Rental Application

Each application has a $40.00 fee of which $11.50 can be made payable to Aterra Real Estate and submitted using the online payment portal or via check to 1001 Grand Ave. The remaining $28.50 will be paid to 3rd party background check after we receive completed application. Aterra Real Estate may request additional documentation including but not limited to: Photo ID, pay stubs, signatures or other affirmations.
  • Date Format: MM slash DD slash YYYY
  • xxx-xx-xxxx
  • AddressMove In DateRent/Mortgage ($)Landlord/Mortgage CompanyLandlord/Mortgage - ContactReason for Leaving
  • AddressMove In DateMove Out DateRent or Own?Landlord/Mortgage CompanyLandlord/Mortgage - ContactReason for Leaving
  • Employer/Source of IncomePhone NumberBusiness AddressPositionStart DateSupervisorMonthly Income 
  • CreditorAccount #BalanceMonthly Payments 
  • NamePhone NumberAddressRelation 
    (Related to applicant)
  • NamePhone NumberAddressRelation 
    Note: In the event rent is ever more than six (6) days past due and manager has been unable to reach any lessee by phone, email, or regular mail, your submission of this form indicates approval that Property Manager may contact the above listed "Emergency Contact" as this may be an indication of an emergency.
  • BreedAgePet NameVeterinary ClinicSpayed/NeuteredDeclawed 
    Pets may have additional requirements for tenancy at certain locations.
  • YearMakeModelLicense #State 
    Please select all that apply.
    Thoroughly read each section & check each box to acknowledge that you understand & agree to the terms.