Rental Application | Brookings Property Management | Residential Rentals | Management Services

Occupancy Date Desired*

Which rental property?*

MVT Unit

Lofts at Park Hill Unit

Sixth Street Centre Unit

Building Number

How did you hear about us?*

Other:

This field is hidden when viewing the form

How did you hear about us?

This field is hidden when viewing the form

How did you hear about us?

Applicant's Personal Information

First Name*

Middle initial

Last Name*

Birth Date*

Driver's License/ID Number/State

Social Security #*

Email*

Enter Email Confirm Email

Current Phone*

Pets

How many cats?*

How many dogs?*

Breed of first dog

Breed of second dog

Breed of third dog

Breed of fourth dog

Breed of fifth dog

List all dogs and their breeds.

How many additional occupants?*

Name of first occupant

Relationship

Name of second occupant

Relationship

Name of third occupant

Relationship

Name of fourth occupant

Relationship

Name of fifth occupant

Relationship

Do you have renters insurance?*

Yes

No

Have you ever broken a lease?*

Yes

No

Have you ever refused to pay rent for any reason?*

Have you ever been evicted or asked to leave a rental unit?*

Ever filed for bankruptcy?*

Ever been convicted of a crime? If so, please explain.*

Will you give us permission to do a criminal background check?*

Currently have any utilities in your name?*

Currently have phone service in your name?*

Is there anything to prevent you from placing utilities or phone in your name?*

Do you know of anything or any reason which may interrupt your ability to pay rent?

Income History

Applicant's current employment status*

Full-time

Part-time (less than 32 hours)

Student

Retired

Self-employed

Unemployed

Other

Primary source of Income/Employment:

Applicant employed by*

Supervisor's name

Average weekly hours*

How long at place of employment?

Please enter a number from 1 to 40.

Months or Years

Employer address

Street Address Address Line 2 City State ZIP Code

Employer phone

Position

Salary*

How often are you paid*

Take home amount per month*

Additional Source of Income/Employment:

Income Provided by

Supervisor's name, if applicable

Average Weekly hours

How long at place of employment?

Address

Street Address Address Line 2 City State ZIP Code

Contact Phone

Position

Salary amount

How often are you paid

Take home amount

Do you have any other means of income that you wish to disclose? (Example: Child Support, SSI, Alimony, Loans, parent/guardian, savings, grants, etc.)

Please list any details about other income sources that will be helpful to us.

Vehicles

** Please note, only cars on application are authorized to be on premises.

Number of personal vehicles on property?*

Valid registration & inspection?

Do you have any commercial vehicles?

Do you have an RVs, campers, boats or motorcylces?

Vehicle 1

Make*

Model*

Color*

Year*

Plate Number*

State*

Vehicle 2

Make

Model

Color

Year

Plate number

State

Other Vehicles

Please list all information about other vehicles you intend to keep on the property.

Residence History

Present Street Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Move-in date at this address

Status

Name of present landlord/owner/mortgage company*

Address of present landlord/mortgage company*

Street Address City State / Province / Region ZIP / Postal Code Country

Landlord's phone:*

Landlord's Email

Monthly Payment*

Reason for moving*

Is your rent current

Number of late payments

Security Deposit Amount currently held by landlord?

Consent

Signature*

Personal/Professional References

Character/Personal reference name*

First Last

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Relationship

How long have you known this person?

Their Phone*

Professional Reference*

First Last

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Relationship

How long have you known this person?

Their Phone*

Emergency Contact*

First Last

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Relationship

How long?

Their Phone*

Upload ID and Sign

Please note that a completed application requires submission of a Drivers License or other Government Issued ID. This can be a picture from your phone or a scan from a computer, it can be color or black and white and we only need the front.

Government Issued Photo ID*

Drop files here or

Max. file size: 256 MB.

*Make sure you are connected to a strong internet signal before uploading.* Please upload a copy of your driver's license, passport, military id, or other government issued photo id.

By signing below, applicant hereby represents all information on this application is true, complete, and hereby authorizes annual verification of information, references, and credit history for continual rental consideration or for collection purposes should that become necessary.

Applicant acknowledges this application will become part of the lease agreement when approved. If any information is found to be incorrect, the application will be rejected and any subsequent rental agreement becomes void. False and misleading statements will be sufficient reason for immediate eviction and loss of security deposit.

All agents of Brookings Property Management, Inc. represent the owner in this and any other transaction.

Signature*

Please read and agree to our Privacy Policy before submitting this application.

Email

This field is for validation purposes and should be left unchanged.

Residential Application

Applicant's Personal Information

Pets

Income History

Vehicles

Vehicle 1

Vehicle 2

Residence History

Consent

Personal/Professional References

Upload ID and Sign