Rental Application

Step 1: Applicant

Property / Apartment(s) you are applying for

Applicant Name *

Telephone *

Email Address

Date of Birth

Name of Your Bank

Home Address

Street Address

City

State

Zip

Current Address

Street Address

City

State

Zip

Owner/Rental Agent

Current Owner/Rental Agent Telephone

How Long at Current Residence?

Reasons For Leaving

Employer

Manager

Telephone

Employer's Address

City

State

Zip

Length of Employment

Wage

Total Hours Each Week

Per

Position

Other Information

Student Loans, Financial Aid, Parent Financial Assistance

Additional Income *

Do you smoke?

Pets

Step 2: Co-Applicant 1

Co-applicant 1 Name

Telephone

Email Address

Date of Birth

Pets

Home Address

Street Address

City

State

Zip

Current Address

Street Address

City

State

Zip

Owner/Rental Agent

Telephone

How Long at Current Residence?

Reasons For Leaving

Employer

Manager

Telephone

Employer's Address

City

State

Zip

Length of Employment

Wage

Total Hours Each Week

Per

Position

Other Information

Student Loans, Financial Aid, Parent Financial Assistance

Additional Income

Do you smoke?

Name of Your Bank

Step 3: Co-Applicant 2

Co-applicant Name

Telephone

Email Address

Date of Birth

Pets

Home Address

Street Address

City

State

Zip

Current Address

Street Address

City

State

Zip

Owner/Rental Agent

Telephone

How Long at Current Residence?

Reasons For Leaving

Employer

Manager

Telephone

Employer's Address

City

State

Zip

Length of Employment

Wage

Total Hours Each Week

Per

Position

Other Information

Student Loans, Financial Aid, Parent Financial Assistance

Additional Income

Do You Smoke?

Name of Bank

Step 4: Additional Occupants

List names of any additional occupants to live in the above named property.

Additional Occupant 1

Name

Relationship

Age

Additional Occupant 2

Name

Relationship

Age

Additional Occupant 3

Name

Relationship

Age

Step 5: Prior Housing

Prior Housing References

Reference 1

Name

Location

Telephone

Reference 2

Name

Location

Telephone

Reference 3

Name

Location

Telephone

Step 6: Prior Employment

Prior Employment References

Employment Reference 1

Name

Address

Telephone

Employment Reference 2

Name

Address

Telephone

Employment Reference 3

Name

Address

Telephone

Step 7: Automobiles

Automobiles to be parked at Riverbend Apartment building

Vehicle 1

Owner

Make

Model

Color

Year

License Plate

Vehicle 2

Owner

Make

Model

Color

Year

License Plate

Vehicle 3

Owner

Make

Model

Color

Year

License Plate

Step 8: Other Information

Have you ever filed for bankruptcy

Been evicted from a tenancy

Willfully or intentionally refused to pay rent when due

Been convicted of the illegal manufacture or distribution of a controlled substance

Used another name or alias name(s)

If you answered yes to any of the above, please explain

The above information is true and correct to the best of my knowledge and by my signature I attest to its accuracy.

Step 9: Authorizations

(print applicant name) hereby authorize Buzz or Taffy Davis of Riverbend Apartments to inquire and receive information regarding my credit history that they may deem necessary.

(print co-applicant name) hereby authorize Buzz or Taffy Davis of Riverbend Apartments to inquire and receive information regarding my credit history that they may deem necessary.

Any false statements will constitute grounds for immediate eviction and invalidation of any lease or rental agreement.

Please check the box below before submitting.

Rental Application

Online Application

Step 1: Applicant

Home Address

Current Address

Employer

Other Information

Step 2: Co-Applicant 1

Home Address

Current Address

Employer

Other Information

Step 3: Co-Applicant 2

Home Address

Current Address

Employer

Other Information

Step 4: Additional Occupants

Additional Occupant 1

Additional Occupant 2

Additional Occupant 3

Step 5: Prior Housing

Reference 1

Reference 2

Reference 3

Step 6: Prior Employment

Employment Reference 1

Employment Reference 2

Employment Reference 3

Step 7: Automobiles

Vehicle 1

Vehicle 2

Vehicle 3

Step 8: Other Information

Step 9: Authorizations