Application | mysite

RENTAL APPLICATION

Each adult (19 or older) must fill out a separate application

Application fee is $30 per adult. We will not process your application if we have an application pending.

First name

Last name

Email

Phone

Birthday

Month

Day

Year

All other proposed occupants and relationship

Which building are you interested in?

5 & Dime Apartments

Pine St. Apartments

Temple Lofts

Key Apartments

What are you interested in?

Studio

1 Bedroom

2 Bedrooms

RENTAL/RESIDENCE HISTORY

Current Address

Landlord/owner/manager

Reason for moving

Current rent amount

Dates of residency

Previous Address

Reason for leaving

Did you give 30 days notice?

No

Yes

EMPLOYMENT HISTORY

Name of current employer

Occupation

Name of supervisor

Employer's phone number

Monthly gross pay

Dates of employment

CREDIT HISTORY

Savings Account Bank Name

Balance or Amount Owed

Checking Account Bank's Name

Balance or Amount Owed

Credit Card Bank Name

Balance or Amount Owed

Credit Card Bank's Name

Balance or Amount Owed

Auto Loan

Balance or Amount Owed

VEHICLES

Make

Model

Color

Year

License Plate

EMERGENCY CONTACTS

Nearest relative or emergency contact

Relationship

Phone Number

Email Address

GENERAL INFORMATION

Have you ever been served a late rent notice?

No

Yes

Have you ever been served an eviction notice?

No

Yes

Have you ever been convicted of a felony?

No

Yes

How many pets do you have? List type, breed, weight and age.

When would you be able to move in?

We will run a credit and a background check. Is there anything negative that we will find that you want to comment on?

Have you been a party in a lawsuit in the past? If so, please explain.

I believe that the statements I have made are true and correct. I hereby authorize a credit and/or criminal check to be made, verification of information I provided and communication with any and all names listed on this application. I understand that any discrepancy or lack of information may result in the rejection of this application. I understand that this is an application for an apartment and does not constitute a rental or lease agreement in whole or part. I further understand that there is a non-refundable fee to cover the cost of processing my application and I am not entitled to a refund even if I don’t get the apartment.