Skip to content
IndyLease.com
Home
Application
Privacy Policy
Contact Us
Home
Application
Privacy Policy
Contact Us
Application
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Name
*
First
Last
Email
*
Phone number
SSN:
*
DOB:
*
Present Address? # Years?
Current Rent $ per month? Cash?Check?
Have you been evicted?
Yes
No
$$ you Length
Reason for moving/leaving?
Do you smoke?
Yes
No
Occasionally
Current Employment/ Length of Employment
Pay $$ weekly, bi-weekly , Overtime Available
Owe child support or alimony ?
Yes
No
If answer Yes, explain
Receive child support or alimony ?
Name
*
First
Last
Email second person
*
Phone number second contact:
SSN
*
DOB:
*
Present Address? # Years?
Current Rent $ per month? Cash?Check?
Reason for moving/leaving?
Was Notice Given ?
Yes
No
Have you been evicted?
No
Yes, 0 year- 3 year
Yes, 3 year – 5 years
Do you smoke?
Yes
No
Occasionally
Current Employment/ Length of Employment
Pay $$ weekly, bi-weekly , Overtime Available
Owe child support or alimony ?
Yes
No
If answer Yes, explain
Receive child support or alimony ?
Do you have pets ? Description
Emergency Contact , Address, Phone number , email
Is there anything else I should know about you?
Acknowledgement, Type your name /names
*
I have read, agree and affirm that all my statements and information provided in this form are true and complete. I acknowledge that false, undisclosed, incomplete or misleading information herein may constitute grounds for termination of right of occupancy of all residents and occupants under a lease and/or forfeiture of deposits and fees, and may constitute a criminal offense under the laws of this state. I understand that this form does not bind you to execute a Lease or to deliver possession of the premises to me. I authorize you to use this information to obtain consumer reports, which may include credit, rental payment and/or eviction history and criminal background information about me and in order to verify the above information. I understand that as my prospective landlord, any co-applicants, occupants, or guarantors that may be added to this form may need to consent to and successfully pass consumer background screening reports. By agreeing, I authorize you to obtain subsequent consumer reports, including credit reports, to ensure that I continue to satisfy the terms of my tenancy, for the collection and recovery of any financial obligations relating to my tenancy, or for any other permissible purpose. Further, if I have included information on co-applicants, other adult household members, and/or guarantors on this form, I affirm that those individuals have knowledge of their inclusion on this form and expressly authorize you to obtain subsequent consumer reports, including credit reports. I understand that you may report all positive and negative rental payment history to consumer reporting agencies who track this information for landlords, mortgage companies and other creditors. I and all occupants or guarantors hereby release from all liability or responsibility all persons and corporations requesting or supplying such information.
Submit