Name *
Name
Phone Number *
Phone Number
Date of Birth of Primary Applicant *
Date of Birth of Primary Applicant
Please list all dependents and their dates of birth.
If none, list 'none'
Please include current street address
List City
State
Provide the zip code for your current address
Please list the month and year you moved into your current address
Please list the reason for leaving your current address
List your current rent amount
List the current owner/agent's name
Please provide a contact number, email or fax for the owner/agent of current residence
Please list full address, month/year moved in, reasons for leaving, rent amount, owner/agent and contact number
Planned Move In Date
Planned Move In Date
Please indicate your current employment status*
Please include your employer, dates employed, job title and salary
Contact number at work
Please list supervisor's name.
Supervisor's contact number
Supervisor's contact number
Please list any additional sources of income you would like us to consider
List all credit obligations with minimum payment (car payment, credit cards, cell phone, child support, etc)
*Note- if you are required at some point in your tenancy to become a registered sex offender, if may be cause for termination of your lease.
Name of person not residing with you and relationship
Provide phone number of emergency contact
Please provide street address, city and state of emergency contact
List name, phone number, relationship
List name, phone number, relationship
I/We hereby leave this payment as a NON-REFUNDABLE application/administrative fee. This application fee covers all credit and criminal report charges. Such sum should not be considered a rental payment or security deposit. In the event that this application is denied, this sum will be retained by the Owner/Agent to cover the costs incurred for processing this application as furnished by the application. The above information, to the best of my knowledge, is true and correct. I understand that should any statement made above be a misrepresentation or not a true statement of facts, my application will be immediately denied. Please type your name and the date to sign.
I hereby authorize Barron Property Services, LLC to obtain a consumer report, and any other information it deems necessary for the purpose of evaluating my application. I understand that such information may include, but is not limited to, credit history, civil and criminal information, records of arrest, rental history, employment/salary details, vehicle records, licensing records, and/or any other necessary information. I understand that subsequent consumer reports may be obtained and utilized under this authorization in connection with an update, renewal, extension or collection with respect or in connection with the rental or lease of a residence for which application was made. I hereby expressly release Barron Property Services, LLC and any procurer or furnisher of information, from any liability what-so-ever in the use, procurement, or furnishing of such information, and understand that my application information may be provided to various local, state and/or federal government agencies, including without limitation, various law enforcement agencies. **Type your name, Social Security number and the date as authorization*****
Type your social security number here
Authorization date *
Authorization date
Enter today's date for authorization

*Please make sure to hit SUBMIT to send your application before paying below fee to ensure your information does not get lost!*

Non-Refundable Application Fees
Enter Name on Application Here