INSTRUCTIONS
SECURE & CONFIDENTIAL
UNIT INFORMATION
Unit Type Requested*

How Did You Find Us?*

Move in Date
Date Picker
Approximate Date
PERSONAL INFORMATION
Name*

First Middle Last
Date of Birth

Month / Day / Year
Phone Number *

Best number to reach you
Social Security Number*

xxx-xx-xxxx
Drivers License *

State*

Email*

Valid email address
Current Address*

Street, City, State & Zip
OTHER RESIDENTS
Number of Residents to Live in Home?

Name

First Middle Last
Relationship

Age

Name

First Middle Last
Relationship

Age

Name

First Middle Last
Relationship

Age

EMPLOYMENT & INCOME INFORMATION
Current Employer

Phone Number

(xxx)xxx-xxxx
Currrent Employer Address

Street, City, State & Zip
Position

Monthly Income

Supervisor Name

Previous Employer

Previous Employer Address

Street, City, State & Zip
Phone Number

(xxx)xxx-xxxx
Position

Monthly Income

Supervisor Name

Other Income

Source

RESIDENCE HISTORY
Current Landlord/Mortgage*

Address Current Landlord/Mortgage Company*

Street, City, State & Zip
Phone Number*

(xxx)xxx-xxxx
Monthly Payment *

Occupied*

Start
Occupied*

End
Reason for Moving

Previous Landlord/Mortgage

Address Previous Landlord/Mortgage Company

Street, City, State & Zip
Phone Number*

(xxx)xxx-xxxx
Monthly Payment

Occupied

Start
Occupied

End
Reason for Moving

VEHICLE INFORMATION
Description

Make / Model / Color
Plate Number

Number & State
Description

Make / Model / Color
Plate Number

Number & State
PET INFORMATION
Name

Breed

Weight

Age

Name

Breed

Weight

Age

OTHER INFORMATION
Have You Filed Bankruptcy?*


Have You Ever Been Evicted?*


Do You have Water Filled Furniture or an Aquarium?*


Have You Ever Been Convicted of a Crime*


If Yes to Any Explain Here:

Type in Box Above
In Case of Emergency Call *

Phone Number*

(xxx)xxx-xxxx
Comments or Additional Information

Type in Box Above

PAY YOUR APPLICATION FEE USING PAYPAL

Choose number of applicants


PayPal Instructions

1. Select the number of applicants to the right.

2. Complete the remainder of this application.

3. Hit the "SUBMIT MY APPLICATION" button.

4. You will be taken to the PayPal site to complete the transaction.

AUTHORIZATION & SIGNATURE

I hereby make application for an apartment and certify that this information is correct. I authorize you to contact any reference that I have listed. I also authorize you to obtain my criminal, employment, and consumer credit report from a reporting agency, which will appear as an inquiry on my file. I understand I will be denied if I have misrepresented any information on this application.

You are electronically signing Charles Point LLC's rental application authorizing Charles Point LLC to process your application. A state or federal ID with photo will need to be presented prior to final application approval. You may "sign" this form electronically by typing in your full name and checking the box below:

Full Name *

By Typing Your Name You are "Signing" this Form
Date

Today's Date
Check this box if you agree*

 
 
 
 
 
 
 
 
 
 

PayPal

1. Complete the application below.

2. Under the PayPal tab below choose the number of applicants.

3. Check the "I Agree Box" and sign the form electronically by typing your name.

4. Submit the application by clicking the "SUBMIT MY APPLICATION" button.

5. Each resident over 18 year of age must fill out an application and pay the fee.

All transactions on this site are protected with

up to 256-bit Secure Sockets Layer Encryption

during internet transit and kept strictly

confidential after we receive your application.

 
 

Applicatoin Inspector Gif