Application Form

Rush Hal Rental Application

Terms of the application
Below you'll fill out all the required information and then click 'Submit & Sign'. Next you'll be taken to a screen where you'll review the application and sign it digitally. It'll be submitted to us automatically, then you'll be directed to our online payment portal to pay your application fee. Note: You need to fill out this form all at once. You cannot save it and continue later.
Name of Complex, or Address you're applying for*
How many bedrooms are in the dwelling you're applying for?*
How long of a lease term would you like?*
*Note that rent prices are based off of a 12 month lease term. Rent will increase per month with a term shorter than 12 months.
When would you like the lease to start?*
MM slash DD slash YYYY
How much is the rent per month?*
How did you hear about us?
*
- Newspaper
- Online
- Referral
- Social Media
- Other (If other, please explain below)
Fill out below for "Other"*
Primary Applicant
Applicant First Name*
Applicant Middle Name*
Applicant Last Name*
What is your phone number?*
What is your Social Security number?*
Next, tell us your date of birth*
MM slash DD slash YYYY
We also need your Email address*
Will there be a Co Applicant?*
Co Applicant
Co Applicant First Name*
Co Applicant Middle Name*
Co Applicant Last Name*
Co Applicant's phone number?*
Co Applicant's Social Security number?*
Co Applicant's date of birth*
MM slash DD slash YYYY
Co Applicant's Email address*
Will you have any other occupants?*
Other Occupant 1
Other Occupant 1's Full Name*
Other Occupant 1's Date of Birth*
MM slash DD slash YYYY
Other Occupant 1's Social Security Number*
Applicant's relationship to Other Occupant 1*
Other Occupant 2
Other Occupant 2's Full Name*
Other Occupant 2's Date of Birth*
MM slash DD slash YYYY
Other Occupant 2's Social Security Number*
Applicant's relationship to Other Occupant 2*
Other Occupant 3
Other Occupant 3's Full Name*
Other Occupant 3's Date of Birth*
MM slash DD slash YYYY
Other Occupant 3's Social Security Number*
Applicant's relationship to Other Occupant 3*
Applicant's Marital Status
*
Some Important Questions
Has anyone named on this application ever been convicted of a felony?*
Since you answered yes, will you please explain the felony below?*
Do you have any pets?*
Since you have pets will you list how many and what breed?*
Have you ever lived in a Rush-Hal Property?*
Will you please tell us which property and when?*
What is your current address?
*
Street Address Apt # City State ZIP Code
What was your rent amount?*
How long have you been there?*
What is your landlord's name?*
What is your landlord's phone number?*
Date moved out?*
MM slash DD slash YYYY
Reason for moving*
Previous Address
Since you indicated you have lived at your current address for less than 2 years please provide the following information to us.
*
Street Address Apt # City State ZIP Code
What was your rent amount?*
How long were you there?*
What is your landlord's name?*
What is your landlord's phone number?*
Date moved out?*
MM slash DD slash YYYY
Reason for moving*
In Case of Emergency
Emergency contact's name*
First Last
Phone*
*
Street Address Address Line 2 City State ZIP Code
What is your relationship with this emergency contact?*
Bank Reference
Checking Account Bank Name*
Checking Account Bank Address*
Checking Account Bank City/State/ Zip*
Savings Account Bank Name*
Savings Account Bank Address*
Savings Account Bank City/State/Zip*
Applicant's Annual Income
*
Co Applicant's Annual Income
*
Employment
Applicant's Employer*
Applicant's Employer Address*
How long have you been there?*
Applicant's Employer Phone*
Co Applicant's Employer*
Co Applicant's Employer Address*
How long have you been there?*
Co Applicant's Employer Phone*
Vehicles
Applicant Driver's License #*
Applicant Driver's License State*
Applicant Driver's License Expires*
MM slash DD slash YYYY
Vehicle #1 Model*
Vehicle #1 License Plate #*
Vehicle #1 License Plate State*
Co Applicant Driver's License #*
Co Applicant Driver's License State*
Co Applicant Driver's License Expires*
MM slash DD slash YYYY
Will there be a second vehicle?*
Vehicle #2 Model*
Vehicle #2 License Plate #*
Vehicle #2 License Plate State*
Date*
MM slash DD slash YYYY
Signature*
Signature Name*
Terms & Conditions*
- I have read and reviewed all the information in the popup

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About Us

Rush Hal is the premier housing rental company in Central Arkansas. We have luxury single-family houses, townhouses, duplexes, garden homes and apartments located in Conway, Vilonia and Maumelle. Our rentals feature premium features like garden tubs, crown molding, all appliances, stained concrete flooring and more.

Application Form

Rush Hal Rental Application

Terms of the application

How did you hear about us?

Primary Applicant

Co Applicant

Other Occupant 1

Other Occupant 2

Other Occupant 3

Applicant's Marital Status

Some Important Questions

What is your current address?

Previous Address

In Case of Emergency

Bank Reference

Applicant's Annual Income

Co Applicant's Annual Income

Employment

Vehicles

How Can We Help?

Find YOUR Perfect Place

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About Us

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