Online Application Tool

Please use this tool to apply for occupancy of our rental offerings.

Application Date:
I am applying for the property at:
I agree to pay the mandatory nonrefundable application fee of $35.00?  Yes No
   Note: if "no", the application will not be considered.
 
PRIMARY OCCUPANTS
  Primary Occupant Secondary Occupant
Name
SSAN
Date of Birth
Driver's License & State
Phone
Alternate Phone
Present Address
Present Landlord
Present Landlord's Phone
How long at this address?
Previous Address
Previous Landlord
Previous Landlord's Phone
How long at this address?
Ever been evicted or asked to leave? Yes No
Explain below if "yes"
Yes No
Explain below if "yes"
Any pending legal actions? Yes No
Explain below if "yes"
Yes No
Explain below if "yes"
 
OTHER OCCUPANTS
  Name Birthdate SSAN
1
2
3
4
 
REFERENCES
  Name Phone Number Relationship
1
2
3
4
5
 
SOURCES OF INCOME
Pri/Sec Source Phone Amount Per How Long
 
FINANCIAL OBLIGATIONS
Company Phone Monthly Payment Balance Purpose
 
BANKING
My checking account is with:
My savings account is with:
 
OTHER INFORMATION & EXPLANATIONS
Any other information you wish to share with us?

 
How did you hear about our website?
A popular search engine
Link from another site
From a friend
Saw sign on unit
Newspaper
Other
 

By clicking the send button below, applicant affirms that the above statements are true and correct and hereby authorizes the landlord to verify and continuously update any and all information provided now or during the pendency of the occupancy, and this authorization shall continue until all balances owed are paid in full.

An investigation concerning the information contained in this application will be conducted for the primary and secondary applicants and any occupants eighteen (18) years of age or older who will reside in the unit, hereafter collectively referred to as the "parties to this rental application."

Scope: The parties to this application understand that this investigation may include, but is not limited to, character, criminal and civil history, records of arrest, rental history, employment/salary history, licensing and vehicle records along with any other information landlord deems necessary.

Right to assign: The parties understand and agree that this right to investigate may be assigned to third parties deemed necessary to aid in recovery of charges due and unpaid.

Authorization: The parties to this application understand and agree that any person, company, organization, or government agency mentioned in this application are authorized to verify the truth of any information furnished herein.

Right to reject: The parties to this application understand and agree that, if in the sole opinion of the landlord, the results of this investigation are unsatisfactory, any offer of residency may be withdrawn, and this application rejected.

Warranty: The parties to this application hereby warrant the truth of all information contained in this application in its entirety, and further recognize that any falsification on this application, whether or not intentionally made, shall be sufficient cause to deny acceptance of this application, or shall be considered as a breech of the written lease agreement and shall result in immediate termination of of tenancy.

Release and indemnification: The parties to this application hereby expressly release the landlord, its employees and agents, and any procurer or furnisher of information from any liability whatsoever in the use, procurement, or furnishing of such information. Further, the parties to this application agree to indemnify and defend the landlord, its employees and agents from any and all claims arising from or through the forgoing release of liability.

Disclosure Policy: The parties to this application understand and agree that any information furnished on this application may be provided to local, state, or federal governmental agencies, including, without limitation, various law enforcement agencies.

Application fee: The parties to this application understand that it will not be considered until the application fee has been received by the landlord.

Refund Policy: Should this application be rejected by the landlord, all monies paid shall be refunded to the applicant except for the application fee which shall be retained by the landlord.

Forfeiture Policy: Should this application be accepted by the landlord and the tenant subsequently fails to execute a lease and take occupancy, all monies paid shall be forfeited as liquidated damages. In addition, landlord shall be entitled to recover additional damages for rent loss during the application period.

The parties to this application have read and understand the above statements and conditions to residency, acknowledge that the thirty-five ($35.00) Dollar application fee is nonrefundable, and agree that to be bound by all rules, regulations, policies, and procedures that are in force and effect at the time of application for residency or that may later be adopted.

 


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