Online Rental Application

A NON-REFUNDABLE CREDIT CHECK FEE OF $45.00 MUST ACCOMPANY EACH APPLICATION. This fee is charged for costs related to securing credit check information on the applicant including but not limited to obtaining a credit report and may include a criminal record check. Non-married co-applicants must file separate applications.

Click Here to download the credit application form. Click Here to download the credit requirement sheet. Click Here to download the rental application or use the form below to complete the rental application online.

Type of Report:
Address applying for:

Applicant Information

Name
Marital Status:
Phone:
Email:
Social Security:
Date of Birth:
Drivers License:

Spouse Name:
Spouse Social Security:
Spouse Date of Birth:
Number of Children:
Number of people to occupy unit? (include everyone who will live here)
Pets:

Rental Information

Present address:
How long:
Rental Rate:
Have you ever been evicted or asked to move by a landlord?

Employment Information

Present employer:
Address:
Personnel/human resources number:
Number to reach you:
Position:
Hire date:
Salary:

Prior Employment

Please provide all information for the past 3 years.

Prior company name:
Prior address:
Prior personnel/human resources number:
Prior position:
How long employed:

Spouse Employment Information

Spouse present employer:
Spouse employer address:
Spouse personnel/human resources number:
Number to reach spouse:
Spouse position:
Spouse hire date:
Spouse salary:

Spouse Prior Employment

Please provide all information for the past 3 years.

Spouse prior company name:
Spouse prior address:
Spouse prior personnel/human resources number:
Spouse prior position:
How long spouse employed:

Do you have any additional income to be considered? If yes, please list amount and source.

Personal References

1st Reference
Phone (1):
2nd Reference:
Phone (2):

Bank Name:

In case of emergency, notify:
Phone Number:
Relationship to you:

Have you ever been convicted of a crime?
Please explain:

AUTHORIZATION FOR CREDIT INVESTIGATION REPORT

I hereby affirm that my answers to the foregoing questions are true and correct and that I have not knowingly withheld any fact or circumstance which would, if disclosed, affect my application unfavorable. As an inducement to enter into a contract, I authorize D&L Reporting Service to verify any and all information contained in this application, to perform a criminal background and credit check, to inquire into my characteristics and mode of living, and I hereby expressly release D&L Reporting Service and any procurer or furnisher of information, from any liability what- so-ever in the use, procurement, or furnishing of such information and understand that my application information may be provided to various local, state and/or federal government agencies, including without limitation, various law enforcement agencies. I also have been advised that I have the right, under the Fair Credit Reporting Act, section 606(B) to make a written request of D&L Reporting Service, within a reasonable time for a complete and accurate disclosure of the nature and scope of the investigation. Upon signing, I acknowledge receipt of The Summary of Your Rights Under the Fair Credit Reporting Act.


Applicant Name:
Best number to reach you:
Electronic Signature (type name):

I represent that I am the person whose name appears above and that I viewed the terms and conditions. I agree that by typing my name below and clicking "Submit", I am electronically signing the application, which has the same legal effect as my written signature on a paper version of the application, and is valid evidence of my intent and agreement to be bound. I understand that if I do not make a payment after the end of this application session, the application will not be effective.


Co-Applicant Name:
Best number to reach Co-Applicant:
Co-Applicant electronic signature (type name):

I represent that I am the person whose name appears above and that I viewed the terms and conditions. I agree that by typing my name below and clicking "Submit", I am electronically signing the application, which has the same legal effect as my written signature on a paper version of the application, and is valid evidence of my intent and agreement to be bound. I understand that if I do not make a payment after the end of this application session, the application will not be effective.