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208 S. Main St.
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Application
Online Rental Application
Please enable JavaScript in your browser to complete this form.
Primary Applicant
*
First
Middle
Last
Secondary Applicant
First
Middle
Last
Rental Property Address – Not Your Current Address
Phone Number 1 – (###) ###-####
*
Email
*
A Background Check WILL Be Conducted on ALL Applicants – Check the box to accept
*
I understand and agree to submit to background check
Have you ever had a Court Judgement for eviction?
*
Yes
No
How Many Household Members Will be Living With you?
*
Example: 2 Adults, 1 Child
Primary Applicant: Employer Name
*
Primary Applicant: Monthly Income
*
Primary Applicant: How long have you worked for your current employer?
*
Primary Applicant: Where is Your Employer Located? (City/Town)
*
Only Add the Town Your Employer is Located in.
Primary Applicant: Misc. Income (Child Support, Food Stamps, SSI, etc.)
*
Secondary Applicant: Employer Name
Secondary Applicant: Monthly Income
Secondary Applicant: How long have you worked for your current employer?
Secondary Applicant: Misc. Income (Child Support, Food Stamps, SSI, etc.)
TOTAL MONTHLY HOUSEHOLD INCOME
*
Please add ALL income from ALL sources. You will be required to provide proof of income.
Rent for the Home You Are Requesting
To Qualify for This Unit, Applicants Monthly Income Must be At Least 2x the Monthly Rent. Does your Monthly Income Meet this Requirement?
*
Yes
No
Move in Costs are Approximately 3x the Rent.
*
I have the money
I have State Security Deposit Assistance
I do not have the money
*In order to move in, the tenant MUST have First Month’s Rent, Final Month’s Rent, and the Security Deposit (which is generally the same as the monthly rent amount). This will total three times the monthly rent amount. Under special circumstances, certain payment arrangements may be made.
Primary Applicant: Date of Birth – MM/DD/YYYY
*
Secondary Applicant: Date of Birth – MM/DD/YYYY
Pets (Amount and Breed – No cats, pit bulls, or rottweilers)
*
Name
Submit