Application

 

You have a choice of filling out an application online, or click the "Lease Application" link and print the form on your printer, fill it out and bring it in person to the leasing office at Wallace Ackley Company.

Click on the link below to view and print a Lease Application, you will need Adobe Reader to open the file if you need it download it here.

 

Lease Application

 

 

 

 

 

Fill out your application online

Application & Consent Agreement
Applicant's Full Name
Applicant's Date Of Birth
Applicant's Social Security #
Applicant's Phone #
Applicant's Cell #
Applicant's Email
Applicant's Martial Status
Spouse's Full Name
Spouse's Date Of Birth
Spouse's Social Security #
Other Occupant 1 Name
Other Occupant 1 Date Of Birth
Other Occupant 1 Social Security #
Other Occupant 2 Name
Other Occupant 2 Date Of Birth
Other Occupant 2 Social Security #
Other Occupant 3 Name
Other Occupant 3 Date Of Birth
Other Occupant 3 Social Security #
Residential History
Present Address
Present City
Present State
Present Zip
Present Monthly Rent
Present Apartment Name or Mortgage Holder
Present Apartment Name or Mortgage Holder Phone
How Long Resided
Reason For Moving
Previous Address
Previous City
Previous State
Previous Zip
Previous Monthly Rent
Previous Apartment Name or Mortgage Holder
Previous Apartment Name or Mortgage Holder Phone
How Long Resided
Reason For Moving
Have you or your co-applicant ever been threatened with an eviction from any leased premises? If yes, please explain.
Employment History
Present Employer
Present Employer Address
Present Employer City
Present Employer State
Present Employer Zip
Present Employer Phone
Present Employer Supervisor
Present Employer Time Employed
Present Employer Yearly Income
Previous Employer
Previous Employer Address
Previous Employer City
Previous Employer State
Previous Employer Zip
Previous Employer Phone
Previous Employer Supervisor
Previous Employer Time Employed
Previous Employer Yearly Income
Spouse's Present Employer
Spouse's Present Employer Address
Spouse's Present Employer City
Spouse's Present Employer State
Spouse's Present Employer Zip
Spouse's Present Employer Phone
Spouse's Present Employer Supervisor
Spouse's Present Employer Time Employed
Spouse's Present Employer Yearly Income
Spouse's Previous Employer
Spouse's Previous Employer Address
Spouse's Previous Employer City
Spouse's Previous Employer State
Spouse's Previous Employer Zip
Spouse's Previous Employer Phone
Spouse's Previous Employer Supervisor
Spouse's Previous Employer Time Employed
Spouse's Previous Employer Yearly Income
Miscellaneous Information
Other Income?
Have you ever been convicted of a crime other than a minor traffic offense? If yes, please explain
Vehicle Information
Total Number of Vehicles to be Parked at Residence:
Car 1 Year
Car 1 Color
Car 1 Make/Model
Car 1 License Tag #
Car 2 Year
Car 2 Color
Car 2 Make/Model
Car 2 License Tag #
Personal References
Ref 1 Name
Ref 1 Address
Ref 1 Phone
Ref 2 Name
Ref 2 Address
Ref 2 Phone
Emergency Contact Name
Relationship
Phone
How Did You Hear About Us?
Electronic Signature
Please Print Name Above
The management relies on the information given above to be complete and accurate in order to act on your application in a timely manner. Any false statements, misrepresentations, inaccurate information or failure to supply the data requested above may serve as a rejection of your application. The undersigned hereby cerify that if any such information is later discovered to be false or if any Lessee or Guarantor violates the terms of the lease, that Lessor may terminate any or all of the undersigned's tenancies (if any) and evict those persons forthwith, and that both Lessee and Guarantor will be responsible for all rent, damages, costs, and any other charges. By signing the application, you are authorizing the use of any credit reporting/screening agencies to verify credit, release employment and income status, previous rental information and validate the accuracy of all information recorded above. Further, your signature authorizes the management and the credit reporting/screening agencies to later exchange credit information and access your credit report in the event of default of the lease agreement for collection or skip tracing purposes. By clicking on the submit button the applicant represents that the above statements are true and correct and hereby authorizes verification of items including, but not limited to the obtaining of tenancy and credit reports and agrees to furnish additional credit references upon request. Applicant certifies under penalty of perjury that the foregoing is true  and correct, and authorizes owner or his agents to obtain applicant's tenancy, credit and criminal history reports, and further authorizes owner and his agents to investigate the information provided herein, and that any material misstatement will at owner's option be a material and non-curable breach of any subsequent rental agreement and ground for immediate eviction.
 









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