Visit Smith Properties - Online Application

Online Rental Application

Complete as fully as possible. Fill in areas highlighted with "*" which is Required Information. If the area does not apply to you, place N/A or None in the space. Application will not transmit if field is not completed.



APPLICANT'S INFORMATION

Last Name *
First Name *
Middle Name *

Social Security Number *
Birthdate *
Drivers License *
State *
Email
Employer *
Employer's Full Address *
Employer Phone # *
Position *
Supervisor *
Date Started *
Date Ended *
Gross Income *

Other Income

Previous Employer
Employers Full Address
Employer Phone #
Position
Supervisor
Date Started
Date Ended

Check to use Co-Applicant Information

Spouse or co-applicant INFORMATION

Last Name
First Name
Middle Name

Social Security Number
Birthdate
Drivers License
State

Employer
Employer's Full Address
Employer Phone #
Position
Supervisor
Date Started
Date Ended
Gross Income

Other Income

Previous Employer
Employers Full Address
Employer Phone #
Position
Supervisor
Date Started
Date Ended

Residence History

Home Phone *
Work Phone *
Cell Phone *

Present Address
City *
State *
Zip Code *
Reason for Moving
Present Landlord *
Landlords Phone # *
Current Rent *
Date Moved In *
Date Moved Out *

Previous Address
City
State
Zip Code
Reason For Moving
Previous Landlord
Landlord Phone #
Previous Rent
Date Moved In
Date Moved Out

Credit references

Credit Reference #1
Balance
Monthly Payment

Credit Reference #2
Balance
Monthly Payment

Credit Reference #3
Balance
Monthly Payment

Other Information

Auto Make

Year

Tag Number

Auto Make

Year

Tag Number

Do you own a motorcycle, boat, trailer, or camper?

In Case of Emergency, notify:

Name *

Relation *

Address *

City *

State *

Zip Code *

Phone Number *

How Did you Find out about our Properties? *

What is your potential stay with us?

Have you ever Filed for Bankruptcy? YesNo *

If yes, when?	*
Have you ever been Evicted from a property? YesNo *
Why	*
Have you ever willfully or intentionally refused to pay rent when due?
	*
Have you ever been convicted of a crime? YesNo *
If yes, Explain	*

Others Who will Occupy the Premises

Name *
Relation *
Age *

Name *
Relation *
Age *

Name *
Relation *
Age *

Name
Relation
Age

Do you have any Pets?	Yes No
If so, Specify:
Weight

* indicates required field

I understand that the application fee is nonrefundable. I understand the deposit is due within 24 hours after application approval.
I understand the deposit is nonrefundable upon receipt.

APPLICATION AUTHORIZATION TO RELEASE INFORMATION

I declare that the foregoing information is true and authorize verification by Smith Properties of employment data, credit history, criminal or background search, etc. I understand that the information obtained is to be used in the processing of my residential application. I hereby release employers, landlords and other organizations or individuals that provide information from any and all liabilities arising out of the use of such information with the processing of my application.

I agree with the above authorization.

Proceed to Secure Checkout...

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