Rental Application Step 1 of 5 - Applicant Information 20% Applicant's Personal InformationName * Required First Last Birthdate * Required MM slash DD slash YYYY Email * Required Phone * RequiredDesired Move-In Date * Required MM slash DD slash YYYY Do you have any animals or Emotional Support Animals? * Required No, I do not Yes, I do Will there be a co-applicant? * RequiredYesNoCo-Applicant's Personal InformationName * Required First Last Birthdate * Required MM slash DD slash YYYY Email * Required Phone * RequiredOther Occupant's InformationOther Occupants Name Relation to Applicant Date of Birth Actions Edit Delete There are no Occupants. Add Occupant Maximum number of occupants reached. Current ResidenceAddress * Required Street Address Address Line 2 City State / Province / Region ZIP / Postal Code How long have you been residing at this address? * Required Landlord's Name * Required Monthly Rent * Required Landlord's Contact Number * RequiredLandlord's Email Reason for leaving this property * Required Previous Residence (if applicable)Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code How long did you reside at this address? Landlord's Name Monthly Rent Landlord's Contact NumberLandlord's Email Reason for leaving this property Additional InformationHave you ever been evicted from a rental residence? * Required Yes No Have you missed two or more rental payments in the past 12 months? * Required Yes No Have you ever refused to pay rent when due? * Required Yes No If you have answered YES to any of the above, please state your reasons and/or circumstances. Current EmploymentEmployment Status * RequiredFull-TimePart-TimeStudentUnemployedRetiredCurrent Employer * Required Supervisor's Name * Required First Last Phone * RequiredJob Title * Required Date Hired * Required MM slash DD slash YYYY Monthly Income * Required Other Sources of IncomePrevious EmploymentPrevious Employer (if any) Supervisor's Name First Last PhoneJob Title Period of Employment Credit History and Background Check AuthorizationHave you declared bankruptcy in the past seven (7) years? * Required Yes No Do you consent to a credit check? * Required Yes No Is there anything that we may find in our credit check that you want to comment on?Criminal Background Check AuthorizationDo you consent to a criminal check? * Required Yes No Is there anything that we may find in our criminal check that you want to comment on?Have you ever been arrested or convicted of a crime? * Required Yes No If yes, please explain. * Required Landlord References for Applicant #1Present Landlord/Manager * Required First Last Rental Period * Required Landlord's Address * Required Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Landlord's Phone * RequiredLandlord's Email * Required Rent Amount * Required Have you ever violated your lease? * Required Yes No If yes, please explain. * RequiredLandlord References for Applicant #2 (if applicable)Present Landlord/Manager First Last Rental Period Landlord's Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Landlord's PhoneLandlord's Email Rent Amount Have you ever violated your lease? Yes No If yes, please explain.Emergency Contact for Applicant #1Contact Name * Required First Last Phone * RequiredAddress * Required Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Emergency Contact for Applicant #2 (if applicable)Contact Name First Last PhoneAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Consent * RequiredI. PETS The Landlord does not allow pets in the rental property. II. SMOKING The Landlord does not allow smoking of cigarettes in the rental property. III. WATERBEDS The Landlord does not allow the use of waterbeds on the premises. I declare that the information I have provided is true and correct, and contain no misrepresentations. If misrepresentations are found after a residential lease agreement is entered into between the Landlord and Applicant, the Landlord shall have the option to terminate the residential lease agreement and see all available remedies. The Applicant authorizes the Landlord to verify all references and facts, including but not limited to current and previous landlords, employers and personal references. The Applicant understands that incomplete or incorrect information provided in the application may cause a delay in process or may resuls in the denial of application. I agree to the terms.Name of Applicant * Required Date of Application * Required MM slash DD slash YYYY EmailThis field is for validation purposes and should be left unchanged.
