Apply Online For An Apartment, Duplex, Or Rental Property in Seymour, North Vernon or Columbus Indiana

Apply Online

We can't wait for you to move in and join our community. Fill out the form below to apply for any of our rental properties. Email or call us if you need more information.

Date of Application Desired Date of Occupancy

Type and Size of Apartments( Number of Bedrooms etc.)

Personal Information Applicant's Full Name:
Date of Birth: Social Security No:

Co-Applicants Full Name:
Date of Birth: Social Security No:
Relationship:

All Other Applicants Information 1. Full Name: Relationship to You: Date of Birth:

2. Full Name: Relationship to You: Date of Birth:

3. Full Name: Relationship to You: Date of Birth:

Pets How many pets do you own?:
Kind of Pet, Breed, Weight, and Age?:
How did you hear about our Property?:

Residence History Present Address: City/State/Zip:
Present Telephone: Dates From: To:
Present Lanlord or Mortgage Co.: Telephone:
Monthly Payments $: Reason for Moving:

Previous Address: City/State/Zip:
Dates From: To:
Previous Lanlord or Mortgage Co.: Telephone:
Monthly Payments $: Reason for Moving:

Employment Information Present Employer: Dates From: To:
Employers Address: Telephone:
Position: Supervisor: Wages $:

Previous Employer: Dates From: To:
Employers Address: Telephone:
Position: Supervisor: Wages $:

Co-Applicants Employer: Dates From: To:
Employers Address: Telephone:
Position: Supervisor: Wages $:

Other Information TOTAL NUMBER OF VEHICLES (Including Company Vehicles)
Make/Model: Year: Color: Tag No./State:
Make/Model: Year: Color: Tag No./State:

Other Vehicle Information Other car, Motorcycle, ect.

Income Information: Total Gross Household Monthly Income:

If there are other sources of income you would like us to consider, please list income, source and person (Banker, Employer, ect.) who we contact for confirmation. You do NOT have to reveal alimony, child support, or spouse's annual income unless you want us to consider it in this application.

$Amount: Per: Source: Telephone

$Amount: Per: Source: Telephone:

Emergency Information In case of Emergency Notify : Relationship: Address: Home Phone: Work Phone:

Additional Comments or Questions Comments or Questions:

Approval Applicants Name: Date Signed:
Co- Applicants Name: Date Signed:

I hereby make application for an apartment and certify that this information is correct. I authorize you to contact and references that I have listed.

I also authorize you to obtain my consumer credit report from your credit reporting agency, which will appear as an inquiry on my file.