• Rental Application Form Void

    Apply for rental with this online form. Please complete as fully as possible.
  • Format: (000) 000-0000.

  • Do you have the require move in costs of $3600 available?
  • Do you have combined income of more $4700/month or $28/hr

  • Please contact me regarding rent criteria. You may not qualify

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  • Current Address

  • Move in Date:
     - -
  • Format: (000) 000-0000.
  • Have you given legal notice to vacate where you live now? *
  • When do you need to vacate by?
     - -
  • Are you related in any way to your landlord?*

  • Previous Rental Information

  • Move in date:
     - -
  • Move out Date:
     - -
  • Format: (000) 000-0000.

  • Employment Information

  • Format: (000) 000-0000.
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  • Background Information

    Financial
  • Have you declared bankruptcy in the past seven (7) years?*

  • Background Information

    Criminal
  • Have you ever been convicted of a violent felony, Domestic Violence or Arson?*
  • Have you or other person on this application ever been convicted for dealing or manufacturing illegal drugs?*

  • Background Information

    Rental
  • Willfully or intentionally refused to pay rent when due?*
  • Have you had two or more late rental payments in the past year?*
  • Been evicted from a tenancy or left owing money?*
  • Broken a lease?*
  • Have you ever been served a notice to vacate?*

  • Background Information

    Personal
  • Do you have pets? If so please give details.*
  • Rows
  • Does any applicant smoke?
  • Rows
  • Rows

  • Next of Kin / Emergency Contact

  • Format: (000) 000-0000.

  • I understand the above information is given in order for you to inquire on and determine my rental, work history and credit standing. I give permission to my employers, landlords, & case managers past and present to speak to the owners about all phases of my employment, residency, legal status and mental health. I also acknowledge that if approved by the owner or agent, the above named are the only occupants to maintain residency. I certify that the forgoing information is true and accurate. I understand that if I lie or give misleading answers I will not be approved to tenancy of cosginer-ship.
    Rental criteria can be viewed at https://sites.google.com/site/crocusapartments/home/rental-criteria

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