Rental Application

Today's Date (MM/DD/YYYY) *

Type of unit desired:
**Furnished apartments are not pet-friendly** *

Furnished: 1 bed/1 bath

Furnished: 2 bed/2 bath

Unfurnished: 2 bed/2 bath

Other: Other:

Desired Move-In Date (MM/DD/YYYY) *

Is this flexible? *

Yes

How did you hear about our rentals? *

Internet Search

Word of Mouth / Referral

Online Classifieds / Craigslist

Local Newspaper

Drove by Complex in Anthony, KS

Social Media (Facebook, Instagram, etc) Social Media (Facebook, Instagram, etc)

If you were referred by someone else, please include their full name here so we can thank them!

Applicant Information

Applicant First Name: *

Applicant Last Name: *

Current Address: *

Phone: *

E-mail Address: *

May we use your email to contact you? *

Yes

Date of Birth: *

Social Security Number: *

Driver's License Number: *

State Issued *

License Expiration Date: *

Current Landlord / Property Manager: *

Current Landlord Phone # *

Expiration Date of Current Lease: *

Rent Amount: *

Previous Rental History

Applicant: *

Previous Address: *

Name of Facility: *

Rent Amount: *

Previous Landlord / Property Manager: *

Previous Landlord Phone # *

Dates You Were a Tenant There: *

Employment Information

Current Employer: *

Dept. or Position: *

Supervisor: *

Phone: *

Employer Address: *

Dates Employed: *

Salary (Specify per Hour, Week, Year, etc) *

Previous Employer: *

Dept. or Position: *

Supervisor: *

Phone: *

Employer Address: *

Dates Employed: *

Salary (Specify per Hour, Week, Year, etc) *

Proof of Income / Employment:

Please upload two forms of verification of your income / employment. This could be check stubs, W2 tax forms, bank statements, or whatever is most convenient for you. Please upload in PDF or image format.

Proof of Income #1 *

Proof of Income #2 *

Additional Information

Do you have pets? *

Yes

Please Specify:
**Furnished apartments are not pet-friendly** *

Have you or any member of your household declared bankruptcy in the last 7 years? *

Yes

Vehicle Make: *

Vehicle Model: *

Vehicle Year: *

Vehicle Color: *

Vehicle Tag Number: *

Vehicle Tag Expiration: *

Vehicle State Where Registered: *

Have you ever had a problem with a landlord, been sued by a landlord, or been evicted? *

Yes

If yes, please explain:

Additional Occupants

Additional occupants
Please list all other occupants and their relationship to the applicant.
**Joint applicant information to be completed by everyone age 18 and older**

Emergency Contacts

Contact - In Case of Emergency

(Must be someone not living in household)

Name: *

Relationship: *

Address: *

Phone: *

Alternate phone: *

Last Step - Consent & Release

I/we declare that all the above statements are true and correct to the best of our knowledge and that I/we are the persons who will reside in the rental unit. I/we understand that providing false information will result in the rejection of this application.

I/we hereby give VAP PROPERTY SOLUTIONS, L.L.C. authorization to obtain information about my / our household’s rental history, personal, financial, criminal, employment, and credit information through investigation and/or a credit check of the landlord’s choice for the purpose of determining my / our acceptability to rent property from the above-named landlord. I /we release each person supplying such information to said landlord from liability for providing information for the purpose stated herein.

Tenant signature: *

clear

Today's Date * +