Application to Rent - Fountain Heights

Applicant Information

Applicant first name (required)

Applicant middle name

Applicant last name (required)

Applicant email (required)

Applicant social security number (required)

Applicant Birth date (required)

Applicant phone (required)

How did you hear about us?

Applicant driver's license

State

Applicant current address (required)

Do you have pets? YesNo

Do you have rental insurance? YesNo

Do you have any history of bankruptcy or any criminal records?

Emergency contact first name

Emergency contact last name

Emergency contact phone

Emergency contact current address (required)

Car: Make

Model

Color

Year

Rental History

Rental address (required)

Monthly Rent

Time lived at this residence

Rental history landlord / manager (required)

Landlord / manager phone (required)

Rental start date

Rental end date

Reason for leaving

Employment

Employer name

Monthly gross salary

Supervisor name

Employer phone

Emp start date

Emp end date

References

Reference 1

Reference phone 1

Reference 2

Reference phone 2

Co-signer

Spouse / co-signer **** Please note that the Co-signer must fill out a separate application ****

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Signature

I authorize Fountain Heights Apartments to obtain credit reports, character reports, verification of rental history, income history and employment history as necessary to verify all information put forth in the above referenced application for residency. Faults, fraudulent or misleading information may be grounds for denial of residency or subsequent eviction.

Applicant signature