Rental Application

For detailed information on renting a townhome please complete the form below. Click here to print the signature page (PDF). Please sign and fax to 417-883-9501.

Someone will get back to you as quickly as possible with your results!

Contact Information

Name: *

Home Phone: *

Cell Phone Number: *

Email Address: *

Birth Date: *

How did you hear about us?: *

Projected Move In Date: *

Rental History

Present Address

Street: *

City: *

State: *

Zip Code: *

Landlord

Name of Landlord: *

Contact Number: *

Rent Per Month: *

When Notice Was Given: *

Occupants

List names and birth dates of those who will occupy the premises: *

Do you have a pet?: *

no

yes

Pet Information (Breed, Age, Weight, Name):

Employment

Present Employer

Employer Name: *

Contact Information: *

Job Title: *

Hours Worked: *

Employment Start Date: *

Previous Employer

Employer Name: *

Contact Information: *

Job Title: *

Hours Worked: *

Employment Start Date: *

Employment End Date: *

Income and Source: *

Monthly Payments (Please list every monthly obligation. E.g., Visa Payment, $/month): *

Vehicle (Model, Make, Year, Color, Plate number): *

References

First Reference

Name: *

Contact Number: *

Your Relation to this Person: *

Second Reference

Name: *

Contact Number: *

Your Relation to this Person: *

Credit Accounts (Please list all of your credit accounts): *

Have you ever been sued for bills, filed for bankruptcy, or been guilty of a felony?: *

no

yes

Have you ever broken a lease or been evicted?: *

no

yes

Have you ever had problems with previous landlords?: *

no

yes

If answered "yes" to any of the questions above, please explain:

Why are you moving from your current address?: *

Is the total move-in amount available now? (rent and deposit): *

no

yes

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Rental Application