Rental Application

You can fill out the form below and click “Send” or click on the image below to fill out the pdf form.

Applicant Information
First Name (required) Last Name (required)
Email (required) Phone Number (required)
Social Security # (required) Date of Birth (required)

Co Applicant Information
Co-Applicant First Name Co-Applicant Last Name
Email Phone Number
Social Security # Date of Birth
Number of People to Occupy Rental Name & Date of Birth of Children

Residency Information
Present Address
Monthly Payment How Long?
Name of Present Landlord Landlord's Phone
Previous Address
Monthly Payment How Long?
Name of Previous Landlord Landlord's Phone

Employment Information
Current Employer Employer Phone Number
Employer's Address Employment Length
Position Salary
Name of Supervisor

Co-Applicant Employment Information
Co-Applicant Employer Employer Phone Number
Employer's Address Employment Length
Position Salary
Name of Supervisor

Financial and Loan Information
Name of Bank
Auto 1 (make/model/year) License Plate #
Financed through Monthly Payments
Auto 2 (make/model/year) License Plate #
Financed through Monthly Payments

Rental/Criminal History
Have you or any occupant listed on this application ever been...
Evicted or asked to move out of a residence  Yes No
Broken rental agreement  Yes No
Been sued for property damage  Yes No
Declared bankruptcy  Yes No
Arrested for felony, misdemeanor, or sex related crime  Yes No
If "Yes" explain
I certify that all statement are true and complete. I further authorize Landlord to obtain credit reports, criminal reports, rental history, and employment/income verification, as necessary, to confirm all information in the above-referenced application.
Signature of Applicant (required) Date
Signature of Co-Applicant Date

Click the image below to fill out the Rental Application Form PDF. You can send this form via email if you use Microsoft Outlook or print the form and mail it.

West Lafayette, Lafayette, Monticello Apartment Rental Application

Click on Image to open PDF

 


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