Rental Application

Complete the form below to apply for a rental property with Lexari A&E Residential Services.

ⓘ Screening Fee: A background and credit check through TransUnion SmartMove is required for each applicant. The fee of $48 per person is paid directly to TransUnion after submitting this form. If there is a co-applicant each person pays their own $48 screening fee separately. All fees are non-refundable.

Personal Information

Please enter your legal name and contact information

First Name *

Last Name *

Date of Birth *

Social Security (Last 4 digits)

Email Address *

Phone Number *

Current Address *

How long at current address?

Reason for leaving current residence

Property You Are Applying For

Enter the address of the unit you are interested in

Property Address *

Unit Number

Desired Move-In Date *

Monthly Rent Budget

Lease Term

Employment & Income

Current employment and income information

Employment Status *

Employer Name

Job Title

Length of Employment

Employer Phone

Monthly Gross Income *

Additional Income (optional)

Rental History

Previous landlord information

Previous Address

Previous Landlord Name

Previous Landlord Phone

Monthly Rent Paid

Length of Tenancy

Have you ever been evicted?

If yes, please explain

Co-Applicant (if applicable)

Complete this section if there is a second applicant on the lease

There is a co-applicant on this application

Personal References

Two personal references (not family members)

Reference 1 — Name

Reference 1 — Phone

Reference 1 — Relationship

Reference 2 — Name

Reference 2 — Phone

Reference 2 — Relationship

Emergency Contact

Someone we can contact in case of emergency

Name *

Relationship *

Phone *

Additional Information

Pets, vehicles, and other occupants

Number of Occupants

Do you have pets?

If yes, describe your pet(s)

Do you have a vehicle?

Vehicle Make & Model

License Plate

Have you ever filed for bankruptcy?

Additional Comments

Authorization & Consent

Please read and agree to the following before submitting

By submitting this application I authorize Lexari A&E Residential Services and its agents to verify the information provided, contact references and previous landlords, and initiate a background and credit check through TransUnion SmartMove. I understand that a non-refundable screening fee of $48 will be charged by TransUnion directly. I certify that all information provided is true and accurate. Any misrepresentation may result in the denial of this application or termination of tenancy.

I have read and agree to the above authorization and consent. I also agree to the Privacy Policy and Terms of Service.

I certify that all information provided in this application is true, accurate, and complete.

Rental Application

Application Submitted!