Rental Application | Apex Properties

Move-In Information

Unit Type *

1 Bedroom2 Bedroom

Applicant Information

First Name *

Last Name *

Birth Date *

Phone *

Cell Phone

Email *

Smoker? *

YesNo

Co-Applicant Information

Is there a co-applicant? *

YesNo

First Name *

Last Name *

Birth Date *

Phone *

Cell Phone

Smoker? *

YesNo

Other Occupants

Are there other occupants? *

YesNo

Name *

Relationship *

Age *

Name (2nd Occupant)

Relationship (2nd Occupant)

Age (2nd Occupant)

Current Rental History

Address *

City *

State *

Zip *

Manager Name *

Phone *

Start Date *

End Date *

Reason for Leaving *

Past Rental History

Type N/A in any field that doesn't apply (e.g. if you have no prior rental history).

Address *

City *

State *

Zip *

Manager Name *

Phone *

Start Date *

End Date *

Reason for Leaving *

Applicant Employment

Company *

Manager Name *

Phone *

Address *

City *

State *

Zip *

Length of Employment *

Monthly Pay *

Co-Applicant Employment

Company *

Manager Name *

Phone *

Address *

State *

Zip *

Length of Employment *

Monthly Pay *

Additional Income (Optional)

Source

Amount

Verify With

Phone

References

Reference 1 Name *

Phone *

Relationship *

Reference 2 Name *

Phone *

Relationship *

Reference 3 Name

Phone

Relationship

Automobile Information

Year *

Make *

Model *

License Plate *

Year (Vehicle 2)

Make

Model

License Plate

Pet Policy

A&A Properties is not a pet friendly facility. No pets of any kind are allowed in units at any time. I agree to these terms.

Background Information

Have you ever been convicted of a crime? *

YesNo

If yes, describe and date each one (type N/A if No) *

Have you ever been evicted, declared bankruptcy, or had a judgement? *

YesNo

If yes, describe and date each one (type N/A if No) *

Agreements & Statements

I represent that the information provided in this application is true, complete and accurate to the best of my knowledge. I understand that any misrepresentation or omission of information is grounds for eviction.

I understand that the information provided might be used by Landlord to determine whether to accept this application. I authorize Landlord to verify all the information given in this application, including past rental information, personal references and employment information. I authorize the Landlord to obtain a current credit and criminal background check.

I understand that this application is not a rental agreement and does not create any obligation on the Landlord. The undersigned represents that the information provided is true, complete, and accurate to the best of my knowledge.

Submitting this form electronically constitutes an actual signature if the following signature fields are completed with your name. I agree to this statement.

Electronic Signature

Applicant Full Name (Signature) *

Date *

Co-Applicant Full Name (Signature) *

Date *

Townhouse Rental Application

Move-In Information

Applicant Information

Co-Applicant Information

Other Occupants

Current Rental History

Past Rental History

Applicant Employment

Co-Applicant Employment

Additional Income (Optional)

References

Automobile Information

Pet Policy

Background Information

Agreements & Statements

Electronic Signature