Residential Lease Application
If you are interested in one of our properties and would like to expedite the lease arrangement, you may fill out the form below.  When you hit the SUBMIT APPLICATION button, your information will be electronically sent to one of our lease agents. An agent will call you to schedule an appointment or answer any questions you may have about our properties.

Co-Signer Applications may be filled out by going here.

If you are interested in our commercial properties, please contact our office directly at (765) 286-8985.  This form is for our residential properties only.

 
* Fields with an asterik are required
Move-In Information
Today's Date
Wednesday, March 10, 2010 2:31 AM
Desired Move-In Date
 
Desired Property
Desired Number of Bedrooms
Note: A co-signer is required for each applicant unless there is a previous landlord history available for a minimum of one full year. The landlord history must be verified and all payments must be verified and must have been made timely.
 
Applicant's Personal Information
First Name*
 
Last Name*
 
Email Address*

Phone Number*
(xxx) xxx-xxxx format
 
Your Present Address Information
Street Address*
City*
State*
Zip Code*
Your Parent/Guardian Information
(If applicable)
First and Last Name
Street Address
City
State
Zip Code
Email Address

Phone Number
(xxx) xxx-xxxx format
 
Current Landlord Information
Current Landlord*
  (If you live at home, please write "Home" in this field)
Phone*
(xxx) xxx-xxxx format
How Long at this Address
Have You Ever Been Evicted
Reason for Leaving
 
Vehicle Information
Make of Vehicle
Year
Color
 
Current Employer Information
Employer Name*
  (If unemployed, please write "N/E" in this field)
Contact Person
Street Address
City
State
Zip Code
Phone
 
(xxx) xxx-xxxx format
Email Address

 
Banking & Financial Information
Name of Financial Institution
Account Type
Checking Account Number
Have You Ever Filed Bankruptcy
If "Yes" above, when was the Discharge Date
 
Emergency Contact
Name*
Street Address*
City*
State*
Zip Code*
Phone*
(xxx) xxx-xxxx format
Email Address

 
General Question/Comment/Request
 
I declare the above information to be true. I agree that the landlord may terminate any agreements entered into in reliance of any misstatement made above. I hereby authorize verification of references given and a credit check.  By typing my name and other identifying information below, I am creating a Digital Signature as proof of validity of information I have entered on this electronic Lease Agreement form.
Applicant's Name*
Birth Date*
Social Security Number*
XXX-XX-XXXX format
Driver's License Number*
(If no driver's license, please type "N/A" in this field)
 
 
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