Rental Application

Rental Application

Apply for rental with this online form.
Equal Housing Opportunity

We do business in accordance with the Federal Fair Housing Law. We do not discriminate against any person because of race, color, religion, sex, handicap, familial status or national origin.
Name*

First NameLast Name
E-mail*
Birth Date*

MonthDayYear
Phone Number*
Social Security Number*
Driver's License #
Licensing State
Co-Applicant Information (If Applicable)
Name

First NameLast Name
E-mail
Birth Date

MonthDayYear
Phone Number
Social Security Number
Driver's License #
Licensing State
Nearest Living Relative
Full Name

First NameLast Name
Phone Number
Relationship
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Residence History

for the past 5 years
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date In:*

MonthDayYear
Date Out:*

MonthDayYear
Reason for Moving:
Manager Name*
Manager Phone*
Previous Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date In:

MonthDayYear
Date Out:

MonthDayYear
Reason for Moving:
Manager Name
Manager Phone
Previous Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date In:

MonthDayYear
Date Out:

MonthDayYear
Reason for Moving:
Manager Name
Manager Phone
Employment Information
Applicant Status

Employed Full-TimeEmployed Part-TimeStudentRetiredUnemployed
Present Employer
Supervisor Name
Position
Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
How Long
Monthly Gross Income
Phone
Co-Applicant Employer (If Applicable)
Co-Applicant Status

Employed Full-TimeEmployed Part-TimeStudentRetiredUnemployed
Present Employer
Supervisor Name
Position
Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
How Long
Monthly Gross Income
Phone
Personal References
Full Name*

First NameLast Name
Phone Number*
Relationship*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Full Name

First NameLast Name
Phone Number
Relationship
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Bank Reference
Current Accounts

CheckingSavingsLoan
Bank Name
Phone Number
How Long
Bank Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Additional Information
I understand that all units are non-smoking and no pets.*

YesNo
Have you ever been evicted from any tenancy or been asked to move out?*

YesNo
Have you ever willfully or intentionally refused to pay rent when due?*

YesNo
Have you ever been sued for damage to rental property?*

YesNo
Do you know of anything which may interrupt your ability to pay?*

YesNo
Have you ever filed for bankruptcy?*

YesNo
Have you ever been convicted of a felony?*

YesNo
Has the exhaust system on your automobile been modified with an after-market system?*

YesNo
Does the automobile have a quiet exhaust system that will not disturb other tenants?*

YesNo
Please give any additional information that might help management evaluate your application:
How did you hear about our property?
Desired start date of occupany
Apartment Preferences:

Please select all that apply
Studios

Fairfield ApartmentsCondominium ApartmentsFairfield Square
One Bedrooms

Fairfield ApartmentsCondominium ApartmentsFairfield Square
Grand Villa options for persons 55 years of age or older:

One Bedroom - One BathTwo Bedroom - One BathTwo Bedroom - Two BathTwo Bedroom - Two Bath - Single GarageTwo Bedroom - Two Bath - Double Garage
Authorization*

Applicant hereby represents that all the above statements are true, correct and complete. Applicant authorizes verification of the above information provided including, but not limited to obtaining a consumer credit report and agrees to furnish additional information upon request. Applicant understands that any false answers or statements on this application shall be grounds for non- approval and/or eviction.
Signature*
Thank you for your submission!

A copy of your application will be included in your confirmation e-mail.
Should be Empty:

Rental Application

Co-Applicant Information (If Applicable)

Nearest Living Relative

Residence History

Employment Information

Co-Applicant Employer (If Applicable)

Personal References

Bank Reference

Additional Information

Apartment Preferences:

Thank you for your submission!