Rental Application


Each adult (18 or older) must fill out a separate application.

There is a non-refundable fee of $40/adult/married couple. All leases are 12 Month unless approved prior to completing application.

In order to complete your application for process please submit a copy of photo id/drivers license for all applicants over the age of 18 along with two most recent paystubs for proof of income to your Leasing Agent as quickly as possible.  If you are currently not working with an agent, we will assign one to you.



All Other Proposed Occupants

Rental/Residence History

Employment History

Current Employment

Spouse's Employment

Credit History

Savings Account

Checking Account

Credit Card

Auto Loan

Vehicles (Include vehicles belonging to other proposed occupants also)

References & Emergency Contacts

Nearest Relative Living Elsewhere



By signing the application you grant us permission to communicate with all the contacts listed in this section in the event we can’t locate you. Furthermore, if you abandon the apartment for any reason then you grant us permission to allow your relative listed above to remove all contents of the dwelling on your behalf.

General Information

Missouri Broker Disclosure

Agreement & Authorization Signature

I believe that the statements I have made are true and correct. I hereby authorize a credit and/or criminal check to be made, verification of information I provided and communication with any and all names listed on this application. I understand that any discrepancy, or false statements or lack of information may result in the rejection of this application. I understand that this is an application for a rental property with CJ Real Estate, Inc and/or Results Real Estate Services, LLC and does not constitute a rental or lease agreement in whole or part. I further understand that there is a non-refundable fee to cover the cost of processing my application and I am not entitled to a refund ever if I don’t get the property. Any questions regarding rejected applications must be submitted in writing and accompanied by a self-addressed stamped envelope. Acceptance of this application, and any monies deposited herewith is not binding upon Landlord until approved by Landlord in writing (NO PROPERTY WILL BE HELD WITHOUT A RESERVATION DEPOSIT EVEN IF APPROVED-IF APPROVED THE RESERVATION DEPOSIT SHALL BE CREDITED TOWARDS THE PROPERTY SECURITY DEPOSIT AT THE TIME OF LEASE SIGNING). If approved the landlord will hold the rental unit for 2 days, then if the applicant withdraws the application and all monies deposited shall be forfeited to the landlord. In Compliance with the FAIR CREDIT REPORTING ACT this notice is to inform you that the processing of this application includes but is not limited to making any inquiries deemed necessary to verify the accuracy of the information herein, including procuring consumer reports from consumer credit reporting agencies and obtaining credit information from the other credit institutions. The undersigned agrees this application and any information in reports will remain the property of CJ Real Estate, Inc and/or Results Real Estate Services, LLC and may be shared with the owner of the property applied for.

Each tenant will be automatically included in the community’s Property Damages Liability Waiver (PDLWTM) and therefore subject to an additional fee of $15.00 per month.