apply online

We are pleased to offer you our FREE online application!

Please note that all applicants over the age of 18 must apply individually.

Applicant Name

First Name

Last Name

Phone

(###)

###

####

I am applying to live at

Move-In Date

YYYY

Move-Out Date

YYYY

Number of Applicants

Date of Birth

YYYY

Social Security Number

Driver's License # and State

Other Occupants

*If you have children that will be living with you*

Current Address

Previous Landlord

Previous Landlord Phone #

Emergency Contact Name & Number

Current Employer

Current Employer Phone #

Current Employer Supervisor's Name

Type of Employment

Take Home Pay

Other Income

Select Student Status

Vehicle Information

Color and Year of Vehicle

License Plate

Do you have a pet

Weight / Breed of pet

Co-Applicant - Please note that all residents over the age of 18 must submit an application

If you are applying to live with another person enter their name here.

Electronic Signature*

Sign by Typing Full Name

I certify that I have never been convicted of a felony or any crime involving violence, fraud, or sexual offenses of any kind whatsoever. *

Type Full Name here or Describe Nature of Crime.

Applicant Full Name

* Please note that by submitting this application with your electronic signature, you are consenting to allow Koutroumbis Properties to obtain a consumer credit report and criminal record information for the purpose of determining whether to lease an apartment to you. You also agree that Koutroumbis Properties may obtain additional credit and criminal reports to update or review your account.

Apply Online

apply online

Please note that all applicants over the age of 18 must apply individually.

Koutroumbis Properties

985 Hughes Street, Fayetteville, AR 72701 | mkoutroumbis@gmail.com | 479.249.9876