Online Application

Qualification Acknowledgement

Hearth Home Communities and all its properties comply with all federal, state, and local regulations regarding fair housing for all applications and residents regardless of race, color, national origin, religion, sex, familial status or handicap.

In order to assist you with your decision on your new home, we are providing a list of guidelines used to qualify residents for tenancy in our community. Please note that this is our current rental criteria; nothing contained in these requirements shall guarantee that all residents and occupants currently residing at this community have met these requirements. There may be residents and/or occupants that are currently residing at this community that do not meet these requirements due to taking up residency prior to these requirements taking effect. Additionally, our ability to verify whether these requirements have been met is limited to the information we receive from various credit reporting services.

All applicants must be at least eighteen (18) years of age and are required to complete a rental application and pay a nonrefundable application fee per lease holder. Co-applicants, including spouses, must complete a separate application and pay a separate application fee. All application must be dated and signed. Each applicant must provide government issued identification.

Occupancy Standard:

Two (2) person maximum per bedroom

Age Requirements:

Lease Holders must be at least 18 years of age. All Lease Holders and occupants 18 years or older are required to submit an application. Approved applicants 18 years and older are required to sign.

Income & Employment:

All persons applying for an apartment must have a verifiable source of income in a gross amount no less than three (3) times the rental rate (base pay only). The three (3) most recent paystubs must be provided and current employment status will be verified. If self-employed, last year’s income tax return will be required. Future employment will require a letter of intent to hire from the employer. Additional documents such as bank statements may be required.

Rental History:

Applicant must provide thirty-six (36) months previous addresses for verification process. An unfavorable reference from any previous residence is subject for denial. Mortgage history in good standing must be provided in lieu of rental history. Written verification from most current landlord(s) required. Eviction filings and outstanding balances due to former landlords will result in denial of the rental application.

Credit History:

Your credit history will be evaluated. Your credit report may not contain any negative credit history in regard to previous/current rental history or mortgage company, excessive derogatory credit, or bankruptcies. Chapter 13 bankruptcies must be discharged longer than one year for approval consideration with a security deposit up to a full month’s market rent. Chapter 7 and 11 bankruptcies must be discharged longer than three years for approval consideration with a security deposit up to a full months’ market rent. We do not consider student loans or medical bills in the approval process.

Criminal History:

Felony convictions of any kind will result in denial of the rental application. Any misdemeanor criminal record involving a weapon, violence, or sexual misconduct, whether charged or convicted will be subject to denial.

Co-signer/Guarantor:

A guarantor will be accepted for lack of rental history, credit, or income. Guarantors must meet income requirements of five (5) times the rental rate.

Pet Policy:

Pet limit of three (3) pets per apartment with combined weight not to exceed 150 pounds at full growth. Registration of all pets required prior to move in through thirdparty screening. Restricted breed list enforced. Fees and deposits required at time of move in. Cats and dogs require monthly pet rent in addition to a one time pet fee at move in.

Restricted Breeds include, but not limited to; Doberman Pinscher, Chow, Akita, German Shepherd, Mastiff, Cane Corso, Presa Canario, Rottweiler, Pit Bull and Pit Bull Mini, American Staffordshire Terrier, Staffordshire Bull Terrier, Malamute, Siberian Husky

Terms:

Variable lease terms may be offered based on availability ranging from twelve (12) to twenty-four (24) months. Subject to change based on availability and lease term exposure.

Additional Deposit:

Unsatisfactory rental history, credit, or criminal screening may result in additional security deposit equal to one (1) times the monthly rental rate.

Payments:

Payment method of move-in balance may be required as cash equivalent (cashier’s check or money order). All payments should be made payable to Hearth Home Communities.

Application Fees:

Application fees are charged per applicant and required for all occupants eighteen (18) years of age or older. These fees are nonrefundable.

Administrative Fee:

An Administrative Fee will be charged per home annually and required at time of move in and then again at time of renewal. This fee is nonrefundable.

Holding Deposit:

A holding deposit is required in the amount of $99 at the time of application. This is nonrefundable unless your application is not approved. The holding deposit will be applied towards your total security deposit at the time of move in and lease signing.

Notice: Co-applicant must complete a separate rental application.

I have read and understood the above rental criteria and understand any holding fee or deposit given may be forfeited if I decide to cancel. Property Applying For Please Select

Move-In Date How Did You Hear About Us? Please Select Apartment Guide Zillow Yelp Facebook Realtors Driveby Friend - non resident Property Web-site Rent.com Trulia LinkedIn Lives in the area Newspaper Radio Signage Apartments.com Apartment Finder For Rent.com Craigslist Resident Referral Preferred Employer Outreach Marketing Sister Property Google Villages of Burlington Villages of Independence Villages of Florence Word of Mouth Direct Mailer Bandit Sign Flags Billboards on Hopeful Church Billboard on Weaver Realtor.com NKY Relocation Guide

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General Information

First Name Middle Name Last Name Suffix Phone Date of Birth Social Security Number Email Address Insurance Company

Emergency Contact Information (Non-resident)

Name Relationship Phone Email

Additional Occupants

Name of Co-applicant

List all other occupants who will live in the apartment (not filling in a separate application)

