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Before applying please note there is a $50.00 application fee for the first applicant and a $35.00 application fee for all occupants that are 18 years or older. Additional occupants over 18 years of age that fail to submit an application will delay processing. Application fees for approved, declined, and wait-listed applicants are non-refundable. Your monthly income must be at least three times the listed rent of the property unless you are a Section 8 voucher holder.
Check here if you are applying as a co-applicant with someone who has ALREADY submitted an application.
Coapplicant(s): 1) 2)
Check here if you are a Section 8 voucher holder. I am a Section 8 voucher holder.
Property Address (required)
Earliest date you will take occupancy (required)
How long do you intend to stay at the property? (required)0-12 Months13-24 Months25-36 Months37-48 Months49+Months
How did you hear of us? (required) GoSection8.comCar SignReferral from Another DM TenantGoogle.comHotPads.comOutside AgentPhone CallTrulia.comYahoo! Real EstateRentalHomePros.comRentals.comRentalList.comSign on PropertyRental ListZillow.comCraigslist
First Name (required)
Full Middle Name (required)
Last Name (required)
Date of Birth JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember 12345678910111213141516171819202122232425262728293031 Year 201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940
Home Number (required)
Email (required for confirmation email)
Driver License # State
Do you have a legal right to be in the United States? Yes, I am a U.S. CitizenYes, I have valid documentation from the Bureau of Citizenship and Immigration ServiceNo
If you answered "YES" because you are a non-U.S. citizen with valid visa documentation, please provide:
Reason you are in the U.S.
Current Street Address (required)
Do you rent or own your present address? Rent Own
Current Landlord's Name:
Current Landlord's Number:
Pevious Address #1:
Previous Street Address (required)
How Long Did You Reside at the Above Address? (required) 1 Month2 Months3 Months4 Months5 Months6 Months7 Months8 Months9 Months10 Months11 Months12 Months13 Months14 Months15 Months16 Months17 Months18 Months19 Months20 Months21 Months22 Months23 Months24 MonthsLonger than 2 Years
If you selected "Longer than 2 Years", how long did you reside at the property? (required)
Previous Address #2:
Pevious Address #3:
Address of Employment
Gross Monthly Income
ADDITIONAL INCOME SOURCE:
Pension: Monthly Income:
Social Security and/or SSI: Monthly Income:
Alimony: Monthly Income:
Child Support: Monthly Income:
AFDC/Government Assistance: Monthly Income:
Unemployment Compensation: Monthly Income:
Have you ever been asked to move out of a residence? Yes No
If yes, explain:
Have you ever been party to an eviction? Yes No
Are you a registered sex offender? Yes No
Have you or any member of your household been convicted or pleaded no contest to a felony? Yes No
Have you ever filed bankruptcy? Yes No
Has the bankruptcy been discharged or dismissed? Yes No
Have you ever had any collections? Yes No
Please provide information for all occupants who will reside in the residence. Occupants 18 years or older must fill out their own application. Co-applicants should check the box at the top of the page and fill in your name. If you have co-applicants 18 years or older still include their names in this section below.
1) Name Relationship
2) Name Relationship
3) Name Relationship
4) Name Relationship
5) Name Relationship
6) Name Relationship
NEAREST RELATIVE (Not Residing in the Home):
Phone Number (required)
CONTINGENCIES OF THIS LEASE:
Do you have pets? Yes No
A $50.00 application fee is required to process the application. Please include the credit card number you would like us to charge below. Please note all other occupants 18 years or older on this application must fill out and pay for a separate application.
Name on Card:
Credit Card Type
Credit Card Number
Expiration Date Month JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Year 2014201520162017201820192020202120222023202420252026
3 Digit Code
3 Card Holder's Street Address
3 Card Holder's City
3 Card Holder's Zip
By clicking the box below, I affirm that I have read the CONSUMER REPORT AUTHORIZATION page and am authorizing Dominion Management to obtain personal information about me. I understand that I should not check this box if the link is not working or if I have not read this information.
I authorize Dominion Management to obtain information about me through use of NTN background report company.
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