We will be in contact to schedule a viewing once you have completed an application and if you meet the criteria for the property. What property are you wanting to Rent? Property Located at: * Number of bedrooms required? 1 Bedroom 2 Bedrooms 3 Bedrooms 4 Bedrooms Maximum Rent ($) Primary Applicant's Full Name * Current Address: Street/City/Zip * Date of Birth * Social Security Number Drivers License or State ID Best Phone Number (Text Okay?) * Primary Email * How long have you lived at current address? * Why are you leaving? Employment Information* Make Selection Full time Part time Student Retired Unemployed Employer Name and Phone Number * Date Employed * Your Monthly Income * SPOUSE or 2nd Applicant's Full Name Date of Birth SSN Driver's License or State ID Best Phone Number (Text Okay?) 2nd applicant Your Email (2nd applicant) Employment Information Full Time Part Time Seasonal Retired SSI Student Unemployed Employer Name and Phone Number Date Employed Your Monthly Income Other Sources of Income Make Selection Child Support Alimony Food Stamps Section 8 N/A TOTAL Monthly Household Income: Wages, Child Support, Alimony, Food Stamps etc. * Total Monthly Bills - Not Including your present rent. * How soon are looking to move?* Make Selection Immediately 2-4 Weeks 2-4 Months Current Landlords Name & Number * What is your current Monthly Rent? * Previous Address * Previous Landlords Name & Number Reason for Moving Date moved in & moved out * Number of Adults (18 & over)* 1 2 3 4 5 6 More Number of Children* None 1 2 3 4 More Have you ever been sued for non-payment of rent?* Make Selection Yes No Have you ever been evicted, served with an eviction note or asked to move out?* Make Selection Yes No Have you ever been sued for damages to a rental property?* Make Selection Yes No Have you ever broken a rental agreement or lease?* Make Selection Yes No Have you ever declared bankruptcy? Make Selection Yes No Has your current Landlord treated for:* Make Selection Bed Bugs Mice Cockroaches No, that's why we are moving None of the Above Do you have any pets? *BREED - WEIGHT - AGE - License and shot records will be required. * Do you have the money to move in now?* Make Selection Yes, I have 1st months plus move in fee & deposit. No, next pay I will. No, will need assistance. In the event of a Emergency Notify: Name, Relationship, Phone, Full Address * Please give any information that might help in evaluating our application I declare that the above information, to the best of my knowledge is true and correct. I hereby authorize Property Management to obtain a consumer credit and/or investigative report on myself consisting of, but not limited to, rental and employment verification, criminal, eviction, check scan, drivers' licenses verification, and academic verification. I understand that such information may be derived in whole or in part from Experian, Equifax, TransUnion, Quest Diagnostics, American Driving Records. *

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