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Rental Application

Step 1 of 18

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Desired Unit to Lease*
How Many Months?
Please enter a number from 1 to 120.
Applicant Information
Name*
First Last
Date of Birth*
Email*
Phone*

Housing Information
Current Address*
Street Address Address Line 2 City State ZIP Code
Length of Time*

Years, months
Reason for Leaving*
Current Landlord*
First Last
Landlord's Phone*
Current Rent*
Are you up to date with your rent?*
- Yes
- No

Previous Housing Information
Former Address*
Street Address Address Line 2 City State ZIP Code
Length of Time*

Years, months
Reason for Leaving*
Former Landlord*
First Last
Former Landlord's Phone*
Former Rent*
Were you up to date with your rent?*
- Yes
- No
Have you ever been evicted?*
- Yes
- No
Have you ever been convicted of a felony?*
- Yes
- No
Have you ever filed for bankruptcy?*
- Yes
- No

Financial Information
Employer*
Occupation*
Hours Per Week*
Please enter a number less than or equal to 90.
Monthly Income*
Start Date*
MM slash DD slash YYYY
Supervisor
First Last
Supervisor's Phone
Other Source(s) of Income
Other Source(s) Amount Per Month

Occupants Residing With You
Will anyone be living with you?*
- Yes
- No
How many total people will be living with you?*
How many people will be living with you who are not a minor or dependent?*
Each Occupant must fill out a co-applicant application unless they are a minor child or dependent. Please have their information available before you proceed.

Co-Applicant #1 Information
Co-Applicant Name
First Last
Date of Birth*
Email*
Phone*

Co-Applicant #1 Current Housing Information
Current Address*
Street Address Address Line 2 City State ZIP Code
Length of Time

Years, months
Reason for Leaving
Current Landlord
First Last
Landlord's Phone
Current Rent
Are you up to date with your rent?
- Yes
- No

Co-Applicant #1 Previous Housing Information
Former Address*
Street Address Address Line 2 City State ZIP Code
Length of Time*

Years, months
Reason for Leaving*
Former Landlord*
First Last
Former Landlord's Phone*
Former Rent*
Were you up to date with your rent?*
- Yes
- No
Have you ever been evicted?
- Yes
- No
Have you ever been convicted of a felony?
- Yes
- No
Have you ever filed for bankruptcy?
- Yes
- No

Co-Applicant #1 Financial Information
Employer*
Occupation*
Hours Per Week*
Please enter a number less than or equal to 90.
Monthly Income*
Start Date*
MM slash DD slash YYYY
Supervisor*
First Last
Supervisor's Phone
Other Source(s) of Income
Other Source(s) Amount Per Month

Co-Applicant #2 Information
Co-Applicant Name*
First Last
Date of Birth*
Email*
Phone*

Co-Applicant #2 Current Housing Information
Current Address*
Street Address Address Line 2 City State ZIP Code
Length of Time

Years, months
Reason for Leaving
Current Landlord
First Last
Landlord's Phone
Current Rent
Are you up to date with your rent?
- Yes
- No

Co-Applicant #2 Previous Housing Information
Former Address*
Street Address Address Line 2 City State ZIP Code
Length of Time*

Years, months
Reason for Leaving*
Former Landlord*
First Last
Former Landlord's Phone*
Former Rent*
Were you up to date with your rent?*
- Yes
- No
Have you ever been evicted?
- Yes
- No
Have you ever been convicted of a felony?
- Yes
- No
Have you ever filed for bankruptcy?
- Yes
- No

Co-Applicant #2 Financial Information
Employer*
Occupation*
Hours Per Week*
Please enter a number less than or equal to 90.
Monthly Income*
Start Date*
MM slash DD slash YYYY
Supervisor
First Last
Supervisor's Phone
Other Source(s) of Income
Other Source(s) Amount Per Month

Co-Applicant #3 Information
Co-Applicant Name*
First Last
Date of Birth*
Email*
Phone*

Co-Applicant #3 Current Housing Information
Current Address*
Street Address Address Line 2 City State ZIP Code
Length of Time

Years, months
Reason for Leaving
Current Landlord
First Last
Landlord's Phone
Current Rent
Are you up to date with your rent?
- Yes
- No

Co-Applicant #3 Previous Housing Information
Former Address*
Street Address Address Line 2 City State ZIP Code
Length of Time*

Years, months
Reason for Leaving*
Former Landlord*
First Last
Former Landlord's Phone*
Former Rent*
Were you up to date with your rent?*
- Yes
- No
Have you ever been evicted?
- Yes
- No
Have you ever been convicted of a felony?
- Yes
- No
Have you ever filed for bankruptcy?
- Yes
- No

Co-Applicant #3 Financial Information
Employer*
Occupation*
Hours Per Week*
Please enter a number less than or equal to 90.
Monthly Income*
Start Date*
MM slash DD slash YYYY
Supervisor*
First Last
Supervisor's Phone
Other Source(s) of Income
Other Source(s) Amount Per Month

The Fine Print
By entering my name below as an electronic signature, I believe that the statements I have made are true and correct. I hereby authorize a credit and/or criminal check to be made, verification of information I provided and communication with any and all names listed on this application. I understand that any discrepancy or lack of information may result in the rejection of this application. I understand that this is an application for an apartment and does not constitute a rental or lease agreement in whole or part. I further understand that there is a non‐refundable fee to cover the cost of applications processing my application and I am not entitled to a refund even if I don’t get the apartment. Any questions regarding rejected applications must be submitted in writing and accompanied by a self‐addressed stamped envelope. I acknowledge that by filling out this form I am not guaranteed a lease. I agree to provide additional information on myself including, but not limited to, social security number and driver's license number in order to complete the lease agreement.
Applicant Signature*
First Last
Co-Applicant #1 Signature
First Last
Co-Applicant #2 Signature*
First Last
Co-Applicant #3 Signature*
First Last
Consent to Contact*
- Yes
By submitting this form, I give my consent for marquismiddle.com to use my personal information to contact me.
Terms and Conditions*
- Yes
By submitting this form, I agree to the Terms and Conditions of this website.
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407 Marquis Ave.
Lexington, KY 40502
taylorpool76@aol.com
859-314-0567

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