Rental Application

Please fill out the simple online application below for Waterloo Apartments at W 4th Street.

Please Tell Us About Yourself
Residential History (past 3 years)
Current Address
Previous Address
Employment/School Information
Previous (if at current less than 12 months)
Other Income Sources
If there are other sources of income you would like us to consider, please list income, source, and person (banker, employer, or etc) who we could contact for confirmation. You do not have to reveal alimony, child support, or spouse’s annual income unless you want us to consider it in this application.
Emergency Contact
Personal Reference
Auto & Driver Information
Additional Questions
Have you ever...
Additional Information

Where may we reach you to discuss this application?
I hereby apply to lease the above described premises for the term and upon the set conditions above set forth and agree that the rental is to be payable the first day of each month in advance. As an inducement to the owner of the property and to the agent to accept this application, I warrant that all statements above set forth are true; however, should any statement made above be a misrepresentation or not a true statement of facts, all of the deposit will be retained to offset the agent’s cost, time, and effort in processing my application.

I recognize that as a part of your procedure for processing my application, an investigative consumer report may be prepared whereby information is obtained through personal interviews with others with whom I may be acquainted. This inquiry includes information as to my character, general reputation, personal characteristics and mode of living.

The above information is true and correct.