Copyright © 2005 Deckard Homes P.O. Box 110 - Bloomington, IN - 47402
Phone: 812.825.5579 - Fax: 812.825.5578 - All Rights Reserved

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    Contact Us:
    Deckard Homes & Apartments
    P.O. Box 110
    Bloomington, IN 47402

    Ph: 812-825-5579
    Fax: 812-825-5578

    Office Hours:
    Mon. 9 a.m. - 5:00 p.m.
    Tues. 9 a.m. - 5:00 p.m.
    Wed. 9 a.m. - 4:30 p.m.
    Thurs. 9 a.m. - 5:00 p.m.
    Fri. 9 a.m. - 5:00 p.m.
    Sat. Closed
    Sun. Closed

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  • Deckard Homes & Apartments: Online Application

    Click here to download
    the application (PDF)
    Click here to download
    our sample lease (PDF)
    Desired Rental Address/Building Name

    Personal Information
    *First Name:   Middle Initial:    * Last Name:
    *Date of Birth:
    *Birth Place
    *Current Address:
    *Current City/State/Zip:
    *How Long at this Address:
    *Current Home Phone:     * Cell Phone: 
    Current Work Phone: 
    *Current E-mail Address:
    Are you a Student? Yes No
    *What year & Major?
    Do you have a pet? Yes No       If YES, what kind: 
    *Names of Roommates:

    Current Leasing Information
    *Have you ever rented a house
    or apartment:
    Yes No 
    Present Landlord's Name:
    Present Landlord's Phone #:
    Previous Address:
    Previous Address City/State/Zip:
    Previous Landlord's Name
    Previous Landlord's Phone: 

    Legal Questions
    Have you ever been evicted
    from  a rental unit?
    Yes No 
    If YES, why: 
    *Have you ever been sued 
    for non-payment of rent?
    Yes No 
    If YES, why: 
    *Do you currently have any
    outstanding judgments 
    against you?
    Yes No 

    Financial Background
    Have you ever failed to timely pay rent? Yes No
    Have you ever filed for bankruptcy? Yes No

    Permanent Address Information
    *Parents' Names:
    Permanent Address:
    Permanent City/State/Zip
    Permanent Phone: 
    Parent's Work Phone:

    Payment Information
    Share Your Responsibility for Rent?: 

    Employment Information
    *Current Employer:
    Current Occupation:
    Full-Time or Part-Time
    Current Employer's Address:
    Employer's Contact Name:
    Current Employer's Phone: 
    Length of Time with Employer:
    Current Salary
    *Current Source of Income:
    Spouse's Employer:
    Spouse's Employer's Address:
    Spouse's Employer's Phone #:
    Spouse's Wage:

    Vehicle Information
    Vehicle Make/Model: 
    Vehicle License Plate #: 
    State Vehicle is Registered:

    Emergency Contact Information
    *Emergency Contact's Name: 
    *Emergency Contact's Relationship:
    *Emergency Contact's Phone:
    *Emergency Contact's Address:
    *Emergency Contact's City/State/Zip:

    By typing "I agree" below, I certify that the answers are correct and that I/We have accurately completed this application. I/We authorize Deckard Homes and Apartments to conduct an employment/credit check and to obtain any other reports necessary concerning me/us as deemed necessary concerning my/our application and to verify all references. I/We understand that such reports may include and are not limited to my credit history, civil and criminal information, arrest records, rental history, employment and financial history, vehicle records, licensing records, and any other information deemed necessary. I/We declare that all information listed on this application is true and accurate. 

    I Agree    (Type "I AGREE")

    Applicant's Full Name

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    Copyright © 2005 Deckard Homes P.O. Box 110 - Bloomington, IN - 47402
    Phone: 812.825.5579 - Fax: 812.825.5578 - All Rights Reserved

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