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Rental Application

Full Name*


Property of Interest*

Phone Number*

Email Address

Who else will be living with you?

Current Address

How long have you lived at your current address?

Current Landlord's Name

Current Landlord's Phone Number

Monthly Rent at Current Address:

Reason for Moving:

Current Employer*

Position at Job:*

Employer Phone Number*

Gross Wages per Month*

Hire Date

Other Sources of Income (Include Monthly Income Amount)

How long do you plan to live here?

What pets do you have?

How many evictions have been filed against you?*

How many felonies do you have?*

Do you smoke?*

How many vehicles do you own?

Is the total move in amount available now?*

When would you like to move in?*

How did you hear about this home?*

For what reasons could you not pay the rent on time?*

Do you have a checking account?

Do you have a savings account?

Emergency Contact

Why should we rent to you?*

Do you give us permission to perform Credit and Background checks?*

Select an option

Please fill out application completely, and to the best of your ability.  If you have any questions, please feel free to contact us. 

Our main requirements are that the total household income is at least three times the rent, no history of evictions, and no history of violent crime, sexual crimes, or manufacture/distribution of drugs.

Please note: There is an application fee of $35 that is charged in order to process your application prior to move in.  Thank you!



(219) 243-0175

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