Quick Application

Please fill out entire form
Minimum requirements are based on weighted system:
1) Job Time 2) Rental History 3) Personal Credit

APPLICANT			CO-APPLICANT
Name			Name
Home Phone	Work Phone		Home Phone	Work Phone
Cell Phone			Cell Phone
Date of Birth	Social Security Number		Date of Birth	Social Security Number
Present Address			Present Address
How long at this address			How long at this address
Reason for moving			Reason for moving
Monthly payment			Monthly payment
Landlord's name			Landlord's name
Phone Number			Phone Number
Previous Address			Previous Address
How long at this address			How long at this address
Reason for moving			Reason for moving
Monthly payment			Monthly payment
Landlord's name			Landlord's name
Phone Number			Phone Number
Present Occupation			Present Occupation
Employer			Employer
Employer Phone	How long employed		Employer Phone	How long employed
Gross Monthly Income			Gross Monthly Income
Previous Employer			Previous Employer
Previous Occupation			Previous Occupation
Previous Employer Phone	How long employed	Previous Employer Phone	How long employed
Gross Monthly Income		Gross Monthly Income
SUBJECT PROPERTY			ASSETS

Property Address			Checking Balance	Savings Balance
Likely Down Payment	Expected Move-In Date		Other	Retirement Plan
How did you find this home?			TOTAL

Miscellaneous Questions

Have you ever filed bankruptcy?			If so, when
Yes No
Have you ever been evicted?			If so, when?
Yes No
Have you ever been convicted of a crime?			Details:
Yes No
Do you smoke?			Do you have pets? Yes No
Yes No			Breed and weight:
Rate your housekeeping on a scale of 1-10. 10 being the best. 1 (not good) 2 3 4 5 6 7 8 9 10 (best)
Email address: (will not be distributed or sold):
Personal References		Emergency Contact
Name			Name
Phone			Phone
Relationship			Relationship
I/We authorize you or your agent to request and review my/our credit history to obtain pre-qualification for renting/purchasing a home. I understand that my "electronic signature" on this online form is equal to that of an actual signature.
Name			Date
Name			Date
**If accepted you will have to provide copy of last two paycheck stubs, W-2, tax retrun and copy of drivers license or picture id. **Anyone over the age of 18 years that will reside in the home will need to complete an application. **We respect & uphold the Equal Housing Opportunity Laws & do not discriminate in regard to race, color, religion, national origin, sex, disability or familial status.