Complete A Full Application To Rent

Please complete this form to the best of your ability. Once we receive the completed form we will contact you to discuss any additional questions you may have; we will also set up a showing to view the unit at this time.

APPLICANT INFORMATION

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Enter your 9 digit Social Security Number
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CURRENT ADDRESS INFORMATION

Current Street Address
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Current Address City
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Current Address State
  • - Select A State -
  • Alabama
  • Alaska
  • Arizona
  • Arkansas
  • California
  • Colorado
  • Connecticut
  • Delaware
  • District of Columbia
  • Florida
  • Georgia
  • Hawaii
  • Idaho
  • Illinois
  • Indiana
  • Iowa
  • Kansas
  • Kentucky
  • Louisiana
  • Maine
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
  • North Carolina
  • North Dakota
  • Ohio
  • Oklahoma
  • Oregon
  • Maryland
  • Massachusetts
  • Michigan
  • Minnesota
  • Mississippi
  • Missouri
  • Pennsylvania
  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming
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Current Address Zip
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Dates of Residence at Current Address
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Current Landlord Name
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Current Landlord Phone Number
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Current Landlord Email
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PREVIOUS ADDRESS INFORMATION

Previous Street Address
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Previous Address City
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Previous Address State
  • - Select A State -
  • Alabama
  • Alaska
  • Arizona
  • Arkansas
  • California
  • Colorado
  • Connecticut
  • Delaware
  • District of Columbia
  • Florida
  • Georgia
  • Hawaii
  • Idaho
  • Illinois
  • Indiana
  • Iowa
  • Kansas
  • Kentucky
  • Louisiana
  • Maine
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
  • North Carolina
  • North Dakota
  • Ohio
  • Oklahoma
  • Oregon
  • Maryland
  • Massachusetts
  • Michigan
  • Minnesota
  • Mississippi
  • Missouri
  • Pennsylvania
  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming
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Previous Address Zip
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Dates of Residence at Previous Address
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Previous Landlord Name
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Previous Landlord Phone Number
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Previous Landlord Email
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PRESENT EMPLOYER INFORMATION

Present Employer
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Present Position:
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Year
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Present Employer Business Address:
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Present Employer Supervisor Name
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Present Employer Supervisor Email
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Present Employer Supervisor Phone Number
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Income From Current Employer
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Applicant
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CO-APPLICANT INFORMATION

Co-Applicant
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Co-Applicant
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Co-Applicant Date Of Birth
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Co-Applicant
Enter Co-Applicant 9 digit Social Security Number
Co-Applicant
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Co-Applicant
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CO-APPLICANT EMPLOYER INFORMATION

Co-Applicant
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Co-Applicant
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Co-Applicant (Year)
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Co-Applicant
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Co-Applicant
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Co-Applicant
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Co-Applicant
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Co-Applicant Income From Current Employer
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Co-Applicant
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OTHER INFORMATION

First Name, Last Name and Age, hit Enter to break list.
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Make, Model, Year and Color, hit Enter to break list.
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If yes please list how many and what type, hit Enter to break list.
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Have You ever Filed for Bankruptcy?
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Do you smoke?
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Have You Ever Been Evicted From A Tenancy Or Left Owing Money?
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Do You or Your Co Applicant Have A Criminal History?
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I hereby apply to lease this rental property and I warrant that all statements above set forth are true. I hereby give my permission to communicate with my current and former landlord(s) or property manager(s) for the purpose of discussing any and all of the facts and circumstances of my current or former tenancy, as well as the other information listed above. I also give my permission to communicate with my current employer(s) and/or supervisor(s) for the purpose of verifying the employment information listed above. I understand there are no limitations or restrictions regarding what may be discussed or revealed. I am aware that a credit history, landlord/tenant court search and criminal background check may be done in conjunction with my application and I hereby authorize White Birch Properties to request the aforementioned reports. I understand that I may have the right to make a written request within a reasonable period of time to receive additional, detailed information about the nature and scope of this investigation. TYPING OR SIGNING MY FULL NAME BELOW QUALIFIES AS MY LEGALLY BINDING SIGNATURE AS PER THE UNIFORM ELECTRONIC TRANSACTIONS ACT (UETA)

Please Sign Your Legal Name
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Rent Payment

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Application Fee

$0.00
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Total Payment

$0.00
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