Welcome to The Regency Apartments
The Regency Online Application
Which unit type would you prefer?
1 Bedroom 696 sq ft
1 Bedroom with Patio 696 sq ft
1 Bedroom with Sunroom 821 sq ft
2 Bedroom 904 sq ft
2 Bedroom with Patio 904 sq ft
2 Bedroom with Sunroom 1029 sq ft
3 Bedroom with Sunroom 1451 sq ft
3 Bedroom with Patio 1451 sq ft
When would you like to move in?:
Tell Us About Yourself:
Your Full Name:
Your Home Phone:
Your Date of Birth:
Your Social Security #:
Co-Applicants Social Security:
Other Occupant(s) 1 Full Name:
Relationship to Occupant 1:
Other Occupant 2 Full Name:
Relationship to Occupant 2:
Other Occupant 3 Full Name:
Relationship to Occupant 3:
Have you any pets? If so, how many?:
Please Provide Your Residential History - Last 3 Years:
Current Full Address with zip/postal code:
What month/year did you move in?:
Reasons for leaving?:
Rent Amount $ per month:
Full Name of Owner/Agent:
Phone of Owner/Agent:
Previous Address (if within the last 3 years):
Name of Owner/Agents:
Owner/Agents Phone Number:
Please Describe Your Credit History
Have you declared bankruptcy in the past seven (7) years?
Have you ever been evicted from a rental residence?
Please Provide Your Employment Information
Your Employment Status (Full time, Part time, etc):
Supervisors Phone Number:
If employed by your last position for less than 12 months, give name and phone of previous employer
If you have other sources of income that you would like us to consider, please list income, source, and person who we may 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.
Amount per Month:
Driver's License Information
Driver's License Number 1
State of Driver's License Number 1
Driver's License Number 2
State of Driver's License Number 2
Make / Model of vehicle and Year
Make / Model of vehicle 2 and Year
Tag #/State 2
Personal Reference of Emergency Contact
Emergency Contacts Name:
Emergency Contacts Address:
Emergency Contacts Phone:
Emergency Contacts Relationship:
Name of Reference 1
Phone Number 1
Name of Reference 2
Phone Number 2
Name of Reference 3
Phone Number 3
Form/Applicant Terms of Agreement
I hereby apply to lease the above described premises for the term and upon the set conditions above set forth and agree that the rental is to be payable the first day of each month in advance. As an inducement to the owner of the property and to the agent to accept this application. I warrant that all statements above set forth are true; however, should any statement made above is a misrepresentation or not a true statement of facts, all of the deposit will be retained to offset the agent's cost, time, and effort in processing my application.
When so approved and accepted, I agree to execute a lease for _______________ months before possession is given and to pay the balance of the security deposit prior to the move in date. If the application is not approved or accepted by the owner or agent, the deposit will be refunded, the application hereby waiving any claim for damages by reason of non-acceptance which the owner or agent may reject. I recognize that as a part of your procedure for processing my application, an investigative consumer report may be prepared whereby information is obtained through personal interviews with others with whom I may be acquainted. This inquiry includes information as to my character, general reputation, personal characteristics and mode of living. I also give SouthCorp Properties, LLC permission to acquire a criminal background check, and I understand the information obtained can be used to deny my application for rental.
The above information, to the best of my knowledge, is true and correct.
Check the following box to confirm that you've read and agree to the statements aforementioned.
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