Full Name
*
First Name
Last Name
Phone
(###)
###
####
Email
*
How long are you looking to rent?
*
When are you looking to move?
*
MM
DD
YYYY
Driver's License Number/ID
*
Please upload a photo of you holding your valid Driver's License
*
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Children Information
Please include their ages and full names.
Pet Information
Please include number of pets and their breed. Any and all service animals must have ESA documentation up on request.
Address
*
Name of Property Owner/Manager
*
Property Owner/Manager Phone Number
*
(###)
###
####
Move-In Date
MM
DD
YYYY
Move-Out Date
MM
DD
YYYY
Reason for Moving
Address
*
Name of Property Owner/Manager
*
Property Owner/Manager Phone Number
*
(###)
###
####
Move-In Date
MM
DD
YYYY
Move-Out Date
MM
DD
YYYY
Reason for Moving
Address
Name of Property Owner/Manager
Property Owner/Manager Phone Numb
(###)
###
####
Move-In Date
*
MM
DD
YYYY
Move-Out Date
MM
DD
YYYY
Reason for Moving
*
Employment
*
Current Employer
*
Employer's Address
*
Hire Date
*
MM
DD
YYYY
Position Title
*
Supervisor Name
*
Supervisor Phone Number
*
(###)
###
####
Choose if your salary is per week, per month, or per year.
*
How did you hear about us?
*
Choose all that apply.
Have you ever been evicted?
*
If yes, please provide date of eviction.
MM
DD
YYYY
If yes, please provide address and reason.
Have you ever declared bankruptcy in the past seven (7) years?
*
Have your wages ever been garnished?
*
Have you ever willfully/intentionally refused to pay rent when due?
*
Do you owe the Pennington County Housing any money?
*
Have you ever been arrested?
*
If yes, please explain.
Additional Information
Please give any information that may help management evaluate this application.
This application is subject to acceptance by the owner and execution of a lease or rental agreement. It is offered without respect to race, color, creed, sex, or national origin. I hereby apply to lease the above-described premises for the term and upon the set conditions above set forth and agree that the rental is to be payable the first day of each month in advance. I recognize that as a part of your procedure for processing my application, an investigative consumer report may be prepared whereby information is obtained through personal interviews with others with whom I may be acquainted. This inquiry includes information as to my character, general reputation, personal characteristics, and mode of living. The above information, to the best of my knowledge, is true and correct and understand that any false or incorrect statements made will be grounds for denial of this application. I authorize an investigation of my credit, tenant history, and employment for the purposes of renting a house, apartment, or condominium from this owner/manager. I understand that a $45 application fee will be added to my move-in costs if this application is approved.
Initial the Following Application. This will serve as a digital signature *
*
Date
MM
DD
YYYY
