Apply for a home

Step 1 of 9

How did you hear about Premier Properties? Please indicate Craigslist/Zillow/Trulia/Hotpads/Referral/Other

Address of Rental Home

Street Address, City and State

Monthly Rent

Lease Term Desired

Main Applicant Full Name, including middle initial(Required)

First, Middle, Last

Main Applicant Date of Birth(Required)

Main Applicant Social Security Number

Main Applicant Driver's License Number(Required)

Main Applicant Primary Phone Number(Required)

Main Applicant Alternative Phone Number

Main Applicant Email Address(Required)

Enter Email Confirm Email

Preferred Method of Communication(Required)

Primary Phone Number

Alternative Phone Number

Email Address

Co- Applicant Name

First Middle Last

Co-Applicant Date of Birth

Co-Applicant Social Security Number

Co-Applicant Driver's License Number

Co-Applicant Primary Phone Number

Co-Applicant Alternative Phone Number

Co-Applicant Email Address

Enter Email Confirm Email

Additional Tenant

First Last

Date of Birth

Additional Tenant

First Last

Date of Birth

Additional Tenant

First Last

Date of Birth

Comments

Do you have any pets?(Required)

If yes, please describe:

Do you smoke?(Required)

Current Address(Required)

Street Address

City, State & Zipcode(Required)

City, State and Zipcode

Current Rent/Mortgage ($)(Required)

How long have you lived at this address?(Required)

Have you ever failed to pay rent when it was due?(Required)

Yes

Have you ever been evicted?(Required)

Yes

Current Landlord Name(Required)

First Last

Current Landlord Phone(Required)

Current Landlord Email

Previous Address(Required)

Street Address,

City, State & Zipcode(Required)

City, State and Zipcode

Previous Landlord Name(Required)

First Last

Landlord Phone(Required)

Previous Landlord Email

Main Applicant's Income & References

Main Applicant Current Employer

Company Name

Contact Person/Supervisor

Phone Number and/or Email Address

Your Title or Position

How long have you worked here?

Less than 1 year

1 – 2 years

2 – 5 years

5 years or more

Current Gross Monthly Income ($) – before deductions

Previous Employer (Only if you have changed jobs in the last 3 years)

Company Name

Contact Person

Phone Number and/or Email Address

Your Position or Title

How long did you worked here?

Less than 1 year

1 – 2 years

2 – 5 years

5 years or more

Monthly Income ($)

Other Sources of Income

Other Monthly Income 1

Amount ($)

Source

Confirmation Person

Phone Number and/or Email Address

Other Monthly Income 2

Amount ($)

Source

Confirmation Person

Phone Number and/or Email Address

References

Bank Reference

Name, City and State of Bank

Type & Number of Account(s)

Credit Reference 1

Individual or Business Name

Relationship Description

Phone Number and/or Email Address

Credit Reference 2

Individual or Business Name

Relationship Description

Phone Number and/or Email Address

Personal Reference 1

Individual’s Name

Relationship

Personal Reference 2

Individual’s Name

Phone Number and/or Email Address

Relationship

Emergency Contact

Individual’s Name

Relationship

Phone Number and/or Email Address

Comments or Anything Else?

Use this box to share anything that you feel is important for us to know or to ask any questions you might have.

Continue To Read Disclosures and Electronically Sign This Application

PLEASE READ THIS CAREFULLY AND SIGN THIS APPLICATION

Electronic Signature

By entering your initials in the box below, you are electronically signing this application and acknowledging your understanding of the document in its entirety.

Initials

Electronic Permission for Credit Checks/Rental Checks, etc.

By entering your initials in the box below, you are electronically giving Premier Properties permission to investigate your credit and financial responsibility, income, rental and eviction history and all statements made on the Rental Application.

Initials

Today's Date

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Main Applicant's Income & References

Other Sources of Income

References

Continue To Read Disclosures and Electronically Sign This Application

PLEASE READ THIS CAREFULLY AND SIGN THIS APPLICATION

Electronic Signature

Electronic Permission for Credit Checks/Rental Checks, etc.