Number of Additional Occupants or Dependents (excluding co-applicant) 01234

Occupant 1

NameAge DOB SSN

Occupant 2

NameAge DOB SSN

Occupant 3

NameAge DOB SSN

Occupant 4

NameAge DOB SSN

Pets

Number of Pets

Pet 1

Type Breed Weight Age Name

Pet 2

Type Breed Weight Age Name

Pet 3

Type Breed Weight Age Name

Rental History

Please give us your residence history for the past two years (beginning with the most current)

Current Address

Address City State Zip County Month & Year Moved In Owner or Agent Owner or Agent Phone

Previous Address (if within 2 years)

Address City State Zip Month & Year Moved In Owner or Agent Owner or Agent Phone

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Employment History

Please give us your employment information

Your StatusEmployed Full TimeEmployed Part TimeStudent RetiredUnemployed Current or Previous?CurrentPrevious
Employer Name Employed As Supervisor Supervisor's Phone Address City State Zip Code Salary Per YearWeekMonth

Previous

If employed by above less than six (6) months, give name and address of previous employer or school

Employer or School Address City State Zip Code

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Other Income Sources

If there are other sources of income you would like us to consider, please list income, source and person (banker, employer, etc.) who we would contact for confirmation. You do NOT have to reveal alimony, child support or spouse's annual income unless you want us to consider it in this application.

Other Income Source 1

Amount Source Phone

Other Income Source 2

Amount Source Phone
Are you eligible for funding subsidies from any source?NoYes

From who? What amount of subsidy? (monthly)

Banks

Bank 1

Name City & State Branch Type

Bank 2

Name City & State Branch Type

Vehicle Information

Driver's License Number State

Vehicle 1

Make Model Year Color License Plate #

Vehicle 2

Make Model Year Color License Plate #

Vehicle 3

Make Model Year Color License Plate #

Additional Information

Have you or any proposed occupant ever:

• Filed for bankruptcy? NoYes
  When? What Chapter? Case Number Have you been discharged?
• Been evicted from tenancy?NoYes
• Willfully or intentionally refused to pay rent when due?NoYes
• Do you have any pending judgments or legal proceedings pending against you? NoYes
  Please Explain
• Have you been charged with or convicted of a crime involving the possession, sale or use of a controlled substance?NoYes
  Charge or Court Case Number Date of Occurance City and State in which it occurred
• Have you or any proposed occupant listed in this Application been convicted, or is currently charged with, any crime involving violence against others, including but not exclusively, assault, battery, rape, abuse of an adult, or any crime involving assault or endangerment of a child?NoYes
• Have you or any proposed occupant listed in this application been adjudicated a sexual predator, habitual sexual offender or sexual offender?NoYes

Please give any additional information which might help management evaluate this application

If Management has any questions about this application, please give PHONE NUMBERS where you can be located

Day Phone Evening Phone

Acknowledgements

I hereby apply to lease the above-described apartment for the term and upon the conditions above set forth, As an inducement to the owner of the properly and to the agent to accept this application, I warrant that all statements above set forth are true; however, should any statement made above be a misrepresentation or not a true statement of facts.

The $99 Holding Fee will be applied to the security deposit and the balance of security deposit, if any, is due on the date I sign the lease. I agree the balance of the security deposit is due on the date I sign the lease. When so approved within 3 days after said notice I agree to execute a lease for the Apartment for a term of no less than twelve (12) months before possession is given or the earnest money deposit will be forfeited to Owner/Management as liquidated damages. Except for false representation by me, if this application is not approved by the Owner or agent, the earnest money deposit will be refunded after applicant's check has cleared applicant's bank. The applicant hereby waives any claim for damages by reason of non-acceptance which the Owner or agent may reject without stating any reason for doing so.

I HEREBY AUTHORIZE HEARTH HOME MANAGEMENT TO OBTAIN CONSUMER REPORTS, AND ANY OTHER INFORMATION IT DEEMS NECESSARY, FOR THE PURPOSE OF EVALUATING MY APPLICATION, I UNDERSTANDTHAT SUCH INFORMATION MAY INCLUDE, BUT IS NOT LIMITED TO, CREDIT HISTORY, CIVIL AND CRIMINAL INFORMATION, RECORDS OF ARREST, RENTAL HISTORY, EMPLOYMENT/SALARY DETAILS, VEHICLE RECORDS, LICENSING RECORDS, AND/OR ANY OTHER NECESSARY INFORMATION. I UNDERSTAND THAT SUBSEQUENT CONSUMER REPORTS MAY BE OBTAINED AND UTILIZED UNDER THIS AUTHORIZATION IN CONNECTION WITH AN UPDATE, RENEWAL, EXTENSION OR COLLECTION WITH RESPECT OR IN CONNECTION WITH THE RENTAL OR LEASE OF A RESIDENCE FOR WHICH APPLICATION WAS MADE.

The above information, to the best of my knowledge, is true and correct. This Application, upon execution of a Lease Agreement with Hearth Home Management shall be incorporated into the Lease and made a part thereof.

Typed Name

HEARTH HOME MANAGEMENT IS AN EQUAL OPPORTUNITY HOUSING PROVIDER AND DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, GENDER, DISABILITY, NATIONAL ORIGIN, MILITARY STATUS, RELIGION OR FAMILIAL STATUS.

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