Online Application

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Online Rental Application

Waterford Village

450 Riverview Drive

Barboursville, WV 25504

Phone: 304-733-3838

Fax: 304-733-2269

Please call the office at 304-733-3838 after submitting application to set up deposit payment, and to confirm type and style of the apartment you are requesting.

To accept this application the following representations are made:

Name: Enter Name

Email: Enter Email

Submitting Form...

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Form received.

Cell Phone: Enter Phone Number

Date of BIrth: 00/00/0000

Social Security Number: Enter Text

Driver's License Number: Enter Text

Name, Relationship, Age, SSN, Phone, and Email of each occupant: Enter Your occupants information.

Current Address: Enter Address

City: Enter City

State: Enter State

Zip code: Enter Zip

Present Landlord / Mortgage: Enter Text

Landlord's Phone: Enter Text

Payments Made To: Enter Text

Monthly Payment: Enter Text

Former Address if less than 2 Years: Enter Your Former Address

Person to contact in case of emergency Name Address and Phone (next of kin - someone other than those living with you): Enter Their Name, Address and Phone Number

Will Pets Be Occupying the Dwelling?:

Yes

Type of Pet: Enter Text

Number of Pets: Enter Text

Employed By: Enter Text

Position: Enter Text

How Long: Enter Text

Business Address: Enter Text

Business Phone: Enter Text

Supervisor / HR Phone: Enter Text

Salary: Enter Text

Supervisor: Enter Text

Employed by 2: Enter Text

Position 2: Enter Text

How Long 2: Enter Text

Business Address 2: Enter Text

Business Phone 2: Enter Text

Supervisor 2: Enter Text

Supervisor / HR Phone 2: Enter Text

Salary 2: Enter Text

Source 1 and Amount: Enter Source and Amount

Source 2 and Amount: Enter Source and Amount

Bank Name: Enter Text

CIty: Enter Text

State: Enter Text

Credit Reference: Enter Text

Credit Ref City 1: Enter Text

Credit Ref State 1: Enter Text

Balance / Monthly Payment 1: Enter Text

Credit Reference 2: Enter Text

Credit Ref City 2: Enter Text

Credit Ref State 2: Enter Text

Balance / Monthly Payment 2: Enter Text

Personal Reference 1 - Name, Address and Phone Enter Personal ReferenceNameAddressPhone

Personal Reference 2 - Name, Address and Phone Enter Personal ReferenceNameAddressPhone

Signed: Enter Name

Initials: Enter Initials

Date: 00/00/0000

By clicking the "Send" button you agree to all stipulations mentioned previously in this appliction:

I Agree

I Do Not Agree

Other person(s) to occupy this dwelling (please list anyone who will be living in the apartment):

Pets

We allow indoor cats with a signed pet agreement and deposit of $300 for one cat and $600 for two cats. We do not allow dogs to live in or visit the apartments.

Employment

Employment of Other to be living in apartment OR Additional Employment

Other Sources of Income (Social Security, Retirement, etc.)

Bank I deal with (checking account used to pay rent)

Credit References (any monthly payment = credit card, car payment, utility, mortgage, etc.)

Personal References

Applicant hereby grants permission to verify any information contained herein. Lessor agrees to accept or reject this application within 48 hours from time received.

*Your application with deposit reserves the above mentioned premisses for you. Should you change your mind once an apartment is assigned to you, the deposit is non-refundable. Should your application be denied, your deposit will be refunded minus a $25.00 processing fee.

Please call the office at 304-733-3838 after submitting application to set up deposit payment, and to confirm type and style of the apartment you are requesting.