Rental Application

STEP 1: Fill out this application to the best of your ability and member of our staff will contact you, or visit our office for a paper application.

To secure a residential or commercial property, a signed lease with one month’s deposit, and the first month’s rent are required.

First Name

Last Name

Date of birth

Move in date

Email

Phone

Current Address

Current Landlord

Pets

Reference Name

Reference Phone Number

Reference Relationship

Desire lease duration Desire lease duration 6-12 months 1 year - 2 years 2 years +

Desired number of bedrooms Desired number of bedrooms 1 bedroom 2 bedroom 3 bedroom

Desired property Desired property Apartment Duplex Home Commercial Retail Commercial Office

Specific Desired Property Specific Desired Property Center City Midtown Phylbeck Riverside Canal Cottages Fruitridge Glen Dawn Drive Redwood Windsor

Other details

Are you applying with another person? If so, what is their name?

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417 Wabash Avenue, Terre Haute, IN 47807
812-234-9000

Hours of Operation
Mon – Fri 8:00 am – 5:00 pm,
Sat – Sun: By Appointment