Application For Apartment Lease

  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • List all persons who will be living in the unit including head of household. Be sure to include names, relationship, birthdate, sex & social security numbers
    NameRelationshipBirthdateSexSocial Security Number 
  • HOUSEHOLD INCOME INFORMATION

  • Include overtime, tips, bonuses, commissions, self-employment etc.
  • AFDC, SSI, GA
  • Inheritance, Insurance Settlement, Lottery, Capital Gains
  • Please list
  • EMPLOYER INFORMATION

  • BANKING INFORMATION

  • MISCELLANEOUS

  • ALL HOUSEHOLD MEMBERS AGE 18 AND OLDER MUST ELECTRONICALLY SIGN BELOW

  • INFORMED CONSENT

    THE FOLLOWING NAMED INDIVIDUAL HAS MADE APPLICATION FOR HOUSING. THIS FORM IS A REQUEST TO THE ROSEAU COUNTY LAW ENFORCEMENT TO DISCLOSE ALL CRIMINAL HISTORY RECORD INFORMATION TO THE APARTMENT MANAGER FOR THE PURPOSE OF AN APPLICATION APPROVAL. ONE FORM NEEDS TO BE FILLED OUT FOR EACH RESIDENT OF THE LEASED UNIT
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
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