Fill Out A Credit Application On-Line!

Please fill out this form and a leasing agent will contact you. Or if you prefer, download an application and fax it to us.

This is an actual credit application.
Please fill out the entire form or we will not be able to process your information.


Applicant Information

First Name:



MI:




Last Name:




Jr., Sr., Etc.:

Social Security #:
Date of Birth:

Spouse Information

First Name:



MI:




Last Name:




Jr., Sr., Etc.:

Social Security #:
Date of Birth:

Present Address
Last 24 Months of resident history required.

Do You:

Street Address:

Apt#:

City:

State:

Zip Code:


Month/Year Moved In:
TO PRESENT

Landlord or Apt Name:

Landlords Phone Number:

Name On Lease:
Previous Address

Do You:

Street Address:

Apt#:

City:

State:

Zip Code:


Month/Year Moved In:
TO
Month/Year Moved Out:


Landlord or Apt Name:

Landlords Phone Number:

Name On Lease:

Applicant Employer Information
Please list employer as of MOVE-IN date

Company Name:

City/State of Employment:

Applicant's Position:

Employer's Phone Number: (Should be the number of individual who can verify employment and income of applicant.)

Gross Income per Month:

Supervisor's Name:

Date of Hire:
/
Spouse Employer Information
Please DO NOT use for applicant's second job.

Company Name:

City/State of Employment:

Applicant's Position:

Employer's Phone Number: (Should be the number of individual who can verify employment and income of spouse.)

Gross Income per Month:

Supervisor's Name:

Date of Hire:
/

Have you or anyone else listed on this application been convicted of a felony?


If so, please give FULL DETAILS including:

Year of Conviction


County and State of Conviction:


Offense and Details:

Please give any other pertinent information here:


The facts set forth in this application are true and complete. Legacy Check is hereby authorized to make any investigation of my personal history and financial and credit record, including the services of credit agencies. The applicant understands that, if accepted, the subsequent discovery of a false statement during the application process is grounds for termination of lease.

By submitting this application via electronic mail, I hereby authorize Legacy Partners to verify any and all information contained on this credit application.




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