Apply — The Flats of Terre Haute

To apply to live at The Flats of Terre Haute, please fill out the information below or stop by our office to pick up a physical form.

Name

First Name

Last Name

Phone Number

(###)

###

####

Date of Birth

YYYY

Social Security Number

Current Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Current Landlord

Former Address

Former Landlord

Desired Move In Date

YYYY

Size of Apartment Desired

Pets

Yes

What Type of Pet

Absolutely NO pitbulls or pitbull mix

Employer/Position

Employer's Phone

Length of Employment

Annual Income

Indicate Hourly/Salary

Spouses/Roommates Information

Spouse's/Roommate's Name

First Name

Last Name

Phone Number

Social Security Number

Date of Birth

Employer/Position

Length of Employment

Annual Income

Indicate Hourly/Salary

Children/Additional Occupants

Please Indicate Age

References

Reference 1

Please Include name, contact information, and relation to you

Reference 2

I/We give the The Flats of Terre Haute LLC my permission to contact my references, former landlord, and the credit bureau for a credit check. They may ask personal and financial questions that pertain to a leasing agreement.

Yes

2917 South 25th Street, Terre Haute, IN 47802