Duplex Application – Colvin Rentals

COLVIN’S DUPLEX RENTALS, L.L.C.

P.O. Box 271 RUSTON, LA. 71273-0271
318-245-5459

Name*
Social Security #
Birthdate
MM slash DD slash YYYY
Drivers License #

(upload, email or fax copy of license with application)
Upload
Max. file size: 512 MB.
Occupation
(If Student, est. graduation date:)
Place of Employment
Employer's Name:
Employer's Phone #
Current Landlord
Landlord Phone #
Current Address
City
State
Zip
Current Phone #
Cell Phone#
Email
Parents Name
Parents Address
City
State
Zip
Parents Phone #
Reason for leaving current address
Names of People included as Tenants

(Limit 2 people)
Preferred move-in date
MM slash DD slash YYYY
List Current Income Amount, Supervisor and Phone # for Verification
Consent
I understand that by submitting a rental or deposit payment for an apartment, that I have committed to a one year agreement, subject to application verification, credit/background check, and approval, and I will lose my rental or deposit payment if I change my mind. Any rental or deposit monies that are paid at the time of application, will be refunded if the application is not approved. Rental application fees are NON-REFUNDABLE. I understand that the lease is available online to read and approve before I make this commitment. I give my permission for a credit/background check and employment/income/rental history verification for the purpose of this rental.
Electronic Signature
WE RESERVE THE RIGHT TO REFUSE SERVICE TO ANYONE.
Email
This field is for validation purposes and should be left unchanged.

Please email vacolvin@yahoo.com for more information before submitting application and application fee online.

pay application fee

please submit when necessary

please submit with application