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Basic Information

Please fill in the information requested below.

Applicant
Co-Applicant 1
Co-Applicant 2
Co-Applicant 3
Co-Applicant 4

Primary Applicant

NOTE: If you are applying with a co-applicant, all their information must be provided before submitting the application.

Basic Information

First Name:

Middle Name:

Last Name:

Date of Birth: mm/dd/year

Social Security Number: Check if you do not have SSN

Telephone:

Move-In Date:

Email Address:

Confirm Email Address:

Password:

Confirm Password:

Current Residence

Address:

Apt / Unit #:

Is this a Rental Unit?
Yes No

City:

State:

Zip Code:

Landlord Telephone:

Additional Information

Current Employer (Company Name):

Telephone:

Monthly Income:

Have you ever...

Refused to pay rent when due?	Yes	No
Been convicted of a crime?	Yes	No
Been evicted?	Yes	No

If you answered yes to any of the questions, please explain:

Number of Co-Applicants:

Co-Applicant(s) are financially responsible parties.
Select number of Co-Applicant(s) (if any), and click the "NEXT" to proceed.

Customer Acknowledgement:
I authorize Screening Reports, Inc.(SRI) to do a complete investigation of all information provided. Read Terms

I have personally filled in and/or reviewed all information within this online application. A complete investigation may include any or all of the following: credit report, criminal record, rental history references and personal interviews with above references. I acknowledge that SRI provides reports to apartments and does not participate in the approval or denial process. I acknowledge that SRI monitors criminal activity and reports it promptly to the community.

My electronic signature below authorizes all listed companies to release rental, employment history (including salary) and criminal record information.

Primary Applicant [ ]:

Signature must match Primary Applicant's Full Name.

By typing your name in the box above you are explicitly indicating that you have read and that you agree to the Terms & Conditions of this application and the Property Criteria and that you have signed them electronically. You may also view our Privacy Policy.

Co-Applicant 1

NOTE: Co-Applicant must be present to submit application.

Basic Information

First Name:

Middle Name:

Last Name:

Date of Birth: mm/dd/year

Social Security Number: Check if you do not have SSN

Telephone:

Move-In Date:

Email Address:

Confirm Email Address:

Password:

Confirm Password:

Current Residence

Address:

Apt / Unit #:

Is this a Rental Unit?
Yes No

City:

State:

Zip Code:

Landlord Telephone:

Additional Information

Current Employer (Company Name):

Telephone:

Monthly Income:

Have you ever...

Refused to pay rent when due?	Yes	No
Been convicted of a crime?	Yes	No
Been evicted?	Yes	No

If you answered yes to any of the questions, please explain:

Customer Acknowledgement:
I authorize Screening Reports, Inc.(SRI) to do a complete investigation of all information provided. Read Terms

My electronic signature below authorizes all listed companies to release rental, employment history (including salary) and criminal record information.

Co Applicant [ ]:

Signature must match Co Applicant's Full Name.

Co-Applicant 2

NOTE: Co-Applicant must be present to submit application.

Basic Information

First Name:

Middle Name:

Last Name:

Date of Birth: mm/dd/year

Social Security Number: Check if you do not have SSN

Telephone:

Move-In Date:

Email Address:

Confirm Email Address:

Password:

Confirm Password:

Current Residence

Address:

Apt / Unit #:

Is this a Rental Unit?
Yes No

City:

State:

Zip Code:

Landlord Telephone:

Additional Information

Current Employer (Company Name):

Telephone:

Monthly Income:

Have you ever...

Refused to pay rent when due?	Yes	No
Been convicted of a crime?	Yes	No
Been evicted?	Yes	No

If you answered yes to any of the questions, please explain:

Customer Acknowledgement:
I authorize Screening Reports, Inc.(SRI) to do a complete investigation of all information provided. Read Terms

My electronic signature below authorizes all listed companies to release rental, employment history (including salary) and criminal record information.

Co Applicant [ ]:

Signature must match Co Applicant's Full Name.

Co-Applicant 3

NOTE: Co-Applicant must be present to submit application.

Basic Information

First Name:

Middle Name:

Last Name:

Date of Birth: mm/dd/year

Social Security Number: Check if you do not have SSN

Telephone:

Move-In Date:

Email Address:

Confirm Email Address:

Password:

Confirm Password:

Current Residence

Address:

Apt / Unit #:

Is this a Rental Unit?
Yes No

City:

State:

Zip Code:

Landlord Telephone:

Additional Information

Current Employer (Company Name):

Telephone:

Monthly Income:

Have you ever...

Refused to pay rent when due?	Yes	No
Been convicted of a crime?	Yes	No
Been evicted?	Yes	No

If you answered yes to any of the questions, please explain:

Customer Acknowledgement:
I authorize Screening Reports, Inc.(SRI) to do a complete investigation of all information provided. Read Terms

My electronic signature below authorizes all listed companies to release rental, employment history (including salary) and criminal record information.

Co Applicant [ ]:

Signature must match Co Applicant's Full Name.

Co-Applicant 4

NOTE: Co-Applicant must be present to submit application.

Basic Information

First Name:

Middle Name:

Last Name:

Date of Birth: mm/dd/year

Social Security Number: Check if you do not have SSN

Telephone:

Move-In Date:

Email Address:

Confirm Email Address:

Password:

Confirm Password:

Current Residence

Address:

Apt / Unit #:

Is this a Rental Unit?
Yes No

City:

State:

Zip Code:

Landlord Telephone:

Additional Information

Current Employer (Company Name):

Telephone:

Monthly Income:

Have you ever...

Refused to pay rent when due?	Yes	No
Been convicted of a crime?	Yes	No
Been evicted?	Yes	No

If you answered yes to any of the questions, please explain:

Customer Acknowledgement:
I authorize Screening Reports, Inc.(SRI) to do a complete investigation of all information provided. Read Terms

My electronic signature below authorizes all listed companies to release rental, employment history (including salary) and criminal record information.

Co Applicant [ ]:

Signature must match Co Applicant's Full Name.

Disclaimer: Pricing and availability are subject to change and are not guaranteed. Next

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Application Fee

Primary Application:	$35.00
Processing Fee (ACH):	$1.95

(Application and Processing Fees are Non-Refundable)

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Request a copy of your credit report once your application is submitted.

Secure Information

Basic Information

Primary Applicant

Basic Information

Current Residence

Additional Information

Have you ever...

Co-Applicant 1

Basic Information

Current Residence

Additional Information

Have you ever...

Co-Applicant 2

Basic Information

Current Residence

Additional Information

Have you ever...

Co-Applicant 3

Basic Information

Current Residence

Additional Information

Have you ever...

Co-Applicant 4

Basic Information

Current Residence

Additional Information

Have you ever...

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Application Fee

$35.00

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