For Application information, please call (270) 272-1222. An application must be completed and returned along with a $25 application fee per married couple or a $25 application fee per unmarried co-tenant(s) and written consent for a background and credit check accompanied by copies of current paystub(s) or other income verification.

Please fill out the form below and submit online or click here for a printer-friendly version to fill out by hand. PRIOR TO SUBMITTING AN APPLICATION, PLEASE CHECK CURRENT AVAILABILITY AND VIEW UNIT IF POSSIBLE.

   
Desired Location:
Desired # of Bedrooms:
How did you find out about us? Explain if other:
   
Number of Applicants: 1    2     3     4
   
Applicant 1: Applicant 1 SSN#:
Applicant 1 DOB: Applicant 1 Sex:
   
Applicant 2: Applicant 2 SSN#:
Applicant 2 DOB: Applicant 2 Sex:
   
Applicant 3: Applicant 3 SSN#:
Applicant 3 DOB: Applicant 3 Sex:
   
Applicant 4: Applicant 4 SSN#:
Applicant 4 DOB: Applicant 4 Sex:
   
   
Others Living In Household:  
Name Age Sex DOB SSN
   
   
Child Support:  
Are you entitled to receive child support?   Yes    No
Is the child support court ordered?   Yes    No
What amount do you receive from child support/alimony/etc? Per
Do you pay for child care to enable you to work? Yes  No   Amt: per
Are all members of the household full time students?   Yes    No
Do you have a pet?   Yes    No   Pet Type:
Do you smoke?   Yes    No
   
   
Source Of Income Of All Persons Over 18 Years Of Age:
Employer Address Position Monthly
Gross
Phone Length of
Employment
Supervisor
 
Total Annual Income:
 
 
Credit and Financial Information:
Bank/Financial
Accounts
Account Number Bank/Institution Branch
Savings Account:
Checking Account:
Money Market or Similar Account:
 
Credit Accounts
& Loans
Type of Account
(Auto loan, Visa, etc)
Account
Number
Name of Creditor Amount
Owed
Monthly Payment
Major Credit Card:
Major Credit Card:
Loan:
Other Major Obligation:
   
   
Vehicle(s) Information:  
Year:
License Plate Number:
 
Make:
State:
 
Model:
Driver's License Number:
 
Color:    

Year:
License Plate Number:
 
Make:
State:
 
Model:
Driver's License Number:
 
Color:    
       
   
Do you own any real estate?   Yes    No       Value:
Have you filed for bankruptcy within the last 2 years?   Yes    No
   
   
Person to notify in case of emergency:
Name:
Telephone:
Address:
City:
State:
Zip:
   
   
Residence History - Present and Previous:  
Present Address:
City:        State:        Zip:        Phone:
How Long:     Rent Amt:      Reason For Move:

Previous Address:
City:        State:        Zip:        Phone:
How Long:     Rent Amt:      Reason For Move:
   
   
Tenant References:  
Name Address City, State, Zip Phone Number
   
   
Have you ever been evicted:   Yes    No     
If Yes, explain:
Have you or anyone in the house ever been convicted of a crime other than a traffic violation:
                                            Yes    No    
If Yes, explain:
Have you or anyone in your household been or are currently an illegal user of or addicted to a controlled substance or have you ever been convicted of the illegal manufacture or distribution of a controlled substance:                            Yes    No    
If Yes, explain:
   

I UNDERSTAND:  That the statements made on this application are considered a part of my lease (if accepted) and approval or disapproval will be based upon information furnished herein. If at any time it is determined that any information I have given is false, it will be a breach of the lease contract and appropriate action will be taken. I attest that all income information is true and correct.

By submitting this application, I/We authorize Hardin County Properties, LLC, Radcliff Properties, LLC, TransUnion, VeriCorp, or any other third party agent, to obtain information about me/us from my/our credit sources, credit bureaus, civil and/or criminal court records, motor vehicle records, current and previous landlords and employers and personal references. I/We authorize my/our credit sources, credit bureaus, current and previous landlords and employers, and personal references to disclose to Hardin County Properties, and/or Radcliff Properties, LLC, such information about me/us as either of them or their third party agents may request. I/We further authorize ongoing procurement of the above mentioned reports at any time during my/our tenancy and/or when necessary to aid in eviction and/or collection.
I/WE HAVE READ AND AGREE TO THESE TERMS

   

Application Completed By:
Completed By Co-Applicant (for multiple applicants only):
Completed By Co-Applicant (for multiple applicants only):
Completed By Co-Applicant (for multiple applicants only):

Daytime Phone Number:     Evening Phone Number:
E-mail Address:
What is 5+2?:
  

   
   
Design
Credit: