Application Form | My Website

APPLICATION FORM OF RESIDENCE

Address Applying For *

Monthly Rent *

Desired Date of Occupancy *

Today's Date *

Applicant Name *

Social Security No *

Marital Status *

Date of Birth *

Drivers License No *

State *

Email Address *

Home Phone *

Cell Phone *

Occupants

Occupant Name *

Occupant Age *

Emergency Contact Name *

Emergency Contact Phone *

Emergency Contact Relationship *

Emergency Contact Address *

PART ONE - RESIDENCE HISTORY

Current Residence Information

Current Residence Address *

Current Residence Phone *

Current Residence City *

Current Residence State *

Current Residence Zip *

Current Rent Amount *

Present Landlord Name *

Present Landlord Address *

Current Move-In Date *

Current Move-Out Date *

Previous Residence Information

Previous Residence Address *

Previous Residence Phone *

Previous Residence City *

Previous Residence State *

Previous Residence Zip *

Previous Rent Amount *

Previous Landlord Name *

Previous Landlord Address *

Previous Move-In Date *

Previous Move-Out Date *

PART TWO - EMPLOYMENT REFERENCES

Current Employment Information

Current Employed by *

Current Employer Phone *

Current Employer Address *

Current Employer City *

Current Employer State *

Current Department *

Current Position *

Current How Long? *

Current Monthly Income *

Previous Employment Information

Previous Employed by *

Previous Employer Phone *

Previous Employer Address *

Previous Employer City *

Previous Employer State *

Previous Department *

Previous Position *

Previous How Long? *

Previous Monthly Income *

PART THREE - ADDITIONAL INFORMATION

Pets

Pet Type *

Pet Breed *

Pet Name *

Pet Color *

Pet Weight *

Legal History

Have you ever been evicted? *

Have you ever filed bankruptcy? *

Have you received judgment against you in a court of law? *

Have you ever been convicted of a felony? *

Have you been arrested in the past 12 months for a drug related activity, violent crime, or a sex offense that would require you to register with the Indiana or National Sex and Violent Offender Registry? *

Vehicle Registration

Vehicle Make *

Vehicle Model *

Vehicle Year *

Vehicle Color *

Vehicle Number *

Vehicle State *

PART FOUR - AUTHORIZATION

Financial Details

This application must be signed by all adults who will occupy the apartment before it can be considered by the Landlord. Acceptance of this application, and any monies deposited herewith, is not binding until approved by Landlord. If approved, all monies deposited with this application will be held as a reservation deposit to be either returned to applicant, or credited toward any deposit or administrative fees which may be required of the applicant at the time a rental agreement is executed. If applicant withdraws the application for any reason, all monies deposited will be forfeited by the applicant. If the applicant is denied by the landlord, all deposit and administrative fees shall be refunded.

Reservation Deposit *

Administrative Fee *

Application Fee *

Total *

By signing the application, the applicant agrees that Landlord or his agent may investigate the information supplied by the applicant and a full disclosure of pertinent facts may be made to the Landlord.

Signature and Authorization

Signature *

Draw Signature Upload Signature

Date *

* Documents *

To complete the process, we require the following documentation from each adult:

Copy of driver license
SSN
First Page of 2023 tax return
Last 4 pay check stubs
Last 3 months bank statement.

Landlord or Authorized Agent *