Rental Application

Registration Form
Complete all information below. All applicants over the age of 18 must complete and submit their own application. Click the "Submit" link at the bottom once the form is filled out. You will receive an email for your records.
Property Name:
Personal Information
First Name:	* This is a required field	Last Name:	* This is a required field
Address:		City:
State:	* State is a required field	Zip:	You must enter a valid zip code
Phone: ( ex: xxx-xxx-xxxx)		Email:	* This is a required field * Please enter valid email address
DOB: ( ex: mm/dd/yyyy)
Desired Username	* This is a required field	Password	* This is a required field
		Confirm Password	Passwords don't match! This is a required field

Lanlord Phone: ( ex: xxx-xxx-xxxx)

Employer Phone: ( ex: xxx-xxx-xxxx)

Reference Phone (1): ( ex: xxx-xxx-xxxx)
Reference Phone (2): ( ex: xxx-xxx-xxxx)
Reference Phone (3): ( ex: xxx-xxx-xxxx)

Release
The Undersigned agrees that this is the full agreement between the parties, this website nor anyone else has not verbally contradicted any of the terms of this release and that the undersigned has entered into this agreement free and voluntarily without force or coercion. Customer client agrees to confidentiality with respect to this website and all services provided by same. The undersigned agrees to refrain from disclosing, directly or indirectly, any and all aspects of our properties. The undersigned agrees to a non-compete within a 50 mile radius of our properties for a period of 5 years from date of participation.
Checkmark the following:
You must agree to the terms	I CERTIFY that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for tenant screening as may be necessary in arriving at a tenant decision, including but not limited to a credit check and/or criminal background check. I understand that the landlord may terminate any rental agreement entered into for any misrepresentations made above.