Prequalify – Harrison Hill

Save time when you come into the leasing office to submit your application – fill in your pre-qualification information here. Use the “Back” key on your browser to return to this form. Thank you!

Pre-Qualification Request Form

(Each applicant must submit separate Pre-qualification Request Forms)

Type of Residence:

1 Bedroom Apartment1 Bedroom Apartment w/Den

Applicant Information:

Name of Applicant:

Day Phone:

Cell Phone:

E-mail Address:

Number of People to be on Lease:

Total Number of Occupants:

Present Residence:

Rent

Number of Years:

Type of Rental:
Private RentalRental Community

Monthly Rent:

Rent Includes:
HeatHot WaterUtilities

Number of late payments:

Own

Number of years owned:

Mortgage payment/month:

Number of late payments:

Is your current home sold?
YesNo

If not, are you planning on selling?
YesNo

Previous Residence

If present residence is less than 3 years, please provide the following:

If your previous residence was a rental:

Number of Years:

Type of Rental:
Private RentalRental Community

Monthly Rent:

Rent Includes:
HeatHot WaterUtilities

Number of late payments:

If your previous residence was owned:

Number of years owned:

Mortgage payment/month:

Number of late payments:

Employment/Income

Current Base Income:

Per:
weekmonthyear

Estimated Bonus/Commissions/Overtime:

Per:
weekmonthyear

Are you self employed or do you rely on unreported income such as tips?
YesNo

Length of service at current employer:

Other income:

Per:
weekmonthyear

Source of other income:

Credit/Debt

Please provide estimated monthly payments for:

Car Payment(s):

Credit Card(s):

Student Loans:

Other:

Please leave this field empty.

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