Take a virtual tour of our beautiful community and see what makes Blue Branch Manor special.
Fill out the form below and we'll get back to you as soon as possible.
Full Name
Email Address
Phone Number
Preferred Contact Method
PhoneEmailEither
Message (Optional)
I'd like learn about your Duplex Properties
Or call us directly at (816) 607-1075
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Complete the application below. Fields marked with * are required. Applicants must be 55 years or older.
For privacy, please do not enter Social Security numbers or bank account numbers anywhere in this form.
Application Details
Desired Move-in Date *
How did you hear about this property? *
Leasing Agent
Unit / Address
Rent
Deposit
Applicant Information
Applicant Full Name *
Date of Birth *
Marital Status
SingleMarriedWidowedDivorcedSeparatedPrefer not to say
Home Phone
Cell Phone *
Email Address *
Driver's License # *
Spouse / Co-Applicant (Optional)
Spouse/Co-Applicant Full Name
Date of Birth
Driver's License #
Cell Phone
Pets, Parking, and Policy
Animal(s) (number, type, weight, neutered/spayed?)
Animals may require an additional deposit.
Do you need a carport?
YesNo
THIS IS A NO-SMOKING UNIT/COMPLEX. I understand and agree.
No-Smoking Initials *
Residence History
Only the current address is required. Previous addresses are optional.
Current Address
Street Address *
City *
State *
Zip *
Rent (per month) *
From *
To *
Reason for Leaving *
Landlord/Manager Name *
Landlord Phone *
Previous Address #1 (Optional)
Street Address
City
State
Zip
Rent (per month)
From
To
Reason for Leaving
Landlord/Manager Name
Landlord Phone
Previous Address #2 (Optional)
Employment & References
Applicant Employment
Employer *
How long? *
Employer Phone *
Position *
Employer Address *
Income Amount *
Income Frequency *
Per weekPer monthPer year
Spouse/Co-Applicant Employment (Optional)
Employer
How long?
Employer Phone
Position
Employer Address
Income Amount
Income Frequency
If Retired: Monthly Income
If Retired: Income Source
Other Income (investments, savings, stocks, etc.)
Bank Name (Optional)
Closest Relatives
Closest Relative (Applicant) *
Relationship *
Phone (Applicant Relative) *
Closest Relative (Spouse/Co-Applicant)
Relationship
Phone (Spouse Relative)
Vehicles
Vehicle #1
Year
Make
License Plate
Vehicle #2
Screening Questions
Have you ever been evicted or asked to move by a landlord? *
If yes, provide the address, landlord and reason
Are you currently charged with, or have you ever been convicted of / pled guilty to / placed on probation for any crime (excluding traffic violations)? *
If yes, provide date, jurisdiction, and nature of the crime
Required Documents
Photo Identification *
Proof of Income (Pay stubs and/or bank statements) *
If uploading bank statements, please redact account numbers.
Authorization & Signatures
I authorize Blue Branch Manor, LLC to obtain a credit report and to investigate, verify, and share information supplied in this application with employers, landlords, creditors, and references. I understand falsification is grounds for denial and/or termination of tenancy. I confirm all applicants are 55 years old or older.
Applicant Signature (type full name) *
Date *
Co-Applicant Signature (type full name)
Date
Questions? Call us at (816) 607-1075
I'd like to schedule a tour
