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APPLICANT'S INFORMATION

Please complete "Required Information" or place "N/A" in space if it does not apply to you. Application will not transmit if not completed. If there is a Co-Applicant, please list the name.

Co-Applicant (First and Last Name )

APPLICANT

First Name(Required)

Middle Name(Required)

Last Name(Required)

Social Security Number(Required)

Birthdate(Required)

MM slash DD slash YYYY

Drivers License(Required)

State(Required)

State

CURRENT EMPLOYER(Required)

CURRENT EMPLOYER ADDRESS(Required)

Street Address City State / Province / Region ZIP / Postal Code

Employer's Address(Required)

Street Address City State / Province / Region

Employer Phone #(Required)

Current Applicant Position(Required)

Supervisor(Required)

Supervisor Phone #(Required)

Supervisor Email(Required)

Date Started

MM slash DD slash YYYY

Date Ended

MM slash DD slash YYYY

Current or Still working?

Pay Frequency

Gross Income(Required)

Other Income

PREVIOUS EMPLOYER

Previous Employer Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Employer's Email

Employer Phone #

Applicant Position

Supervisor

Supervisor Email

Supervisor Phone

Date Started

MM slash DD slash YYYY

Date Ended

MM slash DD slash YYYY

RESIDENCE HISTORY

Home Phone(Required)

Work Phone(Required)

Cell Phone(Required)

Email(Required)

Current Landlord(Required)

Current Rent Amount(Required)

Current Address(Required)

City State Zip Code

Reason For Moving(Required)

Current Landlord Phone(Required)

Current Landlord Email(Required)

Current Landlord Fax(Required)

Current Landlord Address(Required)

City State Zip Code

Previous Landlord

Previous Landlord Email

Previous Landlord Phone #

Previous Address(Required)

City State Zip Code

Previous Rent

Date Moved In

MM slash DD slash YYYY

Date Moved Out

MM slash DD slash YYYY

OTHER INFORMATION

DEBT PAYMENTS

Largest Debt #1

Balance

Monthly Payment

Largest Debt #2

Balance

Monthly Payment

Largest Debt #3

Balance

Monthly Payment

OTHERS WHO WILL OCCUPY THE PREMISES

Name

Relation

Age

Date of Birth

MM slash DD slash YYYY

Name

Relation

Age

Date of Birth

MM slash DD slash YYYY

Name

Relation

Age

Date of Birth

MM slash DD slash YYYY

Do you have any pets?

Yes

No

If so, please specify. Weight

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(Required)

Relation(Required)

Address(Required)

City State Zip Code

Phone Number(Required)

How Did you Find out about our Properties?

Sign

Newspaper

Friend

Internet

Drive by

Other

What is your potential stay with us?

Have you ever Filed for Bankruptcy?(Required)

Yes

No

If yes, when?

Have you ever been Evicted from a property?(Required)

Yes

No

Why

Have you ever willfully or intentionally refused to pay rent when due?(Required)

Yes

No

Why

Have you ever been convicted of a crime?(Required)

Yes

No

If yes, Explain

Consent

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

Consent

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

Required-Consent(Required)

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

APPLICATION AUTHORIZATION TO RELEASE INFORMATION

I agree with the authorization.(Required)

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.

Type Name(Required)

Signature(Required)

If form does not Send, review all "required" fields to make sure fields were completed, or N/A or None was placed in field, then Send again.

Amount

Be on lookout for 6-digit code, which comes up quickly on some browsers. Be ready to write down code to be entered by you on your device.

Email

This field is for validation purposes and should be left unchanged.

Home
Model Floor Plans
Availability
Application
Gallery
Contact Us

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Home
Model Floor Plans
Availability
Application
Gallery
Contact Us

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