Rental Application

Please fill out the following information online in order to begin the application process.

If you wish to fill out a hard copy. Click the link below, print, and mail to PO Box 1237, Jamestown, ND 58402.
Rental Application.pdf

PERSONAL INFORMATION
Name*
First Middle Last
Date of Birth*
Date Format: MM slash DD slash YYYY
Marital Status
- Single
- Married
- Divorced
Phone*
Email*
Current Address*
Street Address / City / State / Zip Current Landlord /Landlord Phone Reason for Leaving Amount of Rent Length of Time
Previous Address*
Street Address / City / State / Zip Previous Landlord /Landlord Phone Reason for Leaving Amount of Rent Length of Time
Next Previous Address*
Street Address / City / State / Zip Next Previous Landlord /Landlord Phone Reason for Leaving Amount of Rent Length of Time
PROPOSED OCCUPANT(S)*
Name Relationship Occupation Date of Birth

Click the + icon to add more lines.
PROPOSED PET(S)
Name Type/Breed Indoor/Outdoor Age

Click the + icon to add more lines.
VEHICLE(S) INFORMATION
Year Make Model Color Plate # State

Click the + icon to add more lines.
EMPLOYMENT
Current Employer Occupation Hours/Week Years Employed Supervisor Phone
INCOME
Current Income Weekly/Biweekly/Monthly Source Proof (Yes/No)

Click the + icon to add more lines.
Has applicant ever been sued for bills?*
- Yes
- No
Has applicant ever been bankrupt?*
- Yes
- No
Has applicant ever been guilty of a felony?*
- Yes
- No
Has applicant ever broken a lease?*
- Yes
- No
Has applicant ever been brought to court by another landlord?*
- Yes
- No
Has applicant ever moved owing rent or damaged property?*
- Yes
- No
If answered yes to any of the above questions, please explain in detail:
Is the total move in amount available now (rent and deposit)?*
- Yes
- No
Date*
Date Format: MM slash DD slash YYYY

Name	Relationship	Occupation	Date of Birth

Name	Type/Breed	Indoor/Outdoor	Age

Year	Make	Model	Color	Plate #	State

Current Employer	Occupation	Hours/Week	Years Employed	Supervisor	Phone

Rental Application

PERSONAL INFORMATION