Online Application Form - Rent an Apartment

After clicking submit below you will be prompted to submit payment for your application and reservation fees. All applicants are required to pay a non-refundable $50 application fee. Additionally, all applicants are required to pay a $150 reservation fee when renting a one or two bedroom apartment or townhome or a $300 reservation fee when renting a three bedroom apartment. Please note: When multiple people are applying for the same apartment each individual applicant will need to submit the $50 application fee, but only one reservation fee will need to be paid per apartment and NOT PER APPLICANT. Application fees can also be paid by clicking here.

Applicant's Full Legal Name: *

Applicant's First Name: *

Applicant's Middle Name:

Applicant's Last Name: *

Date of Birth: *

(mm/dd/yy)

Home Phone: *

Work Phone: *

Cell Phone: *

Email Address: *

How were you referred to Landings?: *

Residency Information

Present Street Address: *

Apt #:

City: *

State: *

Zip Code: *

Resident Dates: From-To: *

Do you own this home?:

If No, What is your landlord's name.:

Landlord's Phone:

Previous Street Address (1):

Apt #:

City:

State:

Zip Code:

Resident Dates: From-To:

Did you own this home?:

If No, What is your landlord's name.:

Landlord's Phone:

Previous Street Address (2):

Apt #:

City:

State:

Zip Code:

Resident Dates: From-To:

Did you own this home?:

If No, What is your landlord's name.:

Landlord's Phone:

Did you owe rent to a previous landlord?: *

Have you ever been evicted and/or sued for non-payment of rent?: *

Current Rent Payment:

Have you ever been sued for damage to a rental property?: *

Have you ever filed for bankruptcy?: *

If yes, what year?:

Employment Information

Current Employer (1): *

Employer's Street Address:

City:

State:

Zip Code:

Applicant's Position:

Dates (To-From):

Annual Gross Income:

Verification Contact Name:

Contact's Phone #:

Contact's Fax #:

Contact's Email Address:

Current Employer (2) - if applicable:

Employer's Street Address:

City:

State:

Zip Code:

Applicant's Position:

Dates (To-From):

Annual Gross Income:

Verification Contact Name:

Contact's Phone #:

Contact's Fax #:

Contact's Email Address:

Occupant Information (if applicable)

Other Occupant's Name: Co-applicant or Dependant (1):

Date of Birth:

(mm/dd/yy)

Other Occupant's Name: Co-applicant or Dependant (2):

Date of Birth:

(mm/dd/yy)

Other Occupant's Name: Co-applicant or Dependant (3):

Date of Birth:

(mm/dd/yy)

Other Occupant's Name: Co-applicant or Dependant (4):

Date of Birth:

(mm/dd/yy)

Other Occupant's Name: Co-applicant or Dependant (5):

Date of Birth:

(mm/dd/yy)

Other Occupant's Name: Co-applicant or Dependant (6):

Date of Birth:

(mm/dd/yy)

Other Occupant's Name: Co-applicant or Dependant (7):

Date of Birth:

(mm/dd/yy)

Co-Signer / Guarantor:

Date of Birth:

(mm/dd/yy)

Pet Information

Pet Type:

Breed:

(If mixed breed, list all breeds part of ancestry)

Weight:

Pet Type:

Breed:

(If mixed breed, list all breeds part of ancestry)

Weight:

Vehicle Information

Make:

Model:

Year:

Color:

License Plate # and Issuing State:

Driver's License # and Issuing State:

Make:

Model:

Year:

Color:

License Plate # and Issuing State:

Driver's License # and Issuing State:

Emergency Contacts

Emergency Contact's Name (1): *

Relationship to you: *

Emergency Contact's Address: *

Apt #: *

City: *

State: *

Zip Code: *

Home Phone: *

Work Phone: *

Cell Phone: *

Email Address: *

Emergency Contact's Name (2):

Relationship to you:

Emergency Contact's Address:

Apt #:

City:

State:

Zip Code:

Home Phone:

Work Phone:

Cell Phone:

Email Address:

TERMS:

I understand that the Owner/Agent will collect a non-refundable application fee and a reservation fee as stated above. I also understand that I will have three days from the time and date of application to cancel this Rental Application. I understand that if I rescind my application after three days from the initial time and date of application, the entire balance on my account will be forfeited. I understand that this application is subject to acceptance or denial. If this application is denied the reservation fee will be returned to applicant. This application will be processed in accordance with the applicable property's Resident Screening Guidelines in effect on the date of application. I hereby authorize Owner/Agent to obtain consumer reports, and any other information it deems necessary, for the purpose of evaluating my application. I understand that such information may include, but is not limited to, credit history, civil and criminal information, records of arrest, rental history, employment/salary details, vehicle records, licensing records, and/or any other necessary information. I understand that subsequent consumer reports may be obtained and utilized under this authorization in connection with an update, renewal, extension or collection with respect or in connection with the rental or lease of a residence for which application was made. I hereby expressly release Owner/Agent, and any procurer or furnisher of information, from any liability what-so-ever in the use, procurement, or furnishing of such information, and understand that my application information may be provided to various local, state and/or federal government agencies, including without limitation, various law enforcement agencies. Should any statement made in this rental application be a misrepresentation or untrue, the application will be denied immediately.

Resident Screening Guidelines:
By initialing below I agree to the Resident Screening Guidelines that are available here.

Initials: *

Place your intials here if you agree with these above terms.

* indicates required information

First Name: (you must leave this field blank)
Last Name: (you must leave this field blank)