Roseville Terrace Online Application

Welcome to Roseville Terrace! Applying to Roseville Terrace is safe, secure and easy.

Simply follow these five easy steps:

1. Please review the Rental Criteria and/or Resident Handbook 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 Roseville Terrace at Phone: 651-698-6111 or Email: davernpark@midcontinentmgmt.com. You will also need to make arrangements to pay the performance deposit. Application alone does not guarantee a unit. Units are not reserved without submitting the full deposit.

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 Roseville Terrace at 651-698-6111 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 $50.00
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Apartment Community Information

Date:02/16/2026 05:29:26 PM
The undersigned hereby makes application to rent the property located at or managed by
	Roseville Terrace 1760 FERNWOOD AV N ROSEVILLE MN 55113 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. Additional Comments*: Attach documentation files: (Picture ID and Income Documents i.e. paystubs or tax documents) [.pdf or .jpg files accepted]

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

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*:


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:

Pets
Name	Type (ex. dog, cat, etc.)	Breed	Weight	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. Please include both the first and last name of the landlord if it is an individual versus a company. 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. Please do not mark any of the required fields with, "NA".
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 and/or Resident Handbook (click here to view)
I acknowledge that I have read and understand the above requirements. *		Yes No


Alias 1:

Alias 2:

Alias 3: