Move In Details

    What unit are you interested in? (required)

    When would you like to move in?

    A Bit About You














    Please Provide Your Residential History

    Current Full Address with zip/postal code (required)
    What month/year did you move in?
    Reasons for leaving?
    Rent Amount $ per month?
    Full Name of Owner/Agent
    Phone of Owner/Agent

    Previous Address (if within the last 3 years)
    Reasons for leaving?
    Rent Amount $ per month?
    Full Name of Owner/Agent
    Phone of Owner/Agent

    Please Describe Your Credit History

    Have you declared bankruptcy in the past seven (7) years?
    NoYes

    Have you ever been evicted from a rental residence?
    NoYes

    Please Provide Your Employment Information

    Your Employment Status (Full time, Part time, etc)
    Dates Employed
    Supervisors Name
    Monthly Salary

    Employer
    Position Held/Occupation
    Supervisors Phone Number
    If employed by your last position for less than 12 months, give name and phone of previous employer

    If you have other sources of income that you would like us to consider, please list income, source, and person who we may contact for confirmation. You do not have to reveal alimony, child support, or spouse's annual income unless you want us to consider it in this application.

    Spouse/Other Income
    Source/Contacts Name
    Spouse Employer

    Amount per Month
    Dates Employed
    Employer Phone Number

    Driver's License Information

    Driver's License Number 1
    Driver's License Number 2
    Make / Model of Vehicle 1 and Year
    Tag #/State Vehicle 1

    State of Driver's License Number 1
    State of Driver's License Number 2
    Make / Model of Vehicle 2 and Year
    Tag #/State Vehicle 2

    Personal Reference of Emergency Contact

    Emergency Contacts Name
    Emergency Contacts Phone

    Emergency Contacts Address
    Emergency Contacts Relationship

    Personal References

    Name of Reference 1
    Relationship 1
    Phone Number 1
    Address 1
    Name of Reference 3
    Phone Number 3

    Name of Reference 2
    Relationship 2
    Phone Number 2
    Address 2
    Relationship 3
    Address 3

    I acknowledge that the above statements are true and complete and further authorize verification of such statements including release of any police records if needed, now and for the duration of my tenancy. I verify that I am of legal age (18 years or older). I authorize Park Crossing Apartments to conduct a criminal background check, a credit check including the acquisition of a credit report, a sex offender registry check, a check of landlord/tenant databases, a terrorist/wanted fugitive check, a current and previous landlord check, and a check of my references if requested. I further authorize Park Crossing Apartments to share information contained in my application and background reports as well as any information regarding my tenancy with the agencies or persons listed above, including my Landlord.