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Rental Application

To apply, do one of the following:

Fill out the application below, OR
Print the blank application and complete it. After completion, bring the completed application to the rental office.

Note that there is an application fee of $50 per applicant and $75 per couple.

Rental Application

Name (First, Middle Initial, and Last)

Date of Birth

Sex

Social Security Number

Phone Number

Driver's license # and State

Marital Status

Other individuals living with you (Full name, date of birth and relationship)

Residence history for last two years

Present Address

How long?

Rent or Mortgage Amount

Landlord's Name & Phone Number

Reason for moving

Address

Rent or Mortgage Amount

Landlord's Name & Phone Number

Reason for moving

Head of Household Employment

Present Employer

Address

Position

Monthly Gross Income

Supervisor's Name & Phone Number

Emergency Contact

Name

Relationship

Phone Number

In the event of the death of the lease holder, can a key be released to the individual listed above?

Have you ever been arrested for a crime?*

How did you hear about us?

By signing this application, applicant certifies that all information provided is accurate to their acknowledge. Applicant also agrees to furnish any additional information needed to process application.

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Rental Application

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