Application

HEIGHT HACIENDA RENTAL APPLICATION

PDF Version HERE or online version below:

Thank you for your interest in staying with us at the Heights Hacienda. Please note the following:
• Maximum occupancy is one person
• This is temporary, mid-term housing (up to 3 months)
• The unit is fully furnished
• No additional furniture or appliances without approval
• Utilities are included with reasonable use
• KeyCheck verification will be required

Name (First, Middle, Last):

Phone:

Email:

Housing & History

Current Address:

Current Landlord / Manager (Name & Phone):

Current Length of Stay & Monthly Rent:

Previous Address:

Previous Landlord / Manager (Name & Phone):

Previous Length of Stay & Monthly Rent:

Work & History

Employer or Assignment + Position:

Length of Assignment:

Supervisor (Name & Phone):

Background

ID (Type, Number, State):

Pets

Yes No

Smoking/Vaping

Yes No

Eviction

Yes No

Bankruptcy

Yes No

Felony

Yes No

If yes to any please explain

Vehicle: Make / Model / Year / Plate / State:

Finances

Present Income or Monthly Salary:

Current Checking & Savings Combined Balance: