Residential Rental Application

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Complete a separate application for each adult (anyone over the age of 18) that will occupy the unit.

Email *

Gmail sign-in is NOT required to complete this form.

Sign-in is only need for certain feature not included in this form.

CONTACT INFORMATION:

First and Last Name. *

Date of Birth. *

YYYY

Social Security Number. *

Which best describes your use of email. *

I rarely check email or do not have an email account.

I check my email at least once a week.

I check my email at least once a day.

I check email several times a day.

I have had the same email address for *

5 years or more.

3 to 5 years.

1 to 3 years.

Less than 1 year.

I do not have an email account.

Mobile Phone Number. *

I have had the same mobile phone number for *

5 years or more.

3 to 5 years.

1 to 3 years.

Less than 1 year.

I have had multiple phone numbers in the past year.

I do not have a mobile phone.

Other:

My mobile phone is *

Smart phone. (Android, I-phone etc.)

Basic phone. (flip phone)

Other:

Have you ever been evicted. *

Yes (If yes explain below)

Explain eviction, if yes above.

Have you ever been convicted of a felony? *

Yes (If yes explain)

Explain felony, if yes above.

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