Renter Application

    Landlord Information

    INFORMATION FOR GOVERNMENT MONITORING PURPOSES

    The information requested by the Federal Government in order to monitor compliance with the Federal laws prohibiting discrimination against applicants seeking to participate in this program. You are not required to furnish this information, but are encouraged to do so. This information will not be used in evaluating your application or to discriminate against you in any way. However, if you choose not to furnish, we are required to note the race/ national origin of individual applicants on the basis of visual observation or surname.

    I Do Not Wish To Furnish Information

    Ethnicity:Hispanic or LatinoNOT Hispanic or Latino
    Race: American IndianAsianNative Hawaiian or other Pacific IslanderBlack or African AmericanWhite
    Gender: MaleFemale

    PLEASE NOTE * PHOTO UPLOAD IS OF YOUR PHOTO IDENTIFICATION OR DRIVERS LICENSE*