RENTAL APPLICATION

Applying is easy!  Just complete the form and click the "Submit" button at the bottom. One person from each family must complete the form.  College students:  Each person must fill out an application. Additionally, any prospective tenant under the age of 25 must provide a "Lease Guaranty Form" at the time of lease signing. This form may be found under the "Documents" segment of our website.

Thank you!


Street Address of Property Applying For  (required)

Desired move-in date  (required)

Applicants First Name  (required)
 
Applicant's Middle  Name  (required)
 
Applicants Last Name  (required)
 
Present Phone  (required)

Cell Phone

Work Phone

Email Address  (required)

Birthdate  (required)

Social Security #  (required)

Age  (required)

Married
Single
Divorced
Separated
Name and Ages of Children

Name and age of anyone else who will occupy the apartment and relationship to applicant

Present Street Address  (required)

Present Apt# (if any)

Present City  (required)

Present State  (required)

Present Zip  (required)

How long have you been at present address  (required)

Reason for moving  (required)

Landlord Name  (required)

Landlord Phone  (required)

Landlord Street Address

Landlord City

Landlord State

Landlord Zip

Name of Apartment complex (if any)

Present Rent Amount  (required)

Former Street Address

Former Apt # (if any)

Former City

Former State

Former Zip

Former Landlord Name

Former Landlord Phone

Former Landlord Street Address

Former Landlord City

Former Landlord State

Former Landlord Zip

Name of Former Apartment complex (if any)


Employer  (required)

Supervisor Name  (required)

Employer Street Address

Employer City

Employer State

Employer Zip

Employer Phone  (required)

Position  (required)

Monthly Salary $  (required)

Hire Date

 

Number of Pets

Pet type and breed

Pet Weight(s)

Pet Age(s)

How long owned

Pet color(s)

Housebroken?

 

Has applicant, spouse or any other proposed resident ever been evicted from tenancy? (required)

Has applicant, spouse or any other proposed resident ever been convicted of a felony? (required)

If Yes, Type and Conviction Date:

Has applicant, spouse or any other proposed resident, ever filed for bankruptcy? (required)

If yes, Type and Date Filed

 

Credit Reference 1

Ref 1 Phone No

Credit Reference 2

Ref 2 Phone No

Credit Reference 3

Ref 3 Phone No

I saw this apartment by:

If referred, by whom?

 
Vehicles, we do not allow vehicles without written permission. Vehicles not approved in writing may be towed away at owner's expense.
Vehicle 1 Make

Vehicle 1 Model

Vehicle 1 Year

Vehicle 1 Color

Vehicle 1 License No

Vehicle 1 State

Vehicle 2 Make

Vehicle 2 Model

Vehicle 2 Year

Vehicle 2 Color

Vehicle 2 License #

Vehicle 2 State

 

In case of illness, accident, emergency, please notify:
Contact Name  (required)

Contact Relation  (required)

Contact Phone  (required)

Contact Street Address  (required)

Contact City  (required)

Contact State  (required)

I hereby authorize Eric Blum, and his agents, to make any necessary investigation as to the contents that are contained in this application. I understand that this investigation may include, but not limited to, a credit report, verification of employment, past rental history and police records. I, therefore, consent to this investigation, and I certify that all stated facts are true and it is understood that any misrepresentation or omission is cause for management and/or owners to reject this application and/or terminate the lease.

By typing my full name (Ex: John Middle Smith), I authorize it's use on this application as the same as if I hand signed this form in person.

Type your FULL name  (required)