Online Application

Completed application is required from every individual occupant aged 18 or older.  No application fee.

Address of property you are applying for *
Address of property you are applying for
Applicant
Name *
Name
Date of Birth *
Date of Birth
Phone *
Phone
Current Address *
Current Address
FROM - TO
Are you currently in a lease? *
Have you given notice? *
Landlord's/Manager's Phone *
Landlord's/Manager's Phone
Landlord's/Manager's Fax *
Landlord's/Manager's Fax
Previous Address *
Previous Address
TO - FROM
Landlord's/Manager's Phone *
Landlord's/Manager's Phone
Additional Occupants
List every person, including children, who will live with you:
Additional Occupant Name
Additional Occupant Name
Additional Occupant Name
Additional Occupant Name
Additional Occupant Name
Additional Occupant Name
Additional Occupant Name
Additional Occupant Name
Applicant's Employment History
LIST PAST 2 EMPLOYERS
Employer's Address *
Employer's Address
Employer's Phone *
Employer's Phone
Name of Supervisor *
Name of Supervisor
FROM - TO
Previous Employer's Address *
Previous Employer's Address
Previous Employer's Phone *
Previous Employer's Phone
Name of Previous Supervisor *
Name of Previous Supervisor
TO - FROM
Applicant's Credit and Financial Information
$
Applicant's Miscellaneous Information
Do you have any pets? *
Do you smoke, or use tobacco in any form? *
Would you place a waterbed on the property? *
Have you ever been a part of any bankruptcy proceeding? *
Have you ever been named party to any lawsuit? *
Have you ever been evicted, or asked to leave any property? *
Have you ever been convicted of, or plead guilty to, any crime? *
Have you ever been arrested? *
Please Note: Applicant must read below. By completing Applicant's Signature fields, applicant is providing acknowledgment of the Release of Information Statement.
Release of Information Statement
I certify that all the information given above is true and correct and understand that my lease agreement may be terminated immediately if I have made any false, misleading, or incomplete statement in this application. I hereby authorize verification of the information provided in this application from my credit sources, current and previous landlords and employers, and personal references, and I indemnify them and the Rieger Realty, L.L.C. from any claims brought forth as a result of providing information in relation to this application.
Applicant's Signature *
Applicant's Signature
Date *
Date