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Rental Application
Step
1
of
18
5%
Desired Unit to Lease
*
How Many Months?
Please enter a number from
1
to
120
.
Applicant Information
Name
*
First
Last
Date of Birth
*
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Email
*
Phone
*
Housing Information
Current Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
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
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
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?
*
None
One
Two
Three
How many people will be living with you who are not a minor or dependent?
*
None
One
Two
Three
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
*
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Email
*
Phone
*
Co-Applicant #1 Current Housing Information
Current Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
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
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
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
*
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Email
*
Phone
*
Co-Applicant #2 Current Housing Information
Current Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
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
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
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
*
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Email
*
Phone
*
Co-Applicant #3 Current Housing Information
Current Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
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
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
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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