Apply Now to Live at Vintage Blackman. For your convenience, we have provided an online rental application below that you will need to review and complete. If you would prefer to view or download a printable version, click here.Note: If you choose to print and complete, you will need to scan and email to leasing@vintageblackman.com or deliver in person to our leasing office. Please enable JavaScript in your browser to complete this form. Applicant InformationApplicant's Name *FirstMiddleLastDate of Birth *MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Social Security # (Applicant) *###-##-####Marital Status *MarriedSingleDivorcedSeperatedLayoutPhone Number *Type of Phone: *HomeMobileWorkEmail *sample@example.comLegal Spouse's Name, if applicableFirstMiddleLastDate of Birth (Spouse)MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Social Security # (Spouse)###-##-####Layout (copy)Phone Number (spouse)Type of Phone (spouse):HomeMobileWorkEmail (Spouse)sample@example.comAdditional OccupantsNAME, AGE, AND RELATIONSHIP OF ANYONE ELSE WHO WILL OCCUPY THE APARTMENT/HOMENameNameNameNameNameAgeAgeAgeAgeAgeRelationship to Primary ResidentRelationship to Primary ResidentRelationship to Primary ResidentRelationship to Primary ResidentRelationship to Primary ResidentPresent Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeHow Long Did You Stay at This Address? *1-3 months3-6 months6 months-1 year1-2 years2 years +Rent or Monthly Payment Cost * Landlord/Management Company/Mortgage Co. *Phone *Reason for Moving *Previous AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeHow Long Did You Stay at This Address?1-3 months3-6 months6 months-1 year1-2 years2 years +Rent or Monthly Payment Cost Landlord/Management CompanyPhoneLayoutHas applicant, spouse, or any other proposed resident ever been evicted from tenancy? *NoYesIf yes, explainLayout (copy)Has applicant, spouse, or any other proposed resident ever refused to pay rent when due? *NoYesIf yes, explainLayout (copy) (copy)Has applicant, spouse, or any other proposed resident ever filed for bankruptcy? *NoYesIf yes, explainLayout (copy) (copy) (copy)Has applicant, spouse, or any other proposed resident ever been convicted of a crime? *NoYesIf yes, explainList VehiclesLayout1. Make1. Color1. Model1. License Plate #1. Year1. StateLayout (copy)2. Make2. Color2. Model2. License Plate #2. Year2. StateLayout (copy)Drivers License # (applicant)StateDrivers License # (spouse)StateVEHICLES NOT ALLOWED WITHOUT WRITTEN PERMISSION. VEHICLES NOT APPROVED MAY BE TOWED AT OWNER’S EXPENSE. *I understandDo You Have Pets? *YesNoLayout1. Type1. Age1. NameHouse Broken?YesNo1. Breed1. WeightAny Other Pets? YesNoLayout (copy)2. Type 2. Age 2. Name House Broken?YesNo2. Breed 2. Weight Employment InformationEmployment InformationEmployer (Applicant) *Supervisor *Phone *Employer Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeLayoutPosition Held *How Long *Gross Salary *Salary per: *WeekMonthYearLayoutPrevious EmployerPosition HeldLayout (copy)Employer (Spouse)SupervisorPhoneEmployer AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeLayout (copy)Position HeldHow LongGross Salary Salary per:WeekMonthYearLayout (copy)Previous Employer (spouse)Position Held (spouse)In Case of Illness, Accident, Emergency, Please Notify (must be someone not living in household):Please provide emergency contact information below.LayoutName *FirstLastAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeRelationship *Phone *Phone Type *HomeMobileWorkAcknowledgmentBy signing below, I agree with the following: “I hereby make application for a home/apartment and certify that this information is correct, and I have read and understand the Resident Selection Criteria. I authorize landlord/agent to contact any references that I have listed and to obtain my consumer credit report from a credit reporting agency, which will appear as an inquiry on my file. I also understand that in the event I choose to pay a security deposit and admin fee, and I later determine I do not wish to occupy the property, my deposit and admin fee will be forfeited. I further understand that the application fee is not refundable even if this application is declined.” Review Resident Selection Criteria *I have read and understand the Resident Selection Criteria referenced above.Applicant Signature *Clear SignatureDate *Applicant SignatureClear SignatureDateAgree to Terms and Conditions (copy) *I hearby agree to the terms and conditions and verify the information I have detailed to be correct at the time of submission.Submit