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Please fill out the application below for consideration to lease one of our rental properties. If you prefer a printed application, please see our Documents page on the website.

Application Criteria Agreement
Agree To The Following:*
Thank you for applying for our properties. The information provided on your application will be used for the following:

- A credit report (620 Minimum score required)
- A criminal background (Without felony Convictions)
- Verify your rental reference or home ownership of at least a year (without negative references)
- Verify your employment of at least a year (Monthly income must be 3 times the rental rate)

A full set of guidelines can be reviewed on this site by clicking on Documents and criteria. You may also call us at 859-296-4663 with questions.

If you meet these guidelines, click Yes below:
- Yes
Rental Information
Name of Rental Property (If Applicable)
Desired Move In Date*
MM slash DD slash YYYY
Property or Complex Address
Street Address City
Applicant Information
Applicant Name*
First Middle Last
Phone*
Email*
Date of Birth*
MM slash DD slash YYYY
Social Security Number*
Marital Status*
Maiden Name (If Applicable)
First Last
Spouse Information
If Applicable
Spouse's Name
First Middle Last
Spouse's Phone
Spouse's Email
Spouse's Social Security Number
Spouse's Date of Birth
MM slash DD slash YYYY
Spouse's Maiden Name (If Applicable)
First Last
Occupants Information
Total Number of Occupants*
Number of Adult Occupants (Over 18)
Number of Children (Under 18)
Occupants Under 18:
Name Date of Birth

Please include Name and Date of Birth for Each. Click + to add an additional child occupant.
Residence History 1
Current or Previous Address
Address*
Street Address Address Line 2 City State ZIP Code
Landlord Name or Company*
Landlord / Residence Phone*
Approximate Move In Date*
MM slash DD slash YYYY
Approximate Move Out Date*
MM slash DD slash YYYY
Rent Amount*
Reason for Leaving*
Residence History 2
Previous Address
Address
Street Address Address Line 2 City State ZIP Code
Landlord Name or Company
Landlord / Residence Phone
Approximate Move In Date
MM slash DD slash YYYY
Approximate Move Out Date
MM slash DD slash YYYY
Rent Amount
Reason for Leaving
Employment History
NOTE: Will have to submit last 3 paycheck stubs to management
Employed By*
Employer Phone
Approximate Start Date*
MM slash DD slash YYYY
Approximate End Date
MM slash DD slash YYYY

If Applicable
Employer Address*
Street Address Address Line 2 City State ZIP Code
Department or Position*
Supervisor's Name
First Last
If Applicable
Gross Monthly Income*
Any Other Income Sources
Spouse's Employment History
NOTE: Will have to submit last 3 paycheck stubs to management

If Applicable
Spouse's Employer
Spouse's Employer Phone
Spouse's Approximate Start Date
MM slash DD slash YYYY
Spouse's Approximate End Date
MM slash DD slash YYYY

If Applicable
Spouse's Employer Address
Street Address Address Line 2 City State ZIP Code
Spouse's Department or Position
Spouse Supervisor's Name
First Last
If Applicable
Spouse's Gross Monthly Income
Any Other Spouse Income
Emergency Contact Information
Person to Contact For Emergency*
First Last
Emergency Contact Phone*
Emergency Contact Address*
Street Address Address Line 2 City State ZIP Code
Special Information
If Applicable
Have you ever filed for bankruptcy?
Approximate Bankruptcy Date
MM slash DD slash YYYY
When was it discharged?
MM slash DD slash YYYY
Have you ever been evicted?*
Have you ever broken a lease agreement?*
Have you ever been convicted of a crime?*
If convicted, please explain:
Are you subject to a transfer?*
Military, Job Transfer, Etc...
Pet Information
Residents must have prior written approval from lessor to have a pet living in a rental unit. Renters with pets are required to provide renter's insurance.
Do you have a pet?*
Pet Information
If Applicable - type of pet, approximate weight when grown.
Agreement Information
A holding deposit is required to reserve a rental unit. If the applicant is not approved, said amount shall be refunded.

An application fee of $50 (per single adult or married couple) and $25 (per co-signer) is required to process any application and shall be non-refundable. Should this application be approved and Applicant fail to rent said rental unit, the amount received hereunder shall be retained by Management in consideration for reserving said rental unit for said period, unless notified by Applicant within 24 hours.
Deposit Agreement*
Time Date Initial
Applicant Agreements*
Must agree and check all boxes.
- Applicant agrees that Management shall not be liable for any delay in the date said rental unit is ready for occupancy.
- Applicant verifies above statements are true and authorizes verification of all references including a credit report.
- Falsification of application will constitute forfeiture of application deposit to be held as liquidated damages.
- Application must be filled out completely to be processed.
- Applicant agrees to a $50 application fee (per adult / married couple) and $25 (per co-signer).
CAPTCHA
Agreement Signature*
Setup Application Payment
By clicking the button below, you will be forwarded to our payment page. You will need create an account or login to finish your application payment. If you do not submit both an application and an application fee, we cannot process your application. Thanks!

Cierra has been employed with Assurance Realty since 2015 and handles all administrative aspects of the Real Estate Office including leasing, customer service, accounts receivable and management of the front desk. She enjoys watching movies and spending time with her family especially her to two little ones, Easton & Coraline.

I am a Kentucky native growing up in Somerset Kentucky area where I worked at my first job in property management while attending community college. I moved to Lexington in 1987 where I continued working in property management. I have worked for several large and small companies through the years with experience as a Leasing consultant, manager, and administrative assistant in a property management office, Assistant Property Supervisor, and Regional Property Supervisor, licensed Realtor and then Broker. In January 2013, After being the President & CFO of Premier Rentals & Property Management for 7 years, I started my own company, Assurance Realty & Property Management.

My Property Management experience for most of my career consisted of the management of aging multi-family properties requiring renovation. Once renovations were complete, the profile of the property was changed, and occupancy and collections were improved, I began preparing and staging the property for sale. My experience brings a great network of subcontractors, maintenance, and management personnel. In addition, my knowledge of the Lexington market and Landlord-Tenant Law help to maximize the value of the asset. This experience makes me a great fit for selling or fee management of real estate investment or a home-owners association.

Graduated 4^th with a Bachelor’s Degree in Business Administration from Alice Lloyd College in 1997. Her course work focus was Accounting, Management, & Marketing. Freida has over twenty years of work experience in various business fields and is married to her High School & College Sweetheart, Jason Fleming.

Name	Date of Birth

Contact Us

Application Criteria Agreement

Rental Information

Applicant Information

Spouse Information

Occupants Information

Residence History 1

Residence History 2

Employment History

Spouse's Employment History

Emergency Contact Information

Special Information

Pet Information

Agreement Information

Setup Application Payment