Your Name *

First Name

Last Name

Phone/Text *

(###)

###

####

Preferred Move in Date *

MM

DD

YYYY

Do you currently have $3,900 to pay first month's rent ($1,100) + security deposit ($400) + lease option ($2,400)? *

Yes

No

Is your household monthly income at least three (3) times the monthly rent? *

Yes

No

Can we ask for references from your former landlords and current employer? *

Yes

No

Will all adults living in the home agree to a credit and background check? *

Yes

No

Has anyone that will be living in the home ever been convicted of a felony? *

Yes

No

Has anyone that will be living in the home ever been evicted or received notice of pre-eviction ? *

Yes

No

Does anyone that will be living in the home smoke? *

Yes

No

Does anyone what will be living in the home have an animal? *

Yes

No

Our Rent-to-Own program is designed to help families transition to full home ownership. Consequently, you will be responsible for utilities, yard care, and minor expenses (under $200 per occurrence). We will be responsible for property taxes, fire insurance, and large expenses (over $200 per occurrence). Are these provisions acceptable? *

Yes

No