Rental/Purchase Application

EACH APPLICANT MUST COMPLETE A SEPARATE APPLICATION

* Required Information

Address you are applying for: (Leave blank if unknown)
Date of desired occupancy: (MM/DD/YYYY)	(Please click on the calendar icon to select the date)
Would you like to take advantage of our owner financing or lease purchase programs:
How much of a down payment can you raise:
What is the maximum monthly payment you can pay:
Is your credit:
Your Personal Information
* First Name:
* Last Name:
Birth Date:
Age:
Driver License Number:
Driver License State:
Current home address:
* City:
* State:
* Zip Code:
* Phone Number:
Cell Phone Number:
* E-mail Address:
How long at current residence:
If renting, apartment name:
Current Monthly Rent:
* Name of Landlord:
Landlord's Phone Number:
Nearest Living Relative:
Relative Phone Number:
Other persons who will live with you:
Type of Pet, Weight, and Name:
Have you ever filed bankruptcy:
Date Discharged:	(Please click on the calendar icon to select the date)
Have you ever been evicted:
If Yes, When:
Previous Residential History
Previous Address:
How long at previous address:
If rented, Apartment name:
Previous Monthly Rent:
Name of Previous Landlord:
Previous Landlord's Phone Number:
Your Work
* Present Employer:
* Current Supervisors Name:
Supervisor Phone Number:
Street Address:
City:
State:
Zip Code:
Work Phone Number: (With Area Code)
Position:
* Your gross monthly income before deductions:
Date you began this job:	(Please click on the calendar icon to select the date)
Employer #2:
Street Address:
City:
State:
Zip Code:
Work Phone Number: (With Area Code)
Position:
Your gross monthly income was:
Dates you began and ended this job: (MM/DD/YYYY) To (MM/DD/YYYY)
Other Income:
Source of other income:
By typing my full name in the space provided below I declare that the application is complete, true and correct and I herewith give my permission for anyone contacted to release the credit, criminal, or personal information of the undersigned applicant to Management
Authorized/Acknowledged by:
Submission of Rental Application:
Date of application: (MM/DD/YYYY)	(Please click on the calendar icon to select the date)
You will receive an email with the EZ Online Approval link
Phone number where we may reach you during business hours:
Type any comments or special requests you may have below:
Captcha Code:
* Enter Code Above: