Statewide Online Application

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Statewide Online Application
1309 28TH ST W
MINNEAPOLIS MN 55408
Phone:952-465-3584

Welcome
Application

Welcome to Statewide! Applying to Statewide is safe, secure and easy.

Simply follow these five easy steps:

1. Please review the rental criteria here to make sure you qualify for our residency requirements.

2. Before submitting your application, please verify the unit you want is available by contacting Statewide at Phone: 952-465-3584.

3. Complete all required fields on the application. Incomplete submissions may delay your application or cause your application to be rejected.

4. Pay the Non-Refundable Application Fee using a credit or debit card. Please note: If you do not receive a confirmation that payment was made, you will need to contact Statewide at 952-465-3584 before your application is processed. Applications will not be processed without payment.

5. If you would prefer to email, mail or hand deliver your application, please use this printable form here.

Application price $45.00
Continue

There is a $45 charge for any applicant over the age of 18.
* Required Fields

Apartment Community Information

Date:04/16/2024 12:18:34 AM
The undersigned hereby makes application to rent the property located at or managed by
	Statewide 1309 28TH ST W MINNEAPOLIS MN 55408 Please use the space below to enter the following information (if applicable): the specific address you are applying at including the unit number the move in date you are desiring any other questions you have or information you want to submit with your application If you've worked with a specific leasing agent please enter the name below. Have you ever lived at a property managed by MBG Property Management? If yes, what property/address and move in/out dates. Additional Comments*:

Applicant Information
Required Fields= * Application falsification is grounds for immediate denial of credit. Each applicant is required to complete their own separate application.
Name*:
First Name must have 2 characters Last Name must have 2 characters
Have you gone by any other names. (alias, maiden,etc)* Yes No


Alias 1:

Alias 2:

Alias 3:

Social Security Num*:		Phone - Home*:
Please enter a Social Security Number.		Please enter a Home Phone.
Date of Birth*:	(mm/dd/yyyy)	Phone - Work:

Drivers License:		Phone - Mobile:

DL State:		Email Address*:

How would you like your application fee returned? Mail Destroy It Hold it for Retreival

Will there be other occupants in your apartment?* Yes No

Other Occupants All legal adults are required to complete and submit separate applications.
Occupant #1 Name:
Please enter the Occupants First Name.		Please enter the Occupants Last Name.
Date of Birth:	(mm/dd/yyyy)	Relationship:
Occupant #2 Name:
Date of Birth:	(mm/dd/yyyy)	Relationship:
Occupant #3 Name:
Date of Birth:	(mm/dd/yyyy)	Relationship:

Do you have any pets?* Yes No

Pets
Type (ex. dog, cat, etc.)	Breed	Size (lbs.)	Color

Please enter type of pet. Please enter breed of pet. Please enter size of pet.

Housing History
Please include all addresses from the past 7 years. A complete mailing address that includes building number, street name, city, state and zip code is required for submission. Incomplete or inaccurate submissions will create undo delay
Current Address*:	Apt
	,
Landlord*:
Landlord Phone*:		Landlord Email:
Dates Occupied*:	(mm/dd/yyyy)	to:	(mm/dd/yyyy)
Rent Paid*:	$

Do you have a Previous Address? * Yes No

Previous Address 1:	Apt
	,
Landlord:
Landlord Phone:		Landlord Email:
Dates Occupied:	(mm/dd/yyyy)	to:	(mm/dd/yyyy)
Rent Paid:	$

Do you have another Previous Address? Yes No

Previous Address 2:	Apt
	,
Landlord:
Landlord Phone:		Landlord Email:
Dates Occupied:	(mm/dd/yyyy)	to:	(mm/dd/yyyy)
Rent Paid:	$

Do you have another Previous Address? Yes No

Previous Address 2:	Apt
	,
Landlord:
Landlord Phone:		Landlord Email:
Dates Occupied:	(mm/dd/yyyy)	to:	(mm/dd/yyyy)
Rent Paid:	$

Source of Income
Do you have a Source of Income?* Yes
Income #1	All applicants are required to income qualify. Please include all current sources of income. Unverifiable income will not be taken into consideration. Please include previous employment if your current source of income is less than 6 months old.
Employer Name*:			Current Previous
Employer Address*:
	,
Supervisor*:
Phone*:		Email:
Date Start*:	(mm/dd/yyyy)	Date End:	(mm/dd/yyyy)
Position/Title*:
Salary* $		Full time Part time Other Hours Per Week:
Estimated Income:	$0 Hourly, $0 Monthly, $0 Annually

Do you have another source of income? Yes No
Income #2
Employer Name*:			Current Previous
Employer Address*:
	,
Supervisor*:
Phone*:		Email:
Date Start*:	(mm/dd/yyyy)	Date End:	(mm/dd/yyyy)
Position/Title*:
Salary* $		Full time Part time Other Hours Per Week:
Estimated Income:	$0 Hourly, $0 Monthly, $0 Annually
Do you have another source of income?* Yes No
Income #3
Employer Name*:			Current Previous
Employer Address*:
	,
Supervisor*:
Phone*:		Email:
Date Start*:	(mm/dd/yyyy)	Date End*:	(mm/dd/yyyy)
Position/Title*:
Salary* $		Full time Part time Other Hours Per Week:
Estimated Income:	$0 Hourly, $0 Monthly, $0 Annually

