Online Application

Download PDF Application

Application Date
Desired Property	*
Desired Move-in Date	*

Personal Information

First Name	*
Middle Initial	*
Last Name	*
Date of Birth	*
Marital Status	*
Cell Phone	*
Home Phone	*
E-Mail	*
SSN	*
Employment Information
Current Status	*
Current Employer	*
Hire Date	*
Employer Address	*
Employer Phone	*
Position	*
Supervisor	*
Current Income	*
Frequency of income	*
Other Income
Other Income Description

Other Occupants

First Name	Last Name	Date of Birth	Relationship

Current Residence

Address	*
City	*
State	*
Zip	*
Move in Date	*
Landlord/Mortgage Co.	*
Landlord Phone	*
Monthly Payment	*
Reason For Leaving	*

Previous Residence

Previous Address
Previous City
Previous State
Previous Zip
Move In Date
Move Out Date
Previous Landlord
Landlord Phone
Previous Rent
Reason For Leaving

Nearest Relative Not Living With You

Full Name	*
Phone	*
Address	*
City	*
State	*
Zip	*

Character Reference

Full Name	*
Relationship	*
Phone	*
Address	*
City	*
State	*
Zip	*

Credit Reference

Bank/Credit Union	*
Branch	*

Pets

Do You Have Pets?	*
If yes, list breed and weight of each	*

Additional Information

Have you ever been convicted of a felony? (If yes, explain)	*
Have you ever been evicted? (If yes, explain)	*
Do you have a criminal background? (If yes, explain)	*

Emergency Contact Information

Contact Name	*
Relationship	*
Address	*
Phone	*

BY CLICKING SUBMIT BELOW, I CERTIFY THAT I HAVE READ AND AGREE TO THE FOLLOWING:

The information on this application is true and correct. I hereby authorize Susan Austin-Fleck & Terry Fleck of John Hall & Associates to investigate the information supplied by me and to conduct inquires concerning my income, family composition, mode of living, credit, and character for the purpose of verifying and qualifying for residency. A full disclosure of pertinent facts may be made to the agent and property owner. I understand that pay stubs may be required to verify income. I further understand that if my application is approved I will be required to provide proof of Renter's Insurance also known as Liability Insurance with John Hall & Associates listed as an additional insured prior to move-in. And, although there is no application fee, a one-time processing fee of one hundred twenty-five dollars will be charged at the lease signing. FALSIFYING INFORMATION ON THIS APPLICATION IS GROUNDS FOR DENIAL AND FORFEITURE OF ALL DEPOSITS."

Yes, I have read, understand and agree to the terms of Austin Fleck Property Management of John Hall.

(View Terms Before Accepting Agreement)

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