Apply Online

Address You are Applying for*
Requested Move In Date*
Month
Day
Year
Applicant Name*
First Middle Last
No Initials Please -full first and middle names required
Birth Date*
Month
Day
Year
Email*
Enter Email Confirm Email
Cell Phone
Home Phone
Work Phone*
Drivers License Number*
Drivers License State*
SS Number*
Other Occupants names and Ages
RENTAL HISTORY
Current Landlord*
Landlord Phone
Current Address*
Street Address City State ZIP Code
Previous Landlord*
Previous Landlord Phone
Previous Address
Street Address City State ZIP Code
Have You Ever Paid Rent Late*
- Yes
- No
If Yes, Why?
Have you Ever Been Evicted?
- Yes
- No
If Yes Why?
Have you Ever Been Arrested?*
- Yes
- No
If Yes Why?
Do you have pets*
- Yes
- No
If Yes, provide type, breed & weight
Type Breed Weight
All properties may not accept pets. We do not accept aggressive breeds or pets over 35 lbs.
EMPLOYMENT
Employer*
Supervisors Name*
First Last
Supervisors Phone*
Monthly Salary*
Job Title
Length of Employment
Other Verifiable Monthly Income*
Please enter $ amount of other verifiable income or 00.00.
Source of other Income*

i.e. Retirement, Social Security, Alimony etc. If none enter "None"
Emergency Contact
Contact Name
First Last
Contact Phone*
Contact Relationship
Authorization for Background Check
Consent*
I Authorize Fidelity Realty to perform a background check
I hereby authorize Fidelity Realty Group LLC to submit the information I have given for verification, and
I specifically authorize Fidelity Realty Group LLC to perform a credit check and contact the employers,
landlords, banks, police for any police records and other credit references which I have listed above for
the purpose of verifying the information furnished by me in this application.

RENTAL HISTORY

EMPLOYMENT

Emergency Contact

Authorization for Background Check