Rental Application Form

Please fill out the form below to submit your application online. The ENTIRE application must be filled out or it may not be considered for acceptance.
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY


  • (Please Indicate Annual or Per Hour)
  • Please list and describe any additional income sources and monthly amounts to be considered.
  • Please indicate Annual or Per Hour

  • Credit References

  • Automobiles

  • Please enter one auto per line in the text area.
  • (It is agreed and understood that this office must be provided with a copy of insurance for a waterbed prior to move-in)


Applicant has delivered $______ in the form of a _______, receipt of which is hereby acknowledged as a deposit (and not payment) to be retained or refunded as hereinafter provided. Applicant agrees to sign the lease by ______________ . In the event the application is approved and applicant fails or refuses to enter into the contemplated lease, Lessor shall retain the deposit as liquidated damages to cover the cost of removing the premises from the market and holding it for the applicant. In the event that the application is rejected, or the apartment is not ready for the desired date of occupancy, this deposit will be returned to the applicant.

This application is a preliminary step in the process of leasing the above-described apartment and is subject to approval or rejection by the Lessor. Upon notification of approval, applicant will promptly execute all lease documents and the deposit made with this application will become the security deposit under the lease. Upon notification of rejection, applicant may promptly pick up the deposit check during normal business hours at the rental office. Please allow a minimum of 5 days to verify your employment, prior rental referenced and credit.

I certify that all information in this application is true to the best of my knowledge, and I understand that false statements or information will lead to cancellation of this application or termination of tenancy after occupancy. I do hereby authorize the representatives of this apartment community to contact any agencies, local police departments, offices, groups or organizations to obtain and verify any information or materials which are deemed necessary to complete my application for housing. I further authorize said representatives to verify all information listed on this application. I understand that any information obtained by the representatives will be held in the strictest confidence.

TITLE VII of the CIVIL RIGHTS ACT of 1966 makes discrimination based on race, color, religion, sex, handicap, familial status or national origin illegal in connection with the rental of most housing. The Federal agency that administers compliance with this law concerning this company: The Department of Housing and Urban Development.

The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of sex or marital status. The Federal agency that administers compliance with this law concerning this company: Equal Credit Opportunity, Federal Trade Commission, Washington, D.C. 20580.