Lease Request

To be considered for a lease, and/or schedule a showing,
please complete this form:
(all fields required)

Property Info:
Property Address:

Maximum Monthly Rent:
Earliest Start Date:

Requested Lease Term:
months
Your Info:
Name:
Employer:
Age:
Monthly Income:
Phone:
Showing Agent*:
Email:

<== *optional

Tenant Info:
How many others will be living in the home?  
How are you related to these people?  
How many others will be contributing to rent payments?  
For each contributor, please enter their full name, email address, and monthly income: 
 
 
How many pets will be living in the home?  
Describe the type and weight of these pets?  
Does Anyone Smoke? Yes: No:
Special Requests/Questions:

Confidentiality Notice: this information will be used to verify that you are a candidate for the lease prior to scheduling a showing and requesting background checks. Contact information will be used for ongoing communication regarding the lease.
A credit/background check will be required with the application, which costs $30 per working adult, and is non-refundable. In the event Applicant’s application is rejected or denied, Applicant may within 10 days of the denial request in writing an explanation for the denial, to which Landlord has 10 days to respond. Landlord shall not deny Applicant’s application on the basis of race, color, sex, religion, handicap, familial status, or national origin in accordance with applicable federal and state laws.