Application Form

Thank you for taking the time to fill out our new 'online' rental application form. We hope you'll find this new feature of our website time saving and helpful.

The information you enter here is secure and will only be viewed by staff at Russell Rental Properties. After you complete all of the steps and 'Submit' the application a rental agent will review your application and contact you via email or phone.

Fields with * are required.

First Name *

Middle Initial

Last Name *

Date of Birth *

Last four digits of SSN *

Email *

Day Phone *

Evening Phone

Cell Phone

Present address *

Reason for moving *

Do you *

If your income is retirement, social security, disability, etc.; please enter the type in the 'Employer' field.

Employer *

Employer Phone *

Wage *

Wage Type *

If you do not owe any of the following, enter zero for the amount.

Car Payments *

Child Care *

Support Payments *

Other Payments/Judgements *

Have you ever been evicted? *

Have you ever been sued for non-payment of rent? *

What will we find when we check court records *

Do you or any occupants on this application smoke? *

Do you have pets? *

Will there be a second adult sharing the rent with you? *

Please list all of the people who will be living with you

Name	Adult or Minor?	Do they smoke?
Add a Person <tr class="templateContent"> <td> <input class="span4" type="text" value="" name="ApplicationForm2[otherName][{0}]" id="ApplicationForm2_otherName_{0}" /> </td> <td> <select class="span2" name="ApplicationForm2[otherAge][{0}]" id="ApplicationForm2_otherAge_{0}"> <option value="prompt">...Select</option> <option value="adult">Adult</option> <option value="minor">Minor</option> </select> </td> <td> <select class="span2" name="ApplicationForm2[otherSmoke][{0}]" id="ApplicationForm2_otherSmoke_{0}"> <option value="prompt">...Select</option> <option value="0">No</option> <option value="1">Yes</option> </select> </td> <td> <a class="remove btn btn-warning btn-small" id="yw5"><i class="icon-minus"></i> Remove</a> <input type="hidden" class="rowIndex" value="{0}" /> </td> </tr>

Name

Adult or Minor?

Do they smoke?

Add a Person

<tr class="templateContent">
                                    <td>
                                        <input class="span4" type="text" value="" name="ApplicationForm2[otherName][{0}]" id="ApplicationForm2_otherName_{0}" />                                    </td>
                                    <td>
                                        <select class="span2" name="ApplicationForm2[otherAge][{0}]" id="ApplicationForm2_otherAge_{0}">
<option value="prompt">...Select</option>
<option value="adult">Adult</option>
<option value="minor">Minor</option>
</select>                                    </td>
                                    <td>
                                        <select class="span2" name="ApplicationForm2[otherSmoke][{0}]" id="ApplicationForm2_otherSmoke_{0}">
<option value="prompt">...Select</option>
<option value="0">No</option>
<option value="1">Yes</option>
</select>                                    </td>
                                    <td>
                                        <a class="remove btn btn-warning btn-small" id="yw5"><i class="icon-minus"></i> Remove</a>                                        <input type="hidden" class="rowIndex" value="{0}" />
                                    </td>
                                </tr>

Please select the property you are interested in *

When does your current lease end?

How long of a lease are you interested in? *

Verification Code

Please enter the letters as they are shown in the image above.
Letters are not case-sensitive.

Application Form

Please answer the following questions regarding your CURRENT rental (* required)

Please answer the following questions regarding your PREVIOUS rental

Please provide the following personal information about the second adult.

Please provide the following employment information about the second adult.

Please list all of the people who will be living with you

Affidavit of Information