Rental Application

Property for which you are applying? *

Unit Size? *

Date you need to move? *

Why are you moving? *

Tell us about yourself

Name *

First

Last

Date of birth *

Social security number *

Employer *

Gross monthly income *

All wages and tips

Time on job *

Job contact info *

Please provide name and telephone number

Your telephone number *

Your email address *

Your current Address *

Address Line 1

City

State

Zip Code

How long at this address? *

Will your landlord give you a positive reference? *

Landlord contact info *

Please provide name and number

Please explain negative landlord reference *

Provide all details

All persons that will live in the apartment must apply for occupancy and be screened

How many additional ADULT applicants are there?

Choose the number of applicants

_______________________________________________________________________

Tell us about your second applicant

Applicant 2 name *

First

Last

Date of birth *

Social security number *

Employer *

Gross monthly income *

All wages and tips

Time on job *

Job contact info *

Please provide name and telephone number

_______________________________________________________________________

Tell us about your third applicant

Applicant 3 name *

First

Last

Date of birth *

Social security number *

Employer *

Gross monthly income *

All wages and tips

Time on job *

Job contact info *

Please provide name and telephone number

_______________________________________________________________________

Tell us about your fourth applicant

Applicant 4 name *

First

Last

Date of birth *

Social security number *

Employer *

Gross monthly income *

All wages and tips

Time on job *

Job contact info *

Please provide name and telephone number

Tell us about your children

Do you have children? *

Child 1

Date of birth

Child 2

Date of birth

Child 3

Date of birth

Child 4

Date of birth

Tell us about your Animals

Do you have animals that will live in the unit? *

Do any of these animals meet the legal definition of a Service, Aid or Emotional Support (ESA) Animals? *

Do you currently have the appropriate documentation for each Service/Aid/ESA animal? *

If you have a Service Animal, Aid Animal or Emotional Support animal, we are required to accommodate your animal and waive our Pet Standards Rules. However, you will be required to provide documentation of your right to receive accommodation for your animal in accordance with Federal and State laws.

Type of animal

Breed

Weight

In pounds

Licensed?

Type of animal

Breed

Weight

In pounds

Licensed?

Type of animal

Breed

Weight

In pounds

Licensed?

Failure to disclose any criminal or eviction history is grounds for your application being declined. We strictly follow Oregon Landlord Tenant Law in determining if you are qualified to rent from us.

Has any person on this application been arrested or convicted of a crime? *

Criminal background explanation *

Please provide all details including dates, charges and dispositions

Has any person on this application ever been evicted?

Eviction explanation *

Please provide all details including dates and circumstances

By signing below, I/we certify that the above information is true, correct and complete and hereby authorize Landlord to perform a credit and background check and conduct any inquiries Landlord deems necessary to evaluate my proposed tenancy, including credit history. I/we understand that giving incomplete and/or false information is grounds for rejection of this application.

Applicant 1 Electronic Signature *

Type your full name

Date

Applicant 2 Electronic Signature *

Type full name

Date

Applicant 3 Electronic Signature *

Type full name

Date

Applicant 4 Electronic Signature *

Type full name

Date

All person over 18 years of age intending to live in the unit must answer all questions below.

Tell us about yourself

All persons that will live in the apartment must apply for occupancy and be screened

_______________________________________________________________________

Tell us about your second applicant

_______________________________________________________________________

Tell us about your third applicant

_______________________________________________________________________

Tell us about your fourth applicant

Tell us about your children

Tell us about your Animals

Failure to disclose any criminal or eviction history is grounds for your application being declined. We strictly follow Oregon Landlord Tenant Law in determining if you are qualified to rent from us.