Prairie Property Management
4650 38th Ave South Suite 160 - Fargo ND 58104

218-291-1875

ONLINE RENTAL APPLICATION
ALL INFORMATION IS STRICTLY CONFIDENTIAL

**FILL OUT THIS FORM FOR EACH APPLICANT - THERE IS A $35 APPLICATION FEE**

1. Fill out the entire form as the primary applicant including the info for the second applicant
2. Do the same thing again, but change primary and secondary applicants
4. The person responsible for utilities can be chosen when you come into the office

Any false information or statement on this application may result in rejection of your application or immediate termination of your lease.
Processing delays may result due to failure to complete all areas of this application. Upon signing this application, the undersigned shall pay
Prairie Property Management an application processing fee of $35 per applicant.
Advantage Credit Bureau, 112 University Drive North, Fargo ND 58102 (701) 239-9977, completes all applicant screening.

Building Name:

Primary Applicant

Second Applicant

First Name: First Name:
Last Name: Last Name:
SSN: SSN:
Driver's License Number: Driver's License Number:
Phone Number: Phone Number:

BANKING INFORMATION
Your Bank: Bank Address:
Bank City: Bank State:

RENTAL HISTORY
Current Information
Your Current Address: Current City: Current State: Current Zip:
Current Landlord: Landlord Phone: Current Rent: Time at Current Address:

Previous Information
Your Previous Address: Previous City: Previous State: Previous Zip:
Previous Landlord: Landlord Phone: Previous Rent: Time at Previous Address:

EMPLOYMENT HISTORY

Primary Applicant

Second Applicant

Employer: Employer:
Employer City: Employer City:
Employer State: Employer State:
Employer Phone: Employer Phone:
Length of Time Employed Here: Length of Time Employed Here:
Salary: Salary:

Background Check
Have you ever been evicted?:
Have you ever been convicted or plead guilty or no contest to a felony (whether or not resulting in a conviction?:
Have you ever been convicted or plead guilty or notest to a misdemeanor
involving sexual misconduct (whether or not resulting in a conviction?:
Are you registered as a sex offender?:

BIRTHDATES

Primary Applicant Birthdate - YYYY-MM-DD --

Second Applicant Birthdate - YYYY-MM-DD --

EMAIL ADDRESS --

The undersigned represent that all of the above statements are true and complete and hereby authorize Prairie Property Management, its employees and agents to contact and obtain information from any individuals or entities that may have information regarding Credit History, Banking Information, Employment, Past Residential History and Criminal Background of the undersigned. The undersigned hereby indemnify and hold harmless Prairie Property Management and it’s employees and agents and all other individuals or entities contracted by PPM from all causes of action, expenses, losses or damages of any kind arising from or related to any information obtained regarding the undersigned. All persons will be treated fairly and equally without regard to race, color, sex, familial status, religion, handicap, marital status, national origin or status with respect to public assistance in compliance with federal and state law. Applicant must have a credit score at or above 600 and cannot owe any Rental Management Companies or Utilities. Convicted felons may be denied depending the severity of the charges, time of conviction and/or sentence.

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Vistors since Feb. 2003

Prairie Property Management - 4650 38th Avenue South Suite 160, Fargo ND 58104 - (218) 291-1875 fax: (218) 291-1838