New Resident Application | fivestargaryheiser

Please fill out this application for every person over 18.

Application Fee:

Please submit

$100 for a single applicant &

$150 for Couple/Roomate(s).

Payment can be sent by Zelle to rentalsfivestar@gmail.com

(*Application cannot be processed until fee is received)

By applying, you declare the following:

All of the information submitted is true and correct. I understand that willful misrepresentation will void any Lease, Contract, or Agreement entered into with connection to this application.

By clicking SUBMIT, you declare the following: I authorize the Landlord to verify the information submitted, and to obtain a Credit Report and Background check.

I understand an investigation of my background will be conducted to determine my character, general reputation, personal characteristics, general mode of living, and I specifically authorize the Landlord to conduct this investigation. I release the Credit Reporting Agency, it's Employee's and Members from loss, expense for damages sustained, directly or indirectly from information in the reports furnished.

You will need to upload a copy of your

Drivers License &

3 most recent paystubs for verification. YOU WILL BE DIRECTED TO UPLOAD PAGES AFTER SUBMITTING APPLICATION BELOW.

Unit Address & Requested Date of Lease Start

First | Middle | Last + Any Alias Used

Phone number | Email address

Current Address

Reason for Move ?

Make | Model | Year | Color

Minor Occupants : Name and Age

Breed | Weight | Color | Name

Street | City | State

Employer Name | Physical Address

Current Supervisor & Phone number

Verifiable Montly Wages + Other Income

Date of Birth | Social Security Number

Drivers License # | License Plate Number & State

Name of Bank

Address where Account Opened

Age of Account | Account Number

Your content has been submitted

Emergency Contact

YES or NO

An error occurred. Try again later

Having problems?

Please note : All entries with a * (star) are mandatory entries. You must enter something in the box. After clicking Submit, the boxes in Red need an answer. If you don't know an answer, write "I don't know" in the box. Please note, Applications cannot be processed until we have all required information. Call or email with any further questions.

ALL INFORMATION GATHERED IS PRIVATE AND USED SOLEY FOR RESIDENCY ELEGIBLITY.

All Real Estate advertised on this website is subject to the federal Fair Housing Act which makes it illegal to advertise "any preference, limitation, or discrimination because of race, color, religion, sex, handicap, familial status, or national origin, or intention to make such preference, limitation or discrimination".

Gary C. Heiser

Licensed Broker/Owner
Five-Star Property Consultants, LLC
(561) 596-5535

Garyfivestar@gmail.com