Bank References
Bank #1
Bank Name:		Phone:
Account Number:		Type Savings Checking
Address:
	,
Do you have another bank account? Yes No
Bank #2
Bank Name:		Phone:
Account Number:		Type Savings Checking
Address:
	,

Personal References
Reference #1	(Closest Relative)
Name*:		Relationship*:
Phone*:
Must have a Reference Name Must have a Phone number Must have a Relationship Type
Reference #2	(Not related)
Name*:		Relationship*:
Phone*:
Must have a Reference Name Must have a Phone number Must have a Relationship Type
Reference #3	(Emergency Contact)
Name*:		Relationship*:
Phone*:
Must have a Reference Name Must have a Phone number Must have a Relationship Type

Other Information
Auto #1
License Plate#:		Plate State:
Make:		Model:
Description(color,etc):		Year:
Do you have another vehicle that will be parked on the property? Yes No
Auto #2
License Plate#:		Plate State:
Make:		Model:
Description(color,etc):		Year:

History
Have you ever been convicted of a felony? *		Yes No
Felony Date: (mm/dd/yyyy) Please provide details of where it occurred and what you were convicted of.
Have you ever been convicted of a misdemeanor?*		Yes No
Misdemeanor Date: (mm/dd/yyyy) Please provide details of where it occurred and what you were convicted of.
Have you ever filed for bankruptcy?*		Yes No
Bankruptcy Date: (mm/dd/yyyy)
Have you ever been evicted?*		Yes No
Eviction Date: (mm/dd/yyyy) Please provide details including the address of the eviction and reason for eviction.

Referred by:

Application Criteria
Please review the rental criteria (click here to view)
I acknowledge that I have read and understand the rental criteria. *		Yes No

Authorization to Process Application

All applicants will be required to provide proof of identity prior to the execution of a lease. Valid forms of personal identification may include VALID, GOVERNMENT ISSUED, PHOTO identification that matches EXACTLY to the information provide on this Application For Apartment Occupancy. Variations of personal identifiers or discrepancies between the information provided on this form and the identification you provide may adversely impact this Application For Apartment Occupancy.

APPLICANT DISCLOSURE AND RELEASE FOR CONSUMER
AND INVESTIGATIVE CONSUMER REPORTS

I, , invoke the rights granted to me as a consumer under the Fair Credit Reporting Act, as amended, to direct Rental Research Services, Inc., 7525 Mitchell Road, Suite 301, Eden Prairie, Minnesota 55344, (800) 624-7422, to investigate, exchange data and furnish consumer reports and/or investigative consumer reports to MBG Property Management who owns or manages Statewide 1309 28TH ST W MINNEAPOLIS MN 55408 for the following purposes:

- In direct connection with my Application For Apartment Occupancy and the correlating extension of credit;

- the regular review of my credit capacity and general reputation during the entire length of my lease;

- the review of updated information at the time of any lease renewal or transfer of units;

- the results of any reinvestigation or dispute conducted as part of a consumer review; and

- the collection of any and all unpaid monies owed pursuant to the terms of the lease.

I understand that the foregoing information is supplied to MBG Property Management and Statewide to induce them to rent to me and is true and correct in all respects. This is a transaction which I have voluntarily initiated.

I authorize whatever credit investigation Rental Research Services, Inc., MBG Property Management and Statewide consider appropriate. This investigation may include, but is not limited to, the exchange of information from any source I listed on this Application For Apartment Occupancy, which may become part of an investigative consumer report, as more fully discussed below.

I authorize the release of income and employment information from:

My current and previous employers:

as well as rental history from:

I understand that this information may be used by Rental Research Services, Inc., to prepare, at my request, an investigative consumer report as defined by the Fair Credit Reporting Act. I understand that an investigative consumer report is a special type of consumer report that is obtained through interviews and may contain information concerning my character, general reputation, personal characteristics, and/or mode of living. I understand that upon my written request within a reasonable period of time, a complete disclosure of the nature and scope of that investigation will be made to me in writing within five days of the date on which my request was received. Lastly I acknowledge that I have been provided a link to a copy of "A Summary of Your Rights Under the Fair Credit Reporting Act" and have had the opportunity to review the summary.

I hereby forever and without exception release said listed current and previous employers, sources of income and landlords from any and all liability arising out of their disclosure of information about me pursuant to this Release. This Release is valid for the entire term of my lease, or as allowed by law.

By selecting the option 'YES' I understand that if my application is submitted, I will be bound by the terms, conditions, and limitations listed above. By typing in my name in the box below, I am providing the parties listed above my digital signature.

I am submitting this rental application.

YES - Process my application NO - Cancel my application

This field is required.
Submit Application

www.rentalresearch.com