Application Form Online Application Form Applying for residence at Name(s) of Roommate(s) (If Applicable) All applicants must fully complete an application. We check references for all applicants. All applicants must be approved. We do not rent to the first applicant(s), we rent to the best applicant(s). We may require a co-signer. Unit is not taken off the market until ALL TENANTS have signed lease and security deposit is PAID IN FULL. First Name * Middle Last * Date of Birth * Social Security # * Current Address Current Address Current Address Current Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Length of time at current address * Phone * Email * Present Landlord Landlord Phone Previous Address Previous Address Previous Address Previous Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Has a previous/current landlord ever terminated your lease, or have you been refused renewal of a lease? Yes No Please explain Have you ever been late in rent payments? Yes No If yes, please indicate # of times late & explain circumstance Have you ever been a defendant in a Money Judgment/Small Claims Action for unpaid rent, utilities, damages or non-compliance with a rental agreement? Yes No Please explain Are there any adverse credit conditions in your recent history that will be on your credit report? Yes No Please explain Bank City/State Employed at How long? Monthly wages Supervisor/Phone Any other sources of income Parents Student Loans OtherOther If student, Major Year (Fr/Soph/Jr/Sr) How did you hear about us? jandjapts.com Zillow.com Craigslist Trulia.com HotPads.com Yard Sign Friend/Family member OtherOther If your reference and/or income is inadequate/insufficient, will you allow us to have your parent or other approved individual co-sign the lease, with your permission? * Yes No Co-signer Name Co-signer email Please list one personal reference (other than relative or employee) Name * Phone * Address * Address Address Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal In case of emergency, please contact (parent/guardian): Name * Phone * Relationship to Applicant * Motor vehicles to be parked on premises by applicant: Make & Style Color License Plate # Photo ID - Please attach a copy of your Driver's License or other state-issued photo ID * Drop a file here or click to upload Choose File Maximum file size: 25MB NO PETS ALLOWED. SECURITY DEPOSIT DUE UPON SIGNING OF LEASE. You cannot move in to unit until lease is signed & security deposit & first month’s rent are paid in full. Rent thereafter is due on the 1st day of the month in advance. I declare that all responses are true & complete & hereby authorize verification of credit & references. Any false statement on this application may lead to rejection of application or immediate termination of lease. I authorize above information to be verified by all available means: consumer reporting agencies, public records, current/previous rental property owners, employers & personal references. If any answers are found to be incorrect, any Rental Agreement becomes void & will be sufficient reason for eviction & loss of Security Deposit. I also authorize verification of employment, bank accounts, credit history (including credit bureau report) criminal records & rental history. I have agreed to submit this application by electronic means. By signing this application electronically, I certify under penalty of perjury and false swearing that my answers are correct and complete to the best of my knowledge. Signature signature keyboard Clear Date * File Upload Drop a file here or click to upload Choose File Maximum file size: 33.55MB Submit If you are human, leave this field blank.
