Name FICO score must be a minimum of 620 in determining eligibility. NOTE: This is a secure site. All of your information is encrypted and sent to us in a secure manner. Please complete and submit the pre-application form below. Each adult applicant (18 years and older) must complete the application process. If you are pre-approved, you will need to complete an in-depth Rental Application prior to signing a lease agreement. For a printable PDF of our in-depth Rental Application, click here. Name (first & last) * Email * Phone (include area code) * Date of Birth * Driver's License Number & State Issued * Social Security Number * Current Address (Street) * City, State and Zip * EMPLOYER *If you have more than one (1) employer, you can provide the additional employer information on the in-depth rental application. Company * Job Title * Salary * Number of Years Employed * CURRENT LANDLORD Current Landlord's Name * Current Landlord's Phone Number * PETS Do You Have a Pet? * Yes No ADDITIONAL OCCUPANTS Others Who Will Occupy Property and Their Ages Are Any Additional Occupants Age 18 or Older? * Yes No Have you ever been convicted of a felony? * Yes No *Gateway Realty reserves the right to deny your application for any reason not prohibited by law. Acceptance This document has been electronically signed, and by checking this box, I/we are giving Gateway Realty of North Platte, Inc. permission to contact the above references and complete a credit check. Signature * A NON-REFUNDABLE $20 application fee is required for each applicant age 18 and older. You will be directed to the payment page after clicking on "Submit Form" below. Gateway Realty Realty of North Platte, Inc. 111 Halligan Drive North Platte, NE 69101
