APARTMENTS

Now Leasing

766 Square Feet – Deposit $950

1016 Square Feet – Deposit $1050

1200 Square Feet – Deposit $1,250

Rental Application

Residential History (Last 3 Years)
Current Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Date Moved In
MM slash DD slash YYYY
Reason(s) for Leaving
Owner/Agent
Phone
Rent $
Previous Address (Last 3 Years)
Previous Address (Last 3 Years)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Owner/Agent
Phone
Rent $

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Provide Your Employment Information
Your Status
- Full Time
- Part Time
- Student
- Unemployed
Employer
Dates Employed
MM slash DD slash YYYY
Employed as
Supervisor Name
First Last
Phone
Salary
Employed by above less than 12 months?
- Yes
- No
Previous Employer
Previous Employer Phone
If you have other sources of income that you would like us to consider, please list income, source, and person (banker, employer, etc.) who we may 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 $
Source/Contact Name

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Personal References or Emergency Contact
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone
Relationship
Driver's License
Your Driver's License Number
State
State / Province / Region
Vehicle Information
Make / Model
Year
License Plate State
State / Province / Region

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Additional Information
Please give any additional information that might help owner/management evaluate this application?
Where may we reach you to discuss this application?
Day Phone
Night Phone
AUTHORIZATION Release of Information
I hereby apply to lease the above described premises for the term and upon the set conditions above set forth and agree that the rental is to be payable the first day of each month in advance. As an inducement to the owner of the property and to the agent to accept this application. I warrant that all statements above set forth are true; however, should any statement made above be a misrepresentation or not a true statement of facts, all of the deposit will be retained to offset the agent's cost, time, and effort in processing my application. The above information, to the best of my knowledge, is true and correct. I authorize an investigation of my credit, tenant history, banking and employment for the purposes of renting a house, apartment, or condominium from this owner/manager.
- Agree
Name
First Last
Date
Phone
This field is for validation purposes and should be left unchanged.

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CONTACT US

ADDRESS:

2536 New Holt Rd
Paducah, KY 42001

PHONE: (270) 559-2682