RIVER DISTRICT APARTMENTS RENTAL APPLICATION

RIVER DISTRICT APARTMENTS
ONLINE RENTAL APPLICATION

* Denotes a Required Field. If there is a second applicant then the same fields are required for them as well.

APPLICANT EMAIL *

Personal Information:

Primary Applicant:

Secondary Applicant:

Last Name: *
First Name: *
Date of Birth: *
Phone: *
Cell Phone:
Address: *
City: *
State: *
Zip: *
Move Reason: *
SSN: *
License/ID #: *

Last Name:
First Name:
Date of Birth:
Phone:
Cell Phone:
Address:
City:
State:
Zip:
Move Reason:
SSN:
License/ID #

Employment History:

Primary Applicant:

Secondary Applicant:

Company:
Supervisor:
Phone:
Address:
City:
State:
Zip:
Monthly Pay: *
Employment Length:

Company
Supervisor:
Phone
Address:
City:
State:
Zip:
Monthly Pay:
Employment Length:

Housing History Information:

Primary Applicant:

Secondary Applicant:

Manager Name: *
Manager Phone: *

Manager Name:
Manager Phone:

Banking Information:

Primary Applicant:

Secondary Applicant:

Bank Name: *
Acct. Number: *
Balance: *
Bank Name:
Acct. Number:
Balance:

Bank Name:
Acct. Number:
Balance:
Bank Name:
Acct. Number:
Balance:

Personal References:

Primary Applicant:

Secondary Applicant:

Name 1: *
Relationship: *
Phone: *
Name 2: *
Relationship: *
Phone: *

Name 1:
Relationship:
Phone:
Name 2:
Relationship:
Phone:

Automobile Information:

Primary Applicant:

Secondary Applicant:

Make:
Model:
Plate #:

Make:
Model:
Plate #:

Apartment Information:

Date you would like to take possession: *
Bedrooms: *

NOTE: $150.00 Non-Refundable pet deposit for each animal is required before possession of apartment.

Pets:

	Large Dog
	Small Dog
	Cat
	Rodent
	Reptile
	Aquatic

Other Pets:

Total # of Pets:

Additional Information:

Primary Applicant:	Secondary Applicant:

Have you ever been convicted of a crime? Please list and date each one. *	Have you ever been convicted of a crime? Please list and date each one.



Have you ever been evicted, declared bankruptcy, or had a judgment place against you? Please list and describe each instance. *	Have you ever been evicted, declared bankruptcy, or had a judgment place against you? Please list and describe each instance.

Application Agreement:

I represent that the information provided in this application is true, complete and accurate to the best of my knowledge. I understand that any misrepresentation or omission of information is grounds for eviction and/or application denial.	I understand that this application is not a rental agreement and that this application in no way creates any obligation on the part of the Landlord, River District Apartments LLC. Mark Mercer, or any of its agents.

If you agree with the statements above. Type "I Agree" in the box below without the quotes.	If you agree with the statements above. Type "I Agree" in the box below without the quotes.

Primary Applicant: *	Primary Applicant: *


Secondary Applicant:	Secondary Applicant:

Application Submission:

In consideration of my application for lease of said purposes, I do hereby give my consent to River District Apartments L.L.C., and the agents thereof, to check the references listed on my application, and to check my background in any way, including but not limited to contacting any and all persons and business entities in order to inquire regarding any and all information relating to myself, provided that said inquires be limited solely to the purpose of consideration of myself for possible tenancy.

I understand that all information will remain confidential and property of River District Apartments, L.L.C.

I agree that by submitting this application I give my permission for River District Apartments LLC. to perform a background check on my information.

Primary Applicant Signature (Type Your Full Name) *	Today's Date *

Secondary Applicant Signature (Type Your Full Name)	Today's Date