Online Application

Your Information

• First Name: Last Name:
• Previous Name: (if applicable)
• SSN: Date of Birth
• Email Address:

Spouse/Flatmate Information

• Full Name:
• Previous Name: (if applicable)
• SSN: Date of Birth
• Email Address:

Personal References

• 1) Name: Phone Number:
• 2) Name: Phone Number:
• 3) Name: Phone Number:

Address

• Current Address:
• City: State: Zip:
• Home Phone: Lived Here Since:

Landlord Information

• Current Landlord's Name:
• Landlord's Phone: Mortgage/Rent: $
• Is the landlord related to you? No Yes If yes, how so?

Additional People

• List any people that will stay at your residence that are not on the lease.
• 1) Name: Age: Relationship: SSN:
• 2) Name: Age: Relationship: SSN:
• 3) Name: Age: Relationship: SSN:
• 4) Name: Age: Relationship: SSN:
• If there will be more people, please mention this during future correspondence. You have an obligation to update the names and social security numbers of people living within your residence.
• Please note: Pets are not allowed without written consent of Management.

Emergency Contact

In Case of Emergency, Contact:

• 1) Name: Relationship: Phone:
• In your absence, do they have permission to enter your residence? No Yes
• 2) Name: Relationship: Phone:
• In your absence, do they have permission to enter your residence? No Yes

General Information

• Reason for Moving:
• Have you given proper notice to vacate? No Yes
• Have you been asked to vacate? No Yes
• Is your current rent paid up to date? No Yes
• Have you or your spouse/flatmate ever been evicted? No Yes
• If yes, please explain (when, where, why):
  
• Have you or your spouse/flatmate ever been convicted of a crime? No Yes
• If yes, please explain:
  

Your Employment Information

• Company Name:
• Company Phone: Supervisor:
• Company Address:
• Position: Hire Date: Gross Monthly Wages: $

Spouse/Flatmate Employment Information

• Company Name:
• Company Phone: Supervisor:
• Company Address:
• Position: Hire Date: Gross Pay: $

Credit Information

• Have you or your spouse/flatmate ever filed for bankruptcy? No Yes
• If yes, please explain (discuss when it happened):
  
• Have you or your spouse/flatmate have any collections, judgements or delinquent accounts? No Yes
• If yes, please explain:
  

Signature & Submit

I am interested in the following Communities:

• Vandalia Oakwood

I/We hereby certify that the information in this application for lease is accurate, full, and complete. Any discrepancy or lack of information may result in rejection of this application. I/We understand that this information will be used only to obtain credit information, and to determine credit worthiness. I/We hereby authorize Blue Chip Bros. LTD and agents thereof to obtain said information.

By checking this box, I certify that I have read, and agree with, the above paragraph, and that Blue Chip Bros. LTD has permission to investigate my credit.

Privacy Policy: Any information shared will be used solely for the purpose of discerning your ability to rent.