Every adult (18 or older) who will live in the unit must be on this application. You can add up to 3 more adults on step 2. Please enable JavaScript in your browser to complete this form.About you - Step 1 of 5Which property are you applying for? *— Choose a property —Hilltop Apartments - Lincoln City, ORColumbia Pointe - Hammond, ORMake sure this is right. Your application and fee go to the property you choose.Unit size *— Choose —One bedroomTwo bedroomThree bedroomMove-in date *Why are you moving? *Tell us about yourselfYour name *FirstLastDate of birth *Social security number *Employer *Monthly income before taxes *Wages, tips, Social Security, child support, housing assistance and other regular incomeHow long at this job? *Supervisor name and phone *Phone *Email *Current address *Address Line 1City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeHow long at this address? *— Choose —Less than 1 year1 to 2 years3-5 yearsMore than 5 yearsWill your current landlord give you a good reference? *YesNoCurrent landlord's name and phone *Please provide name and numberPlease explain the landlord reference *Provide all detailsNextEvery adult (18 or older) who will live in the unit must be on this application and be screened. The $50 fee is per adult.How many other adults (18 or older) will live in the unit? *— Choose —0123Choose the number of applicantsSecond adultApplicant 2 name *FirstLastDate of birth *Social security number *Employer *Monthly income before taxes *Wages, tips, Social Security, child support and other regular incomeHow long at this job? *Supervisor name and phone *Third adultApplicant 3 name *FirstLastDate of birth *Social security number *Employer *Monthly income before taxes *Wages, tips, Social Security, child support and other regular incomeHow long at this job? *Supervisor name and phone *Fourth adultApplicant 4 name *FirstLastDate of birth *Social security number *Employer *Monthly income before taxes *Wages, tips, Social Security, child support and other regular incomeHow long at this job? *Supervisor name and phone *PreviousNextOthers living with youWill anyone under 18 live in the unit? *YesNoName of person under 18 (#1)Date of birthName of person under 18 (#2)Date of birthName of person under 18 (#3)Date of birthName of person under 18 (#4)Date of birthAnimalsWill any animals live in the unit? *YesNoInclude every animal, including service and assistance animals.Service and assistance animals: if any of these animals is a service or assistance animal for someone with a disability, send us a request here (opens in a new tab, so you won't lose this application). You can also do it after you apply. Assistance animals are not pets, so pet deposits, pet rent and breed or size limits do not apply to them.Type of animalPet typeDogCatOtherBreedWeightIn poundsLicensed?SelectYesNoType of animalPet typeDogCatOtherBreedWeightIn poundsLicensed?SelectYesNoType of animalPet typeDogCatOtherBreedWeightIn poundsLicensed?SelectYesNoPreviousNextFailure to disclose any criminal or eviction history is grounds for your application being declined. We strictly follow Oregon Landlord Tenant Law in determining if you are qualified to rent from us.Has anyone on this application been convicted of a crime, or is anyone facing criminal charges now? *YesNoDon't include arrests that didn't lead to a conviction, or charges that were dismissed. Marijuana-only convictions don't count.Please explain *Please provide all details including dates, charges and dispositionsHas anyone on this application been evicted in the last 5 years? *YesNoDon't include cases that were dismissed or that you won, or cases over rent owed from April 2020 through February 2022.Please explain *Please provide all details including dates and circumstancesPreviousNextBy signing below, I/we certify that the above information is true, correct and complete and hereby authorize Landlord to perform a credit and background check and conduct any inquiries Landlord deems necessary to evaluate my proposed tenancy, including credit history. I/we understand that giving incomplete and/or false information is grounds for rejection of this application. Applicant 1 Electronic Signature *Type your full nameDateApplicant 2 Electronic Signature *Type full nameDateApplicant 3 Electronic Signature *Type full nameDateApplicant 4 Electronic Signature *Type full nameDateEmail *Submit