612-623-4488
RENT APPLICATION
PLEASE PROVIDE AN ANSWER FOR EVERY FIELD
am applying for building I do not know 1701 Elm St. SE, Minneapolis 1725 Elm St. SE, Minneapolis 1100 Como Ave SE, Minneapolis 918 17Th Ave SE, Minneapolis 1410 Rollins Ave SE, Minneapolis 1313 Como Ave SE, Minneapolis Apartment 101 I do not know 102 103 104 105 106 107 108 201 202 203 204 205 206 207 208 301 302 303 304 305 306 307 308 Preferred Move in Date January February March April May June July August September October November December
Last Name First Name Middle Initial
Social Security No. or Passport No. Drivers License No. Cel. Phone
Birth date (mm/dd/yy) Are you smoker? yes no E-mail
IN CASE OF EMERGENCY CONTACT
Full name Phone
WHERE I HAVE BEEN LIVING NOW
Phone Street City State Zip
No. months living at this address Landlord name Landlord phone
Reason for moving
PERMANENT ADDRESS (WHERE WE CAN ALWAYS REFER MAIL TO YOU)
ABOUT YOUR CAR
Car make Car model License plate License state
ABOUT YOUR JOB
Employer name Job description Supervisor name
Supervisor phone Income per month
What percent of your money comes from work? %
What percent of your money comes from relatives? %
What percent of your money comes from other? %
WHO ARE YOUR ROOMMATES?
1st roommate name 2nd roommate name
3rd roommate name 4th roommate name
5th roommate name
Have you ever been arrested? yes no Have you ever been evicted? yes no Have you ever been accused of non payment of rent? yes no
AFTER CLICKING THE SUBMIT BUTTON BELOW:
Please call us at 612 623 4488 or 612 978 4444 to complete the lease and damage deposit
in person at our leasing office located at: 1701 Elm St SE, Minneapolis
Thank you! We look forward to having you here!