Online Rental Application
Complete as fully as possible. Fill in areas highlighted with "*" which is Required Information. If the area does not apply to you, place N/A or None in the space. Application will not transmit if field is not completed.
 
 
APPLICANT'S INFORMATION
   
Last Name *
First Name *
Middle Name *
   
Social Security Number *
Birthdate *
Drivers License *
State *
Email
Employer *
Employer's Full Address *
Employer Phone # *
Position *
Supervisor *
Date Started *
Date Ended *
Gross Income *
   
Other Income
   
Previous Employer
Employers Full Address
Employer Phone #
Position
Supervisor
Date Started
Date Ended
   
 
Spouse or co-applicant INFORMATION
   
Last Name  
First Name  
Middle Name  
   
Social Security Number  
Birthdate  
Drivers License  
State  
   
Employer  
Employer's Full Address  
Employer Phone #  
Position  
Supervisor  
Date Started  
Date Ended  
Gross Income  
   
Other Income
   
Previous Employer
Employers Full Address
Employer Phone #
Position
Supervisor
Date Started
Date Ended
   
Residence History
   
Home Phone *
Work Phone *
Cell Phone *
   
Present Address
City *
State *
Zip Code *
Reason for Moving
Present Landlord *
Landlords Phone # *
Current Rent *
Date Moved In *
Date Moved Out *
   
Previous Address
City
State
Zip Code
Reason For Moving
Previous Landlord
Landlord Phone #
Previous Rent
Date Moved In
Date Moved Out
Credit references
   
Credit Reference #1
Balance
Monthly Payment
   
Credit Reference #2
Balance
Monthly Payment
   
Credit Reference #3
Balance
Monthly Payment
   
Other Information
   
Auto Make
Year
Tag Number
   
Auto Make
Year
Tag Number
   
Do you own a motorcycle, boat, trailer, or camper?
 
In Case of Emergency, notify:
Name *
Relation *
Address *
City *
State *
Zip Code *
Phone Number *
   
How Did you Find out about our Properties? *
 




   
What is your potential stay with us?
 
Have you ever Filed for Bankruptcy? *
If yes, when?
*
Have you ever been Evicted from a property? *
Why
*
Have you ever willfully or intentionally refused to pay rent when due?
  *
Have you ever been convicted of a crime? *
If yes, Explain
*
Others Who will Occupy the Premises
   
Name *
Relation *
Age *
   
Name *
Relation *
Age *
   
Name *
Relation *
Age *
   
Name
Relation
Age
   
Do you have any Pets?
If so, Specify:
Weight
 

 

* indicates required field

I understand that the application fee is nonrefundable. I understand the deposit is due within 24 hours after application approval.
I understand the deposit is nonrefundable upon receipt.

APPLICATION AUTHORIZATION TO RELEASE INFORMATION
I declare that the foregoing information is true and authorize verification by Smith Properties of employment data, credit history, criminal or background search, etc. I understand that the information obtained is to be used in the processing of my residential application. I hereby release employers, landlords and other organizations or individuals that provide information from any and all liabilities arising out of the use of such information with the processing of my application.
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