Online Rental Application

Save my progress and resume later | resume a previously saved form

Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

Your Email:

A Password:

Applicant Information

Please tell us a little bit about yourself. All information provided will be kept confidential.

Full Name: *

Email Address *

Please enter a valid email address.

Driver’s License #, Federal Tax ID # or Passport #: *

State/Authority Issued By: *

Date of Birth: *

SSN: *

Phone # *

Other Occupants

Please list any additional occupants of the unit. Click "Add more..." for additional spaces.

Name

Age

Relation

Name

Age

Relation

Add more...

Present Address

Address *

Address 2

City *

State *

Zip *

Dates From: *

To: *

Reason for Moving *

Monthly Rent:

Landlord's Name *

Phone# *

Previous Address

Address *

Address 2

City *

State *

Zip *

Dates From: *

To: *

Reason for Moving *

Monthly Rent: *

Landlord's Name *

Phone# *

Current Employment Information

Current Employer *

Position/Title *

Employer Phone Number *

Address *

Address 2

City *

State *

Zip *

Employed From: *

To: *

Annual Income *

Supervisor Name *

Supervisor Phone *

Supervisor Fax *

Previous Employer Information

Current Employer *

Position/Title *

Employer Phone Number *

Address *

Address 2

City *

State *

Zip *

Employed From: *

To: *

Annual Income *

Supervisor Name *

Supervisor Phone *

Supervisor Fax *

Other Income

Please list any additional income sources.

	Source	Amount

			Add more...

Pet Information

Any Pets? * YesNo

	Type/Breed	Name	Size (lbs)	Age

Miscellaneous

Have you ever been evicted from any rental premises? * YesNo

Please explain

Please

Have you ever willfully and intentionally refused to pay rent when due? * YesNo

Please explain

Have you ever been convicted of a felony? * YesNo

Please explain *

Vehicle Information

	Make/Model	Year	License Plate
Vehicle 1
Vehicle 2

Bank Information

	Bank Name	Branch	Accout Type	Account #
*

Personal References

Name *

Address *

Phone *

Relationship *

Years Known *

Name *

Address *

Phone *

Relationship *

Years Known *

Other

Please use this section for any additional comments you may have regarding your rental application.

All of the information you provide to us is, and will remain, confidential. We comply with the terms of Data Protection legislation. We promise not to share your details with any third parties except as stated below and as necessary to determine your eligibility to rent from us (i.e. credit bureuas, criminal history checks, and rental history checks, etc.)

Creekwood Apartments does not discriminate against any applicant on the basis of an illegal purpose including, race, color, religion, sex, national origin, age, disability or family status. Such discrimination as the sole basis of refusal to rent is illegal throughout the United States.

I understand Creekwood Apartments Forfeit of Deposit policy. If for any reason I am denied, the deposit will be returned. I have 72 hours from the date of collection of the security deposit to change my mind. After the 72-hour time frame, should I choose to cancel, I understand that I forfeit the deposit. I also understand that the application fee is non-refundable. No exceptions!

I represent that the information provided in this Application is true and correct to the best of my knowledge. I understand that this Application is not a rental agreement and that this Application does not create any obligation on the Landlord. I understand that the information provided might be used by Landlord to determine whether to accept this Application. I authorize Landlord to verify all the information given in this application, including banking and personal references and employment information provided. I also authorize Landlord to perform a credit check and a criminal history check. I consent to the release of information relating to my credit and the information provided in this application.

Signed: *

Please enter your full name as your signature.

Date:

Please enter today's date

Captcha

Please enter the characters you see in this picture:

Characters

This helps prevent automated form submissions. If you are not sure what the characters are, make your best guess. You will have another try in the next screen.
Can't see the image? Click here for an audible version in English.

Save my progress and resume later | resume a previously saved form

Need assistance with this form?