Location
People Planning to Live at Location

Name of ALL people who will be living here:

Name Date of Birth Relationship Social Security Number or T.I.N.
Address History
Employment History
Additional Information
I understand that if the unit is occupied or not ready.
and the application processing will begin immediately.
Agreement

I do hereby request and authorize this company, any person or persons, each employer or former employer, credit bureau, or any firm or corporation referred to in or discovered by the use of this application, to give answers to any questions or inquiries in connection with this application or tenancy. I authorize Acc-Sell to obtain resident screening information which may include but not limited to credit history, sexual offender history, criminal history, and terrorist history. Acc-Sell is acting exclusively as an "Owner's Agent" through Century 21 Affiliated in this rental process. Applicant understands that upon approval the Earnest Payment must be paid immediately to hold the unit for up to 21 days.

I have read, understand, and agree with the application requirements listed "Application Requirements," either here or on the website.

The following items are required upon submital: Government issued photo ID, proof of income, $40 per adult application fee, and all co-tenant applications. Acc-Sell will not discriminate against any individual or group because of race, sex, religion, age, national origin, marital status, handicap, political belief, or any other group protected by current law.