Application For Rental
 Available Rental Properties
2221 Main Street, Springfield OR 97477
* Property Location:
* Desired Move-In Date:
Information provided may be made available to other services or agencies for verification either during application or if approved, during occupancy. By completing & submitting this application, applicant does not acquire any rights in any unit.
1. Personal Information - Applicant #1
*Full Legal Name:
*Date of Birth:
*Social Security #    
*Home Phone:     *Work Phone:
*Drivers License #     *Drivers License State
2. Residence History - Applicant #1
*Present Address:
*City *State *Zip
*Own or rent? *Payment Amount
*Date of Move-in:
       *Move Out:
*Name of Landlord:
*Phone Number:
3. Previous Residence History - Applicant #1
*Previous Address:
*City *State *Zip
*Own or rent? *Payment Amount
*Date of Move-in:
       *Move Out:
*Name of Landlord:
*Phone Number:
4. Income Description - Applicant #1
*Employer Name:
*Address:
*EmployerCity *EmployerState *EmployerZip
*Telephone: *Position:
*Gross Monthly: *Net Monthly:
*Date of Hire:
5. Additional Sources of Income - Applicant #1
Source: Amount Monthly:
*Total Monthly Income:
 
1. Personal Information - Applicant #2
Full Legal Name:
Date Of Birth:
Social Security #
Home Phone: Work Phone:
Drivers License # Drivers License State
2. Residence History - Applicant #2
Present Address:
City State Zip
Own or rent? Payment Amount
Date of Move-in:
       Move Out:
Name of Landlord:
Phone Number:
3. Previous Residence History - Applicant #2
Previous Address:
City State Zip
Own or rent? Payment Amount
Date of Move-in:
       Move Out:
Name of Landlord:
Phone Number:
4. Income Description - Applicant #2
Employer Name:
Address:
Telephone: Position:
Gross Monthly: Net Monthly:
Date of Hire:
5. Additional Sources of Income - Applicant #2
Source: Amount Monthly:
Total Monthly Income:
 
Other Important Information
List names and date of birth for all persons to occupy the unit:
Name 1: DOB 1:
Name 2: DOB 2:
Name 3: DOB 3:
Name 4: DOB 4:
Name 5: DOB 5:
Why are you vacating your current place of residence?    
List all vehicles which will be on the property:
Vehicle 1:
Vehicle 2:
Vehicle 3:
Vehicle 4:
Vehicle 5:
*Do you have pets or other animals? Yes  No  Type:
*Do you intend to use a musical instrument? Yes  No  Type:
*Have you or any of the persons named on this application Been Convicted of a crime? Yes  No 
*Does anyone in the household smoke? Yes  No 
Applicants hereby certify that the information is true & correct and hereby authorize landlord/agent to make any necessary inquiries deemed necessary to evaluate the application for tenancy and credit standing Applicant understands and accepts that any information provided that is incomplete, inaccurate or falsified shall be grounds for denial of the application or subsequent termination of tenancy upon determination of such falsified information.
The typing of your name below constitutes said authorization.
Photo ID will be required prior to execution of a lease to confirm identity.
Please email your photo ID to: Info@arponline.net
Applicant #1 :
Applicant #2 :
*   I have read and understand the criteria for submitting this rental application.
**Completed applications MUST be accompanied by a $40 per adult Application fee. You can submit the application fee payment on the next page .**
* = Required Field