VAZAG ORBIT PROPERTIES

Apply for a home

Takes about 15 minutes. We will contact you after we review your application.

1 · Which home?

Available homes

2 · About you

Legal first name Middle name Legal last name Preferred name (optional)What you would like us to call you, if different from your legal first name. Pronouns (optional) Other names you have used Email Phone Date of birth Social Security number (or ITIN)

Government photo ID ID number Issuing state

Desired move-in date People who will live here (including you) Pets Vehicles

Other occupants

3 · Employment and income

Employment status Employer Job title Employer phone Gross monthly pay ($) Other monthly income ($) Other income source (benefits, support, etc.)

4 · Where you live now and before

Current address

Street address City County State ZIP Monthly rent / payment ($) Moved in Moved out Landlord / lender name Landlord phone Landlord email Reason for leaving I own this home (no landlord)

5 · Rental and eviction history

Have you ever been evicted, or had an eviction case filed against you?

No Yes

Do you currently owe money to a landlord, or have you ever left a lease early without paying what you owed?

No Yes

6 · Criminal history

Have you been convicted of, or pleaded guilty or no contest to, a crime, or do you have pending criminal charges? (Do not include sealed or expunged records, or juvenile records.)

No Yes

A criminal record is not an automatic reason for denial. Every application is reviewed individually under the same written criteria.

7 · Emergency contact

Full name Relationship to you Phone Alternate phone Email Address

8 · References

9 · Anything else?

Anything else you would like us to know?

10 · Screening authorization

I have read the disclosure above and I authorize the screening described. Type your full legal name to sign I certify that the information in this application is true and complete, and I authorize VAZAG Orbit Properties to verify it with the employers, landlords and references I listed.

Equal Housing Opportunity. We consider every applicant under the same written criteria and do not discriminate on any basis protected by federal, state or local law.

Apply for a home

Application received ✓

1 · Which home?

2 · About you

Other occupants

3 · Employment and income

4 · Where you live now and before

Current address

5 · Rental and eviction history

6 · Criminal history

7 · Emergency contact

8 · References

9 · Anything else?

10 · Screening authorization