APPLICATION

Looking to rent from LHC? Please complete this application form to the best of your knowledge. Some items are required, so be sure you have the correct info before submitting your application.

Unit applying for*
Desired Move-In Date*
MM slash DD slash YYYY
Applicant Name*
First Last
Date of Birth*
MM slash DD slash YYYY
Email*
Phone #*
Current Address*
Street Address Address Line 2 City State ZIP Code
How long have you lived there?*
Monthly Rent*
Current Landloard*
Name Phone #
Reason for leaving*
Co-Applicant Info
First Last Birth Date
Other-Applicant Info
First Last Birth Date
Emergency Contact*
Name Phone #
Vehicle Information*
(Make, Model, License Plate) *All Vehicles
Applicant Employer*
Name, Address, & Phone Number
Monthly Gross Income, Years Worked, and Supervisors Name*
Additional Income*
(Co-Applicant Employment, Child Support, Etc.)
Have you ever been convicted of a felony?*
- Yes
- No
We may run a Credit & Criminal Background Check. Will we find anything negative?*
- Yes
- No
Were you previously or are you currently in the Military?*
- Yes
- No

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