Residential Lease Application

Congratulations! You’re one step closer to your next home!

    Applicant Information

    Name *

    Email Address *

    Phone Number *

    Address 1 *

    Address 2

    City *

    State/Province *

    Zip/Postal *

    Your Current Type of Residence *

    How long at this address? *

    Current Rental Rate

    Owner or Manager

    What is your reason for moving?

    Desired Move In Date *

    Total # Applying to Reside *

    Name & Age of Person(s) to Live With You

    Do you own any Pets? *

    IF YES, describe pets here

    Does anyone in the household smoke? *

    Required number of Vehicle Parking Spaces

    Any vehicles larger than a standard pick up truck?

    IF YES, list the vehicle types here:

    Do you have Renters Insurance? *

    Do you own a water bed?

    Will you require alterations to the building?

    If you require building alterations, please describe:

    Potential problems in a credit check

    Potential problems in criminal background check

    Have you ever filed for bankruptcy? *

    IF YES to filing for Bankruptcy, please describe:

    Can you maintain a peaceful quiet setting? *

    Occupational Background

    Occupation *

    Present Employer *

    Employer Phone *

    Supervisor Name

    Supervisor Phone

    How long have you been with this employer? *

    Monthly Income *

    Other Income

    Earnings over the past 12 months

    Scheduled working hours

    Total hours per week

    How did you find us?

    Reference #1

    First Name *

    Last Name *

    Relationship *

    Length of Time Known

    Reference #1's Occupation

    Phone *

    Reference #2

    First Name *

    Last Name *

    Relationship *

    Length of Time Known

    Reference #2's Occupation

    Phone *

    Emergency Contact

    First Name *

    Last Name *

    Phone *

    Digital Signature

    Type Your Full Name Here *

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