Our Office
Get In Touch.

leasing@liveardenplace.com

Leasing Office Hours:
Monday – Friday: 9am to 6pm
Saturday: 9am to 5pm
Sunday: Closed

1810 Arden Creek Lane
Charlottesville, VA 22901

p: 434.295.3200
f: 434.295.3210

Take a Moment to
Send Us a Message.

Applicant Information
Name*
First Middle Last
Phone*
Email*
How did you hear about us?*
SSN
Date of Birth
Driver's License Number
State
Applicant Address Information
Present Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Rent or Own
- Rent
- Own
Move In Date
Move Out Date
Lease Expiration Date
Name of Apartment (If Applicable)
Present Landlord/Mortgage Company
Present Landlord/Mortgage Company Phone
Mortgage Account Number
Present Landlord / Mortgage Company Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Present Rent/Mortgage Amount
Previous Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Rent or Own
- Rent
- Own
Previous Move In Date
Previous Move Out Date
Name of Apartment (If Applicable)
Previous Landlord/Mortgage Company
Previous Landlord/Mortgage Company Phone
Mortgage Account Number
Present Employer
Present Employer Name
Present Employer Phone
Annual Salary
Present Employer Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Present Supervisor Name
First Last
Present Supervisor Phone
Position
Your Bureau/Dept.
When did you start with the present employer?
Please list and explain any other sources of income.
Prior Employer
Prior Employer Name
Prior Employer Phone
Annual Salary
Prior Employer Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Prior Supervisor Name
First Last
Prior Supervisor Phone
Prior Position
Start Date
End Date
Your Prior Bureau/Dept.
Military Experience (If Applicable)
Service Branch
Rank
Serial Number
Stationed At
From Date
To Date
Emergency Contact
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Relationship
Please List All Other Occupants
Name
First Last
Date of Birth
SSN
Driver's License Number
State
Name
First Last
Date of Birth
SSN
Driver's License Number
State
Name
First Last
Date of Birth
SSN
Driver's License Number
State
Personal References
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Relationship
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Relationship
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Relationship
Automobile Information
Make
Model
Year
License Plate Number
State
Make
Model
Year
License Plate Number
State
Digital Signature
Digital Signature
Digitally Signed By Applicant*
Email
*
- The applicant(s) makes the representations in this application knowing that management will rely on their accuracy and hereby authorizes any inquiries management wishes to make regarding credit, character, general reputation, personal characteristics, and mode of leasing. The applicant(s) release(s) management from any liability whatsoever for rejection of this application due to credit information received, or other management reasons for rejection.

Our Office Get In Touch.

leasing@liveardenplace.com

Take a Moment to Send Us a Message.

Applicant Information

Applicant Address Information

Present Employer

Prior Employer

Military Experience (If Applicable)

Emergency Contact

Please List All Other Occupants

Personal References

Automobile Information

Digital Signature

Digital Signature

Our Office
Get In Touch.

Take a Moment to
Send Us a Message.