Rapid City Lodging

Rental Application

    PERSONAL INFORMATION

    Marital status



    Is your present rent up to date


    Was your rent up to date?


    PROPOSED OCCUPANT(S)


    PROPOSED PET(S)

    Type/Breed



    VEHICLE (S) INFORMATION


    EMPLOYMENT

     





    INCOME

     




    Proof of income



    EMERGENCY / PERSONAL REFERENCE INFORMATION

     



     



    APPLICANT QUESTIONNAIRE / AUTHORIZATION

    Has applicant ever been sued for bills?


    Has applicant ever been locked out of their apartment by the sheriff?


    Has applicant ever been bankrupt?


    Has applicant ever been brought to court by another landlord?


    Has applicant ever been guilty of a felony?


    Has applicant ever moved owing rent or damaged an apartment?


    Has applicant ever broken a Lease?


    Is the total move-in amount available now (rent and deposit)?


    Is any household member a registered sexual offender?


    Applicant authorizes the landlord to contact past and present landlords, employers, creditors, credit bureaus, neighbors and any other sources deemed necessary to investigate applicant.
    All information is true, accurate and complete to the best of applicant’s knowledge. Landlord reserves the right to disqualify tenant if information is not as represented.

    ANY PERSON OR FIRM IS AUTHORIZED TO RELEASE INFORMATION ABOUT THE UNDERSIGNED UPON PRESENTATION OF THIS FORM OR A PHOTOCOPY OF THIS FORM AT ANY TIME.

    I understand that the deposit paid with this application will not be refunded unless the application is disapproved by management. I also understand that if I decide not to take the unit, the deposit will not be refunded to me.