Rasmussenville Apartments, your first choice for Apartment Rentals in York Nebraska

Here you can submit a rental application directly online using the Residency Application form below. Please fill in each field (note some fields are required). Once completed, click the submit button. Your information will be sent directly to Rasmussen Apartments. Upon receiving your application, we will be in contact with you to obtain additional information.

You can also print off an application and submit a paper copy if desired. Please click the Download File button at the bottom of this page to do so. Paper applications can be delivered to Rex Rasmussen at Napa Auto Parts located in York, Nebraska at 1020 North Lincoln Avenue.

Please contact us with questions regarding the rental application.

Residency Application

Rasmussen Apartments
721 W. Nobes Rd., York, NE 68467
402-362-4452 or 402-366-2847

* Indicates required field

I hereby make application to rent _____________________ to be used as a dwelling unit and for no other purpose. *

Margarita Place Apartments Hazelwood Apartments Garage Mahal

APT. # *

Personal Information:

Name *

First

Last

Date of Birth *

Current Address *

Email *

Phone *

Have you ever been charged with or convicted of a felony? *

Have you ever filed for bankruptcy? *

If yes, please explain: *

If yes, what was the date? *

Rental History:

Current Address *

Landlord Name *

Rent Payment *

Landlord Phone *

Reason for Moving *

How long did you live there? *

Previous Address *

Landlord Name *

Rent Payment *

Landlord Phone *

Reason for Leaving *

How long did you live there? *

Employment:

Present Employer *

Phone *

Address *

Monthly Take-Home Pay *

Length of Employment *

Other Income *

Monthly Take-Home Pay *

References:

Personal Reference (No Relatives) *

Phone *

Address *

Emergency Contact Information:

Nearest Relative & Their Relationship to You *

Phone *

Address *

In Case of Emergency, Please Notify *

Phone *

Address *

Please List Names of All Persons Who Will Occupy These Premises *

Automobile:

Make *

Color *

Model *

License State & Number *

I hereby state and represent that the information in this application is complete and accurate. I understand that in the event a lease is entered into it may be cancelled by the Landlord if any of the information provided in the application is materially inaccurate or incomplete. I authorize Rex/Maggie Rasmussen to verify the above information. A credit report and background check will be obtained on all applicants. If I should cancel this application after 2 days from the date of application, the ENTIRE deposit will be retained as termination charges. I also understand that PETS ARE NOT ALLOWED.

Lease Term *

Rental Rate *

Move-In Date (rent will be charded from this date) *

Security Deposit *

Applicant Signature & Date *

By typing your name, you are stating all information is accurate and will serve as electronic signature in the same manner as a written signature.

Applicant Signature & Date *

By typing your name, you are stating all information is accurate and will serve as electronic signature in the same manner as a written signature.

Submit

Paper Rental Application

Download Rental Application
File Size:	33 kb
File Type:	pdf

Download File

Rasmussenville Apartments, your first choice for Apartment Rentals in York Nebraska

Residency Application

Rasmussen Apartments
721 W. Nobes Rd., York, NE 68467
402-362-4452 or 402-366-2847

Personal Information:

Rental History:

References:

Emergency Contact Information:

Paper Rental Application

More Information on Apartment Rental Complexes

Margarita Place Apartment Rentals Information

Hazelwood Apartment Rentals Information

Garage Mahal Apartment Rentals Information

Rasmussenville Apartments, your first choice for Apartment Rentals in York Nebraska

Residency Application

Rasmussen Apartments721 W. Nobes Rd., York, NE 68467402-362-4452 or 402-366-2847

Personal Information:

Rental History:

﻿References: ﻿

Emergency Contact Information:

Paper Rental Application

More Information on Apartment Rental Complexes

Margarita Place Apartment Rentals Information

Hazelwood Apartment Rentals Information

Garage Mahal Apartment Rentals Information

Rasmussen Apartments
721 W. Nobes Rd., York, NE 68467
402-362-4452 or 402-366-2847

References: