Application for Residency

Please fill out the form below to submit your application online, or Click Here to Download the Rental Application for mailing or faxing.  (Left-click to view/print through your browser; Right-click and choose "Save Target As" to save the file to your hard drive.

NOTE: The ENTIRE application must be filled out or it may not be considered for acceptance.

This Application is also available in PDF format and requires the FREE Adobe Acrobat Reader for access. You may obtain the free reader by clicking on the yellow Get Acrobat Reader button. Complete download instructions are provided at the destination site. 

APARTMENT SIZE
One Bedroom  Two Bedroom Three Bedroom Four Bedroom
DESIRED MOVE-IN DATE
Earliest Date:          Latest Date:  

APPLICANT PERSONAL INFORMATION

Applicant's Last Name*:
Applicant's First Name*: Middle Initial:

Social Security Number:

   DOB (dd/mm/yyyy):  
Driver's License No.:
Home Phone*:    Work Phone:
Hometown Address:    

City:

 State:    Zip Code:

Spouses Name:
Driver's License No.:

Social Security Number:

   DOB (dd/mm/yyyy):  
Your Email Address*: 
HOUSING INFORMATION
Present Address:    

City:

 State:    Zip Code:

How Long Have You Lived There?

 Rent: 
Current Landlord or Mortgage Holder:
Landlord's Phone Number:   Landlord's Fax Number:
Reason for Moving:
Previous Address:    

City:

 State:    Zip Code:

How Long Have You Lived There?

 Rent: 
Landlord (Company or Person):
Landlord's Phone Number:   Landlord's Fax Number:
Reason for Moving:
EMPLOYMENT INFORMATION
Present Employer: 
Employer's Address:   Employer's City: 
How Long Employed?   Position:
Supervisor:
Supervisor's Phone Number: Human Resources Phone Number:
Salary: per  Overtime/Bonus?
Previous Employer:
Previous Employer's Address:       City:
How Long Employed? Position:
Supervisor:
Salary: per   Overtime/Bonus?
OCCUPANTS
CREDIT REFERENCES
Bank (or other) Account # Address Phone #
CREDIT REFERENCES
Bank (or other) Account # Address Phone #
Number of Automobiles (Including Company Cars): 
Make Year Color Tag # State
Give descriptions and tag numbers of any boats, motorcycles, campers, vans, etc. that you own:
Do you own any pets?    Type?  Weight?   Age?
(It is agreed and understood that this office must give written approval in advance of any pets being allowed on the property)
Do you own a waterbed?   
(It is agreed and understood that this office must be provided with a copy of insurance for a waterbed prior to move-in)
Are you a member of the Military or Reserve?  Branch? 
EMERGENCY CONTACTS
Name Relationship Address Phone #
APPLICATION TERMS AND CONDITIONS
Applicant has delivered $______ in the form of a _______, receipt of which is hereby acknowledged as a deposit (and not payment) to be retained or refunded as hereinafter provided. Applicant agrees to sign the lease by ______________ . In the event the application is approved and applicant fails or refuses to enter into the contemplated lease, Lessor shall retain the deposit as liquidated damages to cover the cost of removing the premises from the market and holding it for the applicant. In the event that the application is rejected, or the apartment is not ready for the desired date of occupancy, this deposit will be returned to the applicant.

This application is a preliminary step in the process of leasing the above-described apartment and is subject to approval or rejection by the Lessor. Upon notification of approval, applicant will promptly execute all lease documents and the deposit made with this application will become the security deposit under the lease. Upon notification of rejection, applicant may promptly pick up the deposit check during normal business hours at the rental office. Please allow a minimum of 5 days to verify your employment, prior rental referenced and credit.

I certify that all information in this application is true to the best of my knowledge, and I understand that false statements or information will lead to cancellation of this application or termination of tenancy after occupancy. I do hereby authorize the representatives of this apartment community to contact any agencies, local police departments, offices, groups or organizations to obtain and verify any information or materials which are deemed necessary to complete my application for housing. I further authorize said representatives to verify all information listed on this application. I understand that any information obtained by the representatives will be held in the strictest confidence.

TITLE VII of the CIVIL RIGHTS ACT of 1966 makes discrimination based on race, color, religion, sex, handicap, familial status or national origin illegal in connection with the rental of most housing. The Federal agency that administers compliance with this law concerning this company: The Department of Housing and Urban Development.

EQUAL CREDIT OPPORTUNITY ACT
The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of sex or marital status. The Federal agency that administers compliance with this law concerning this company: Equal Credit Opportunity, Federal Trade Commission, Washington, D.C. 20580.

*Required

 

Highland Plantation Apartments | Phone 225.766.7675
5151 Highland Road | Suite 420 | Baton Rouge, Louisiana  70808