We’d love to hear from you. Reach out with questions or schedule a tour to see Blue Branch Manor in person.
Contact us using any of the methods below
1325 SW Minter Way, Grain Valley, MO 64029
(816) 607-1075
bluebranchmanor@gmail.com
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Full Name
Email Address
Phone Number
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Preferred Contact Method
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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
