Online Rental Application

For a printable version of the application, click here.

Premises Information
How did you become aware of this property? If referred, by whom?
Address of property interested in?
Proposed Move-In Date?

Personal Information
Applicant Full Name
Social Security # (No dashes)
Driver's License # State Expires
Telephone NumbersHome Work
E-Mail Address
Other Tenants' Information:
  Name SSN Date of Birth Sex Driver's License Relation to Applicant
1.
2.
3.
4.

Describe any pets that will reside in your household: (Cat, bird, dog, etc.)

Have you ever been convicted of a misdemeanor or felony?
If yes, please explain:

Are you being, or have you ever been evicted?
If yes, please explain:

Residence/Rental History
Current Street Address Lived here from to
City State Zip Monthly Rent
Landlord Name Home Phone? Work?
Reason for Leaving  

Prior Residence/Rentals to cover 2 years history.

#1) Street Address Lived here from to
City State Zip Monthly Rent
Landlord Name Reason for Leaving
Landlord's Phone?  

 

#2) Street Address Lived here from to
City State Zip Monthly Rent
Landlord Name Reason for Leaving
Landlord's Phone?  

 

Income Information
Current Employer Phone Number
Address Supervisor
City State Zip Length of Employment
Position Monthly Income

 

Previous Employer Phone Number
Address Supervisor
City State Zip Length of Employment
Position Monthly Income
Reason for leaving  

Other Income

Source: Amount

 

Personal References
 Name/RelationshipPhone NumberAddress
1.
2.

Vehicle Information

 MakeYearColorLicense PlateOwner
1.
2.

Bank References

1.Bank Name Address City
  Checking SavingsAcct#Balance
2.Bank Name Address City
  Checking SavingsAcct#Balance

By submitting this application, applicant is authorizing AGM Property Management to verify the information provided and to obtain credit reports on all applicants.