Rental Application

Personal Information

All Other Proposed Occupants

Rental/Residence History

Current Residence
Previous Residence
Prior Residence

Employment History

Current Employment
Previous Employment
Prior Employment

Vehicles (Include vehicles belonging to other proposed occupants also)

References & Emergency Contacts

Doctor
Lawyer
Nearest Relative Living Elsewhere

By signing the application you grant us permission to communicate with all the contacts listed in this section in the event we can’t locate you. Furthermore, if you abandon the apartment for any reason then you grant us permission to allow your relative listed above to remove all contents of the dwelling on your behalf.

General Information

Agreement & Authorization Signature

I believe that the statements I have made are true and correct. I hereby authorize a credit and/or criminal check to be made, verification of information I provided and communication with any and all names listed on this application. I understand that any discrepancy or lack of information may result in the rejection of this application. I understand that this is an application for an apartment and does not constitute a rental or lease agreement in whole or part. I further understand that there is a non-refundable fee to cover the cost of processing my application and I am not entitled to a refund even if I don’t get the apartment. Any questions regarding rejected applications must be submitted in writing and accompanied by a self-addressed stamped envelope.

Upon submitting your application, please email all required documents to Lina Staggers at lstaggers.accessrealty@gmail.com.

1. Drivers license, State ID, or Passport
2. Last two most recent pay stubs