Application Form For Residency

Each applicant over the age of 18 must complete a separate application

This is a Secure Site. Credit Application Fee: $20.00 per applicant

Please Note: (*) Required Fields

General Information

Desired Community *
Community City *
Desired Move-In Date *
How Did You Hear About Us? *

Personal Information

Applicant

First Name *
Middle Name *
Last Name *
Social Security Number*
Date Of Birth*
Cell Phone
Home Phone *
Email Address *
Marital Status *

Coapplicant Information

All applicants over the age of 18 must complete this application separately

First Name
Middle Name
Last Name
Date Of Birth

Current Residence

Applicant

Address*
City *
State *
Zip *
Move-In Date *
Landlord/Mortgage Co. *
Phone *
Current Rent *
Reason For Leaving *

Previous Residence

Applicant

Previous Address
Previous City
Previous State
Previous Zip
Move-In Date
Move-Out Date
Previous Landlord
Previous Landlord Phone
Previous Rent
Reason For Leaving

Employment Information

Applicant

Current Status *
Current Employer *
Hire Date *
Employer Address *
Employer Phone *
Position *
Supervisor *
Current Income *
Frequency Of Income *
Other Income *
Description Of Other Income *

Pets/Animals

Applicant

Do You Have Pets/Animals? *
If yes, list breed and weight of each

Additional Information

Applicant

Have you ever been convicted of
a felony? (If yes, explain) *
Have you ever been evicted?
(If yes, explain) *
Do you have a criminal background?
(If yes, explain) *

Emergency Contact Information

Applicant

Emergency Contact *
Relationship *
Address *
Phone *

Certification and Agreement

* I represent that the above is true and correct to the best of my knowledge. I understand that if my application is accepted, any false statements on this application may result in eviction.
* I understand that the credit check fee is not refundable.
* I authorize landlord/manager to investigate my credit and financial responsibility, income, rental and eviction history, criminal/civil convictions and forfeitures, statements made in this application, to obtain a consumer credit report on me from a consumer reporting agency that complies and maintains files on consumers on a nationwide basis or other reasonable measures to evaluate me as a prospective tenant.

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(This is NOT a lease or rental agreement)