Renter Application

Easy and Convenient

 
Opening Times
Monday – Friday:
08:00am – 4:30pm
 
Our Location
P.O. Box 56
1119 W Spring Street Brownstown, IN 47220
 
Customer Service
Phone: (812) 358-3654

    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.

    Ethnicity:

    Hispanic or LatinoNOT Hispanic or LatinoN/A

    Race:

    American IndianAsianNative Hawaiian or other Pacific IslanderBlack or African AmericanWhiteN/A

    Gender:

    MaleFemaleN/A

    Decline:

    I Do Not Wish To Furnish Information

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