Rental Application

If you are interested in renting one of our properties, please fill out the following application. Once we receive your application, we will review it and contact you within 2 business days.

Please note that fields marked with an asterisk (*) are required. Please note that additional fields may become required depending on your answers on the application.

Personal Information

First Name *

Middle Name

Last Name *

Date of Birth *

Home Phone

Cell Phone

Work Phone

Email Address *

Emergency Contact

Name *

Relationship To You *

Phone Number *

Rental / Residency History

Please Note: You must provide, at a minimum, a Home Address OR Current Address. If your Home Address is not the same as your Current Address, please provide both.

Home Address (Parents House If Applicable)

Address

City

State

Zip Code

Current Address

If your current address is your home / parent's address you do not need to fill out the fields below.

My Current Address is my Home / Parent's Address

Address

City

State

Zip Code

Last Rent Amount Paid

Owner / Manager Name

Owner / Manager Phone #

Reason For Leaving

Is/Was Rent Paid In Full Each Month?

Did You Give Notice?

Were You Asked To Move?

First Date Of Residency

Last Date Of Residency

Previous Address

Address

City

State

Zip Code

Last Rent Amount Paid

Owner / Manager Name

Owner / Manager Phone #

Reason For Leaving

Is/Was Rent Paid In Full Each Month?

Did You Give Notice?

Were You Asked To Move?

First Date Of Residency

Last Date Of Residency

Employment History

Current Employment

Employed By

Address

City

State

Zip Code

Phone Number

Occupation / Position

Supervisor

Monthly Gross Pay

First Date of Employment

Last Date of Employment

Past Employment

Employed By

Address

City

State

Zip Code

Phone Number

Occupation / Position

Supervisor

Monthly Gross Pay

First Date of Employment

Last Date of Employment

Vehicle Information

No vehicle at this time.

Color

Year

Make

Model

License Plate #

State

General Information

Have you ever been served a late notice? *

Have you ever been served an eviction notice? *

If so, when?

Do you or any of the potential roommates smoke? *

How long do you think you will be renting from us? *

We may run a criminal background check. Is there anything we will find that you want to comment on?

How did you hear about this apartment? *

When do you desire the apartment? *

Do you understand that no animals are allowed? *

How many people will be living in the apartment? *

List roommates names

Indicate the # of bedrooms/location of apartment desired *

References

Please list 2 references that are of no relation to you and that you have known for at least 2 years.

Reference 1

Name *

Phone *

City *

State *

How do they know you? *

Reference 2

Name *

Phone *

City *

State *

How do they know you? *

Signature

The Undersigned person represents that all of the above statements are true and complete and hereby authorize verification by the Landlord. Failure to answer any of the above inquiries entitles the Landlord to reject this application. If you provide false information during the application process, the Landlord is entitled to (1) reject this application and/or (2) terminate the Lessee's right to occupancy if the false information is discovered after the applicant takes occupancy. The Undersigned authorizes the above landlords and reference to release any necessary information to Cross Properties or their agents.

Signature of the Applicant *

Date *

If you're not a robot, what is 400 + 4? *

Rental Application

Personal Information

Emergency Contact

Rental / Residency History

Home Address (Parents House If Applicable)

Current Address

Previous Address

Employment History

Current Employment

Past Employment

Vehicle Information

General Information

References

Reference 1

Reference 2

Signature

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