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Rental Application Online Form

Application Fee of $10 per Person


Please, either fill out form and press "submit form" or print out form and mail or fax.
 
Property Area: Roanoke    Vinton
Type and Size of Apartment Wanted:
Desired Date of Occupancy:   (mm/dd/yyyy)
How did you hear about our property?
Personal Information
 
Applicant's Full Name:
Co- Applicant's Full Name:
Date of Birth:   (mm/dd/yyyy)
Co-Applicant's Date of Birth:   (mm/dd/yyyy)
Social Security No.:
Co- Applicant's Social Security No.:
Email Address:
Other Residents:
Do you own Furniture?:
Do you own Pets?:
 
Residence History
 
Present Address:
Length of Time at Present Address:
Present Telephone:
Present Landlord or Mortgage Holder and Telephone:
Amount of Rent $:
Reason for Moving:
Previous Address:
Length of Time at Previous Address:
Previous Landlord or Mortgage Holder and Telephone:
Amount of Rent:
Reason for Moving:
 
Employment Information
 
Your Employer:
• Company Name
• Address
• Telephone
Position Held (and Length of Employment):
Supervisor's Name:
Hourly Wage or Monthly Income
CO-Resident's Employer:
• Company Name
• Address
• Telephone
Position Held (and Length of Employment):
Supervisor's Name:
Hourly Wage or Monthly Income

 

Total Gross Monthly Income for All Applicants

 

 
Banking and Credit Information
 
Banking - Name and Branch:
Checking Account Number:
Savings Account Number:
Credit Reference - Name and Address:
Credit Reference - Account Number:
Credit Reference - Name and Address:
Credit Reference - Account Number:
 
Other Information
 
TOTAL NUMBER OF VEHICLES (Including Company Vehicles)  
Make/Model Year
Color Tag No./State
Make/Model Year
Color Tag No./State
Other Car, Motorcycle, etc
If there are other sources of income you would like us to consider. please list income source and person(Banker Employer, etc.) Who we could contact for conformation. You do NOT have to reveal alimony, child support or spouse's annual income unless you want us to consider it in this application.
Amount $     Per
Source Telephone
Amount $     Per
Source Telephone
Comments

HAVE YOU OR CO-APPLICANT EVER:
Been sued for non-payment of rent?   Yes       No
Been evicted or asked to move out?   Yes      No
Broken a Rental Agreement or Least   Yes      No
Been sued for damage to rental property?   Yes      No
Declared Bankruptcy   Yes      No
In Case of Emergency, Notify
Relationship
Address
Home Phone Work Phone
 
How did you hear about our property?
 
Security Code    
I have read and I accept the following terms:

  • By filling in this electronic application, you are giving RGM Properties permission to verify your information, and also perform a credit inquiry with the Equifax Reporting System.
  • This application is one of three parts.   Part 2 will require a photo ID and Part 3 will require answering a criminal background questionnaire.
  • I understand that the application fee is $10 per applicant and the fee must be submitted to the following address before the application will be processed.
  • You can submit this form below, or print it out and send it to:

         RGM Properties
         P.O. Box 18208
         Roanoke, VA 24014
 
 
Requirements:
Income must be 3 x rent, we work on a point system, to qualify with us you must obtain 4 points which comes from your credit report, income, employment, any rental references.

Deposit Policy:
A deposit of $350 is required to hold an apartment and if you are unable to take the apartment you will lose a minimum of $100.00 plus up to the entire deposit amount depending on the amount of time the apartment has been held.

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25 Years of Service to the Roanoke Valley
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A Variety of Floor Plans and Features
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