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Housemate

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FIRST COME, FIRST SERVED

If someone submits an application before you do, you will be notified of your status, and your application and application fee will be held until the other person's application has been processed. If the other application is accepted AND they accept a formal invitation, you will receive ALL of your application fee back. If they are not accepted or do not accept a formal invitation, your application will be processed.
DLN can be submitted via email (but don't use the contact form)

Full name
Gender
Primary email address
Primary contact number
Cell phone number (if different)
Driver's license number (type "by email" in this field if DLN will be sent via email)
State/Province of issuance
Birth date
Current or last street address
City of current or last residence
State & zip code
County
Dates lived at this address (from/to)
Monthly rent
Deposit amount
Was the deposit refunded?




Reason for moving
Previous address
City/state/zip
County
Reason for moving
Do you have a vehicle?


Make & model
License plate number
Status
IF a student (check all that apply)






Employer (if applicable)
Are you a U.S. citizen?


Are you under age 18?


Do you smoke?




If no have you ever smoked?


Do you have a pet and/or trained service animal
that will live with you?



Do you have more than one pet and/or service
animal?



How much does/do it/they weight?
As defined by law, is
this animal a trained "service animal", required
because of a disability?



Have you ever been convicted of a gross misdemeanor or felony?







What type of arrangement are you interested in?





What is your preferred
lease period?

Have you read the Authorization to Collect
Personal Information?



Do you understand and agree to it's terms?


Type today's date
Have you read the Good Faith Agreement?


Do you understand it?


Check each item to indicate that you
understand...





Do you agree with the terms of the Good Faith
Agreement?



Type today's date
Check each item to indicate that you
understand...




Do you need to break the deposit(s) into
payments?




How are you sending the Application Fee?





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This is STEP 3 out of 7 steps in the application process.





Carefully read the following information. You have the option of [1] printing the application out on paper and mailing it with the other documents, or [2] completing the online application, and sending the other documents separately. You also have the option to pay the application fee by check or PayPal (read about this option here).


OPTION 1 - Submitting a Printed Application
Print the application using the following link, provide all information asked for, including your social security number (SSN) and driver's license number (DLN), then sign and date the form. Each person should complete a separate application... then continue on to step 6 in the application process.

Click Here to Display and Print the Application

OPTION 2 - Submitting an Online Application
You should ALWAYS be cautious about submitting sensitive information via web forms - the online application below is a web form and DOES ask for personal information such as your birth date, driver's license number (DLN), and license plate number. Although your social security number (SSN) is required to process your application, it should not be typed anywhere on the online application (step 5 in the application process explains how your SSN is handled).

Complete all questions. Failing to complete ALL required fields OR the "Captcha" code at the bottom of the form, will display an error message, and clear all radio buttons & checkboxes. The host software attempts to catch fraudulent submissions and will trigger if you don't type actual words, phone numbers, addresses, etc. or if you type the same word into each field. BE VERY CAREFUL and review all fields before submitting.
 
Your social security number (SSN) should be submitted using the instructions on the "Sending SSN/DLN" page in order to protect it from being stolen. Your driver's license number (DLN) can be submitted via the same email as the SSN, but without any special formatting. If this is too much hassle for you, you can send the SSN and DLN via a regular email once you've gotten the address from the reply to your request for a tour, but do not use the contact form - it is not secure.


Very Important - Captcha Image Verification
Do not forget to type the "Captcha Image Verification" code at the bottom of the online application form... if you forget, the host software will reject the form, and you will need to go back and re-select radio buttons and checkboxes before re-submitting.
Online Home Share Application
Each person should complete a separate application
BEFORE you submit the application you should have already completed steps 1, 2 and 3 in the application process. Click HERE to go there.
The online application below is "broken". Please use the printed application (OPTION 1 below) which you can mail or scan and send as an email attachment.