Online Application

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 INFORMATION:

Property Address (required)

Earliest date you will take occupancy (required)

How long do you intend to stay at the property? (required)

How did you hear of us? (required)

Agent

APPLICANT INFORMATION:

First Name (required)

Full Middle Name (required)

Last Name (required)

Date of Birth Year

SSN (required)

Home Number (required)

Cell Number

Work Number

Email (required for confirmation email)

Driver License # State
Expires

Do you have a legal right to be in the United States?

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 RESIDENCE:

Current Street Address (required)

City (required)

State (required)

Zip (required)

Do you rent or own your present address?  Rent Own

Current Landlord's Name:

Current Landlord's Number:

RESIDENTIAL HISTORY:

Pevious Address #1:

Previous Street Address (required)

City (required)

State (required)

Zip (required)

How Long Did You Reside at the Above Address? (required)
If you selected "Longer than 2 Years", how long did you reside at the property? (required)

Previous Address #2:

Previous Street Address (required)

City (required)

State (required)

Zip (required)

How Long Did You Reside at the Above Address? (required)
If you selected "Longer than 2 Years", how long did you reside at the property? (required)

Pevious Address #3:

Previous Street Address (required)

City (required)

State (required)

Zip (required)

How Long Did You Reside at the Above Address? (required)
If you selected "Longer than 2 Years", how long did you reside at the property? (required)

EMPLOYMENT INFORMATION:

Employer

Address of Employment

City

State

Zip

Phone Number

Fax Number

Title/Position

Supervisor Name

Supervisor Title

Gross Monthly Income

Start Date

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:

APPLICANT QUESTIONS:

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

OTHER OCCUPANTS:

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

Date of Birth Year

2) Name Relationship

Date of Birth Year

3) Name Relationship

Date of Birth Year

4) Name Relationship

Date of Birth Year

5) Name Relationship

Date of Birth Year

6) Name Relationship

Date of Birth Year

EMERGENCY CONTACT:

First (required)

Last (required)

Phone (required)

Street (required)

City (required)

State (required)

Zip (required)

NEAREST RELATIVE (Not Residing in the Home):

First (required)

Last (required)

Phone Number (required)

Street (required)

City (required)

State (required)

Zip (required)

CONTINGENCIES OF THIS LEASE:

Do you have pets?  Yes No

What Kind?

Other Contingencies

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 Year

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.