history and financial and credit record through any investigation of credit agencies and/or bureaus of your choice. Further, I am aware that satisfactory completion of this application is a prerequisite condition to the execution of a lease for the premises sought.

I understand that my application is not complete until such time as I successfully complete a creditworthiness and background check through TenantVerification.com (to follow after our office’s review is this application form).

Applicant Signature

Please sign in the space below: