Contact Information
Name *
Home Phone *
Email Address *
Cellphone Number *
Social Security No. *
Birth Date *
Which property are you interested in? *
\n1 bedroom / 1 bath apartment
2 bedroom / 2 bath apartment
3 bedroom / 2 bath apartment
How did you hear about Weaver Creek? *
Projected Move In Date
Rental History
Present Address *
Please enter street, city, state and zipcode
Landlord *
Name of landlord, contract number, rent/month, when notice was given.
Previous Address *
Please enter street, city, state and zipcode
Landlord *
Name of landlord, contract number, rent/month, when notice was given.
Occupants
Occupants *
List names and birth dates of those who will occupy the premises
Do you have a pet? *
\nYes
No
Pet Information
Employment
Present Employer *
List the name and contact phone number of your present employer
Present Job Information *
List your job title, hours worked and when you began working at this job
Previous Employer *
List the name and contact number of your previous employer.
Previous Job Information *
List the job title, hours worked and date of employment for your previous job.
Income and Source *
Monthly Payments *
Please list every monthly obligation. E.g.,
Visa Payment, /month
Vehicle *
Model, Make, Year, Color, Plate number
References
First Reference *
List the name, contact number and your relation to your first reference
Second Reference *
List the name, contact number and your relation to your second reference
Credit Accounts *
List all your credit accounts
Have you ever been sued for bills, filed bankruptcy, or been guilty of a felony? *
\nYes
No
Have you ever broken a lease or been evicted? *
\nYes
No
Have you ever had problems with previous landlords?
\nYes
No
If answered Yes to any of the questions above, please explain.
Why are you moving from your current address? *
Is the total move-in amount available now (rent & deposit) *
\nYes
No
You may pay your deposit on-line by selecting Pay Deposit from the main menu of this website
You may print out this form by clicking the print button at the top right of the form.
Are interested in a home purchase in the next 18-24 months? *
\nYes
No
Maybe
