Rental Application

(806) 241-7055

Dillon Property Management Rental Application

Thank you for your interest in one of our properties. We work hard to get the application process completed quickly so you can move into your new residence.

Please complete the application in its entirety. Partial applications will not be processed.

Upon completion of the application you will then be sent to the payment screen. The application process will not start until the application fee(s) have been paid.

Name*
First Last
Property Address You are Applying For:*
Cell Phone*
Home Phone*
Work Phone*
Email*
Fax (by providing this fax number I agree to receive facsimile advertisements from the landlord or management company.)
Date of Birth*
Date Format: MM slash DD slash YYYY
Social Security Number*
Drivers License and State Issued*
Other Identifying Information
Vehicle Make*
Vehicle Model*
Vehicle Year*
Vehicle Color*
License Plate Number and State Issued*
Additional Occupants (Full names and relationship to applicant required)*
Rental History
Documentation should be provided for past five years.
Current Address*
Street Address Address Line 2 City State ZIP Code
Dates Lived at Address*
Reason for Leaving*
Landlord/Manager*
Landlord/Manager's Phone*
Rent*
Security Deposit*
Previous Address*
Street Address Address Line 2 City State ZIP Code
Dates Lived at Address*
Reason for Leaving*
Landlord/Manager*
Landlord/Manager's Phone*
Rent*
Security Deposit*
Previous Address*
Street Address Address Line 2 City State ZIP Code
Dates Lived at Address*
Reason for Leaving*
Landlord/Manager*
Landlord/Manager's Phone*
Security Deposit*
Rent*
First-time renters a description of your housing situation for the past five years.
Employment History
You will need to provide pay stubs for the past two years, from this employer or prior employers.
Name of Current Employer*
Address of Current Employer*
Street Address Address Line 2 City State ZIP Code
Employer Phone*
Name of Supervisor*
First Last
Phone for Supervisor*
Dates Employed at This Job*
Position or Title*
Name of Previous Employer*
Address of Previous Employer*
Street Address Address Line 2 City State ZIP Code
Employer Phone*
Name of Supervisor*
First Last
Phone for Supervisor*
Dates Employed at This Job*
Position or Title*
Income
Your gross monthly employment income (before deductions)*
Average monthly amounts of other income (specify sources)
Sources of other income listed above
Major Financial Obligations (Loans, Car Payments...) Please include type of obligation, amount owed, and monthly payment amount*
Miscellaneous
Describe the number and type of pets you want to have in the rental property*
Describe water-filled furniture you want to have in the rental property*
For any that you elected above please tell how many times and explain the situations.*
Do you smoke*
Have you ever had one of the following?*
If you selected any of the above please explain.
Where did you learn of this vacancy?*
References and Emergency Contact
Personal Reference*
First Last
Relationship*
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Personal Reference*
First Last
Relationship*
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Contact in Emergency*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Certification
*
I certify that all the information given above is true and correct and understand that my lease or rental agreement may be terminated if I have made any material false or incomplete statements in this application. I authorize verification of the information provided in this application from my credit sources, current and previous landlords and employers, and personal references. I give permission for the landlord or its agent to obtain a consumer report about me for the purpose of this application, to ensure that I continue to meet the terms of the tenancy, for the collection and recovery of any financial obligations relating to my tenancy, or for any other permissible purpose.
Name of Applicant*
Date of Application*
Date Format: MM slash DD slash YYYY
Consent
I agree to the privacy policy.
Payment
The application fee is $25 per each adult residing in the residence.
Application Fee
Price: $25.00
Number of Applicants
Total
$0.00
Payment Method

MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
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