Apply Online

Please fill out the application below.

Note:Required fields are marked with a red asterisk (*)

Applicant Information

Property Name: *

Apartment Size *
Desired Floor Plan:

Property needed by: *

Applicant Phone: *

First Name: *

Last Name: *

SS#: *

Date of Birth: *

Current Address: *

City: *

State: *

Zip: *

Monthly Housing *
Payment $:

Drivers License#:

License State:

Current Landlord

Current Landlord: *

Landlord Phone: *

(###) - ### - ####

From: *

To: *

Current Landlord Address:

City:

State:

Zip:

Reason for moving:

Previous Address

(if < 2 years at current address)

Previous Address: *

City: *

State: *

Zip: *

Previous Landlord:

Phone:

(###) - ### - ####

From:

To:

Landlord Address:

City:

State:

Zip:

Current Employer

Current Employer: *

Supervisor:

Address:

City:

State:

Zip:

Phone:

(###) - ### - ####

Position:

Date Started:

Income $:

Previous Employer

(if < 2 years at current employer)

Previous Employer:

Supervisor:

Address:

City:

State:

Zip:

Phone:

(###) - ### - ####

Position:

Period Employed:

Income $:

Additional Income

Income $:

Source:

Income $:

Source:

Credit Accounts

Credit Account 1:

Credit Account 2:

Checking Account At:

City:

State:

How Long:

Account #:

Savings Account At:

City:

State:

How Long:

Account #:

Have you ever been/are you currently being evicited from as apartment or owned a home that was /is being foreclosed? *

Yes

Have you ever been convicted of a felony?*

Yes

If yes, explain: *

Are you bringing any pets with you? *

Yes

If YES, what kind (cat, dog, etc.) and how many? *

Others To Share Apartment?

(Anyone over the age of 18 who will live in the apartment must fill out a separate application)

Name:

Relationship:

Age:

Name:

Relationship:

Age:

Name:

Relationship:

Age:

Name:

Relationship:

Age:

Nearest Relative

Name of Relative:

Relationship:

Address:

City:

State:

Zip:

Phone:

Personal Reference

Name of Reference:

Relationship:

Address:

City:

State:

Zip:

Phone:

Emergency Contact

Name of Contact:

Relationship:

Address:

City:

State:

Zip:

Phone:

Car Make/Model:

Make/Model:

Color:

Year:

Licence Plate #:

Licence State:

Financed by:

Phone:

Monthly Payment #:

Electronic Signature

AUTHORIZATION TO CHECK CREDIT In connection with this Application, a consumer or credit reporting agency may be asked to make an investigative consumer and/or criminal report on you. You hereby authorize the owner or owner’s agent to investigate and verify your character, general reputation, mode of living, credit/financial responsibility, criminal/legal background, the statements made within this Application, and to inquire/check with the persons and references named herein. You also authorize any and all persons to release to Axiom Properties, Inc., any information they may require to fully process this Application.

Terms and Conditions The undersigned hereby makes an application for rental for the apartment and services described below and on the terms described below and deposits herewith the application fee. Applicant represents that he/she has read this Application’s front and back pages and that all of the information contained herein is true and correct to the best of his/her knowledge. He/she further represents that there are no unpaid judgments or liens against him/her and that he/she has never been evicted from an apartment or owned a home that was foreclosed upon. If any of the information supplied in this Application is false or Applicant fails to provide documentation to support any statement(s) made in this Application (thereby deemed to be false statements), it is understood and agreed that this Application will be denied. It is understood and agreed that this Application for Rental is subject to approval, and that this is not a lease. If the apartment listed below is not available at the beginning of the desired lease term, Applicant hereby waives any and all rights to recover any damages whatsoever, including but not limited to, actual, punitive or consequential damages.

I agree to the above terms.

User Verification

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