MADISON HEIGHTS
Madison, Indiana
LEASE APPLICATION
You may either print out a Lease Application to fill out and mail, fax or bring in to our office
or
You can fill in the information boxes below and click the "Submit" button to email
Click on the App Image
below to print
LEASE APPLICATION
The following information may be submitted to prior landlords and employers for references. A copy of a recent credit report from www.annualcreditreport.com may be required as an attachment to this application.
Date of Application:
NAMES OF ALL OCCUPANTS:
1:
2:
3:
4:
Social Security #:
Relationship:
SS#:
Relationship:
Relationship:
Mail to:
Madison Heights Rental Office
1300 Osage Drive
Madison, IN 47250
Fax to:
812-265-3614
Or Drop by the Office During Regular Business Hours
LIST LAST TWO ADDRESSES AND LANDLORD OR MORTGAGOR INFORMATION:
Current or most recent address:
Phone#:
Arrival and Departure Dates:
Current Landlord or Mortgagor:
Landlord's Phone:
Reason for Changing Residence:
Phone#:
Arrival and Departure Dates:
EMPLOYMENT INFORMATION:
Landlord or Mortgagor:
Phone:
Previous Address:
Phone:
Employer:
Occupation:
Phone:
Employer:
Occupation:
MISCELLANEOUS INFORMATION:
Date When Needed:
Number of Parking Spaces Needed:
Do You have Any Pets:
How Many:
What Type:
TYPE OF APARTMENT PREFERRED:
CLICK THE SUBMIT BUTTON TO EMAIL ----->
RENTAL OFFICE HOURS
Monday - Friday 8-6
Saturday 8 - Noon
RENTAL OFFICE LOCATION
1300 Osage Drive
Madison, IN 47250
(812) 273-5057 or (812) 701-1510
Tony Waltz,
Owner/Property Manager
Apartments
and Townhouses
"Madison's Favorite Address"
