Rental Application - Highland Village Apartments

Please Provide: Photo ID, SS Card, Proof of Income and a $25 application fee.

File Upload

Maximum upload size: 30MB

Bedrooms Requested

1 Br

2 Br

3 Br

Floor

Upstairs

Downstairs

Proposed Move-in Date

Full Legal Name

First Name: *

Middle Name:

Last Name:

Social Security Number:

Birth Date:

Age:

Drivers License Number:

State

Expiration Date:

Email:

Home Phone:

Cell Phone:

Income

Monthly Income:

Employer Name:

Time Employed:

Time Employed With Your Previous Employer:

Occupation:

Time Employed:

Employer Address:

Supervisor Name:

Work Phone:

Present Home Address

Time Lived at Present Home Address:

Time Lived at Previous Home Address:

Landlord's Name:

Landlord's Phone:

Monthly Rent:

Personal Reference

Reference (other than friend or relative:)

Reference Phone:

Name of Your Bank:

List All Others Who Will Be Living In The Household With You

Legal Name #1:

DOB #1:

Social Security Number #1:

Legal Name #2:

DOB #2:

Social Security Number #2:

Legal Name #3:

DOB #3:

Social Security Number #3:

Legal Name #4:

DOB #4:

Social Security Number #4:

Check Yes or No to Items Below - Explain In Space Provided

Received Eviction Notice:

Yes

No

Field for Bankruptcy:

Yes

No

Received Felony in Past Five Years:

Yes

No

Explain:

Name of Nearest Relative:

Address:

Phone:

Autos & Other Vehicles Owned:

Make / Model (#1):

Year (#1):

Color (#1):

Plate Number (#1):

Make / Model (#2):

Year (#2):

Color (#2):

Plate Number (#2):

How Did You Hear About Us?:

Explain:

By entering my name in the field below, I do hereby authorize any City, County, State, Federal Agency, Landlord, and Employer to release any information or police records and to verify and investigate all information. I release all persons whomever from any liability arising or resulting from the release of this information. I warrant that the information supplied is true and correct.

Applicant Signature: