Application for Rental We currently have no properties available for rent at this time. Please check back soon! Fields marked with an * are required Divider Application Application Notice Notice: All adult applicants (18 years or older) must complete a separate application for rental. Available Rentals * 111 S Woodland Trl, Monticello IN 117 S Front St Apt 3, Rensselaer IN Please select which available property you are interested in renting: Start Date Divider Applicant Information Applicant Information First Name * Last Name * Birth Date * Driver's License Number * Phone * Email * Divider Current Address Current Address Current Address * City * State * - Select State - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Washington DC ARMED FORCES AFRICA \ CANADA \ EUROPE \ MIDDLE EAST ARMED FORCES AMERICA (EXCEPT CANADA) ARMED FORCES PACIFIC Zip * Date In * Date Out Landlord Name Landlord Phone Current Monthly Rent * Reason for Leaving * Divider Previous Address Previous Address Previous Home Address * City State - Select State - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Washington DC ARMED FORCES AFRICA \ CANADA \ EUROPE \ MIDDLE EAST ARMED FORCES AMERICA (EXCEPT CANADA) ARMED FORCES PACIFIC Zip Date In Date Out Previous Home - Landlord Name Previous Home - Landlord Phone Previous Home - Monthly Rent Previous Home - Reason for Leaving Divider Other Occupants Other Occupants List names and birth dates of ALL additional occupants 18 years or older List names and birth dates of ALL additional occupants 18 years or younger Pets If you have pets, please list and describe them here. Divider Employment & Income Information Employment & Income Information Occupation (1) Employer/Company Supervisor Name & Phone Number Start Date End Date Monthly Salary Divider Occupation (2) Employer/Company Supervisor Name & Phone Number Start Date End Date Monthly Salary Divider Other Income Description Other Income Description Divider Copy Emergency Contact(s) Emergency Contact(s) Emergency Contact (1) - Name Emergency Contact (1) - Full Address Emergency Contact (1) - Phone Emergency Contact (1) - Relationship Divider Emergency Contact (2) - Name Emergency Contact (2) - Full Address Emergency Contact (2) - Phone Emergency Contact (2) - Relationship Divider Personal References Personal References Personal References (1) - Name Personal References (1) - Full Address Personal References (1) - Phone Personal References (1) - Relationship Divider Personal References (2) - Name Personal References (2) - Full Address Personal References (2) - Phone Personal References (2) - Relationship Divider Background Information Background Information Have you ever willfully or intentionally refused to pay rent when due? Yes No Have you ever filed for bankruptcy? Yes No Have you ever been evicted from a tenancy or left owing money? Yes No If yes, please provide Property Name, City, State, and Landlord Name Have you ever been convicted of a crime? Yes No If yes, please provide Type of Offense, County, and State Divider Vehicle Information Vehicle Information Vehicle (1) Make & Model Vehicle (1) Year Vehicle (1) License Number and State Divider Vehicle (2) Make & Model Vehicle (2) Year Vehicle (2) License Number and State Divider Other Vehicles Divider Copy Other Information Other Information How did you hear about this property? Comments Please include any other information you believe would help to evaluate this application. Divider Copy Copy Signature * Please type your first and last name to affirm that the information given in the above entries are true and accurate to the best of your knowledge. Today's Date * If you are a human seeing this field, please leave it empty.
