Eric Blum Rental Application

Applying is easy! Just complete the form and click the "Submit" button at the bottom. Each person must submit an application to be on the lease. Additionally, any prospective tenant under the age of 25 must provide a "Lease Guaranty Form" at the time of lease signing. This form may be found under the "Documents" segment of our website.
Please note: The application and $50 fee to apply does not guarantee a property. After review of your application, you will be notified of what you are qualified for in the event your desired property is already rented prior to your application being approved.
Property Information
Street Address of Property Applying for:*
Desired Move-In Date:*
I first saw this apartment by:

Paper AdSignCraigslistericblum.com
If referred, by whom?

Click here to enter Applicant Information
First Name*
Middle Name*
Last Name*
Social Security Number*
Email address*
Age*
Birth Date*

MonthDayYear
Preferred Phone*

Area CodePhone Number
Work Phone

Area CodePhone Number
Cell Phone

Area CodePhone Number
Marital Status

SingleMarriedDivorcedSeperated
Names and ages of children:
Name and age of anyone else who will occupy the apartment and relationship to applicant:

Click here to provide Credit Information
Has applicant, spouse, or any other proposed resident ever been evicted from tenancy?*

YesNo
Has applicant, spouse, or any other proposed resident ever been convicted of a felony?*

YesNo
If yes, Type and Conviction Date:
Has applicant, spouse, or any other proposed resident ever filed for bankruptcy?*

YesNo
If yes, date filed:
Credit Reference #1
Credit Reference #1 Phone

Area CodePhone Number
Credit Reference #2
Credit Reference #2 Phone

Area CodePhone Number
Credit Reference #3
Credit Reference #3 Phone

Area CodePhone Number

Click here to enter Vehicle Information
We do not allow vehicleswithout written permission. Vehicles not approved in writing may be towed away at owners expense.
Vehicle #1 Make
Vehicle #1 Model
Vehicle #1 Color
Vehicle #1 License
Vehicle #1 State
Vehicle #2 Make
Vehicle #2 Model
Vehicle #2 Color
Vehicle #2 License
Vehicle #2 State

"Click Here" Finalize Application
I hereby authorize Eric Blum, and his agents, to make any necessary investigation as to the contents that are contained in this application. I understand that this investigation may include, but not limited to, a credit report, verification of employment, past rental history and police records. I, therefore, consent to this investigation, and I certify that all stated facts are true and it is understood that any misrepresentation or omission is cause for management and/or owners to reject this application and/or terminate the lease. BY TYPING MY FULL NAME (Ex: John Middle Smith), I AUTHORIZE IT'S USE ON THIS APPLICATION THE SAME AS IF I HAND SIGNED THIS FORM IN PERSON.*
Please check the box below to agree to our Terms & Conditions.
I hereby authorize Eric Blum, and his agents, to make any necessary investigation as to the contents that are contained in this application. I understand that this investigation may include, but not limited to, a credit report, verification of employment, past rental history and police records. I, therefore, consent to this investigation, and I certify that all stated facts are true and it is understood that any misrepresentation or omission is cause for management and/or owners to reject this application and/or terminate the lease. Please sign your full name below using your mouse (or finger on mobile).*

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Property Information