Tell Us About Yourself Full Legal Name* Date of Birth* Social Security Number / ITIN* Phone Number* Email Address* Driver’s License or ID Number & State Marital Status Do you have a co-applicant? YesNo Next Co-Applicant Information Full Legal Name Date of Birth Social Security Number / ITIN Phone Number Email Address Driver’s License or ID Number & State Relationship to Applicant BackNext Current Residence Current Address* How long have you lived here? Monthly Rent Current Landlord / Property Manager Name Landlord Phone Number Reason for Moving Were you ever late on rent? YesNo If yes, please explain BackNext Previous Residences Previous Residence #1 Address Dates Lived Monthly Rent Landlord Name Landlord Phone Reason for Leaving Any evictions, lease violations, or unpaid rent? YesNo If yes, explain Previous Residence #2 (optional) Address Dates Lived Monthly Rent Landlord Name Landlord Phone Reason for Leaving Any evictions, lease violations, or unpaid rent? YesNo If yes, explain BackNext Employment Information – Current Employer Name* Employer Address Supervisor Name & Phone Job Title Start Date Pay Type HourlySalaryWeeklyMonthly Average Monthly Income Upload Last 3 Pay Stubs* Upload Bank Statements (optional) Employment Information – Previous Employer Name Job Title Dates of Employment Reason for Leaving BackNext Other Income Section 8 or Housing Voucher? YesNo Voucher Type Case Worker Name, Phone, Email Approved Bedroom Size Payment Standard Additional Income Sources (SSI, SSDI, child support, pension, etc.) Monthly Amount Upload Proof of Income Household Information Total Number of Occupants Names & Ages of All Occupants Relationship of Each Occupant to Applicant BackNext Rental History & Background Ever been evicted? YesNo If yes, explain Any unpaid balances to previous landlords? YesNo Details (if any) Ever broken a lease early? YesNo Details Ever had a criminal conviction? YesNo Any pending or dismissed criminal charges? YesNo Are you currently involved in any lawsuits? YesNo Credit & Financial Information Approximate Credit Score Range Any bankruptcies in the last 7 years? YesNo Any repossessions? YesNo Do you have funds for first month + security deposit? YesNo List any major debts (optional) BackNext Emergency Contact Full Name Phone Number Relationship (must not live with applicant) Vehicle Information Do you have a vehicle? YesNo Make / Model / Year License Plate Insurance Provider Pets Do you have pets? YesNo Type of Animal Breed Weight Age Service Animal? YesNo ESA Animal? YesNo Upload Vaccination Records Move-In Details Expected Move-In Date Desired Lease Length Do you smoke? YesNo Do you have renter’s insurance? YesNo Are you okay with quarterly or semi-annual inspections? YesNo How did you hear about us? BackNext Uploads & Consent Additional Uploads Driver’s License / ID Social Security Card (optional) Housing Voucher Award Letter Pet Documents Any additional documents Decision Consent By submitting this application, you agree that the landlord/management may obtain information about you including credit check, criminal background check, employment verification, income verification, rental history verification, and contacting current & previous landlords. Consent * [radio* consent_agree use_label_element "I certify that all information is true and complete. I authorize verification of this application."] Applicant Signature (type full name)* Co-Applicant Signature (type full name) Date* Back