Apply Online – Arbuckleview Apartments

Applying For:

Any apartment at Arbuckle View Apartments

1-bedroom apartment at Arbuckle View Apartments

2-bedroom apartment at Arbuckle View Apartments

Preferred Move-In Date

Lease Duration

Applicant Information

Please complete the primary applicant information below.

Applicant First Name

Applicant Last Name

Applicant Email

Applicant Phone

Applicant Date of Birth

Driver's License Number

License Issuing State

Are you applying with a spouse or co-applicant?

Yes

No

Co-Applicant / Spouse Information

Complete this section only if another adult will be applying with you.

Co-Applicant First Name

Co-Applicant Last Name

Co-Applicant Email

Co-Applicant Phone

Co-Applicant Date of Birth

Co-Applicant Driver's License Number

Co-Applicant License Issuing State

Rental History

Please provide your current and prior rental history.

Current Residence

Current Residence Address

Street Address

Address Line 2

City

State

Zip Code

How long have you lived at this address?

Current Monthly Rent ($)

Current Landlord Name

May we contact this landlord?

Yes

No

Current Landlord Phone

Reason for moving

Previous Residence

Previous Residence Address

Street Address

Address Line 2

City

State

Zip Code

How long did you live there?

Previous Monthly Rent ($)

Previous Landlord Name

May we contact this landlord?

Yes

No

Previous Landlord Phone

Reason for leaving

Employment Information

Tell us about your current employment and income.

Applicant Employment

Employer Name

Employer Address

Position / Job Title

Supervisor Name

Employer Phone

How long with this employer?

Annual Income ($)

Other Income Sources

Government Assistance ($)

Child Support / Alimony ($)

Other Income Details

Co-Applicant Employment

Co-Applicant Employer Name

Co-Applicant Employer Address

Co-Applicant Position / Job Title

Co-Applicant Supervisor Name

Co-Applicant Employer Phone

How long with this employer?

Co-Applicant Annual Income ($)

Co-Applicant Other Income Sources

Co-Applicant Other Income Details

Other Occupants

List everyone who will live in the unit, including children and anyone who may live with you temporarily.

Total Number of Occupants

Any Children?

Yes

No

Number of Adults

Number of Children

Names and ages of children

Any other adults besides applicant and co-applicant/spouse?

Yes

No

Other Adult Occupant #1

Full Name

Current Address

Occupation

Phone Number

Relationship to Applicant

Other Adult Occupant #2

Full Name

Current Address

Occupation

Phone Number

Relationship to Applicant

Please note: If a second adult (other than spouse) will be renting the premises, they may be required to complete a separate rental application form.

Additional Questions

Please answer the following questions.

Do you have a waterbed?

Yes

No

Do you smoke?

Yes

No

Have you ever been evicted as a tenant?

Yes

No

If yes, please explain the eviction

Have you ever intentionally refused to pay rent when due?

Yes

No

If yes, please explain

Have you ever been convicted of a criminal offense?

Yes

No

If yes, please explain

Do you have pets?

Yes

No

If yes, please describe type, breed, and size

References and Authorization

Provide two personal references and banking information.

Personal Reference #1

Reference Name

Reference Address

Relationship

Phone Number

Personal Reference #2

Reference Name

Reference Address

Relationship

Phone Number

Authorization and Certification

TENANCY MAY BE DENIED if you misrepresent any information on this application. If misrepresentations are found after a rental agreement is signed, the agreement may be terminated.

Chitwood Rentals LLC does not discriminate against any applicant on the basis of an illegal purpose including race, color, religion, sex, national origin, age, disability, or family status.

By submitting this form, you certify that the information provided is true and correct to the best of your knowledge. You understand that this application is not a rental agreement and does not create any obligation on the Property Owner/Manager. You authorize Chitwood Rentals LLC to verify the information provided, including references, employment, rental history, and to perform credit, criminal history, and other screening inquiries as deemed necessary.

Do you agree to the authorization and certification above?

Yes, I agree

Applicant Full Name (typed signature)

Date

Co-Applicant Full Name (typed signature)

Co-Applicant Signature Date