Secure Link to Steeple View Lofts Residency Application

If you’re age 55 or over, download a printable PDF of our application here and mail it to us, or fill out the secure online application below.

Choosing the mailed PDF option will not impact the priority given to you by expressing an early interest in Steeple View Lofts.

Online Application

Application is for those age 55 and over. Please fill out this application form and we will get in touch with you shortly.

Step 1 of 10 - Personal Data - Applicant #1

Desired Apartment Size
- One bedroom
- Two bedroom
- Either
- Specific Request Apt. No.
PERSONAL DATA: APPLICANT #1 (SINGLE OCCUPANCY)
Name of Applicant #1
First Last
Phone
format (xxx) xxx-xxxx
Email*
Address
Enter your address in the box below

Street Address Address Line 2 City State ZIP Code
Years at Above Address?
Enter in the box below
Date of Birth
MM
DD
YYYY
Age
Marital Status
- Single
- Married
- Widowed
- Divorced
- Other
Share Residence With:
Spouse's Name
First Last
Previous Address?
Enter address in the box below

Street Address Address Line 2 City State ZIP Code
Years at Previous Address?
Enter in the box below
If Appointed, Power of Attorney
First Last
Power of Attorney Phone
format (xxx) xxx-xxxx
Power of Attorney Address
Enter address in the box below

Street Address Address Line 2 City State ZIP Code
Relationship with Power of Attorney

APPLICANT #2 (CO-APPLICANT)
Name of Applicant #2
First Last
Phone
format (xxx)xxx-xxxx
Address
Enter address in the box below

Street Address Address Line 2 City State ZIP Code
Years at Above Address?
Enter in the box below
Date of Birth
MM
DD
YYYY
Age
Marital Status
- Single
- Married
- Widowed
- Divorced
- Other
Share Residence With
First Last
Spouse's Name
First Last
Previous Address?
Enter address in the box below

Street Address Address Line 2 City State ZIP Code
Years at Previous Address?
If Appointed, Power of Attorney
First Last
Power of Attorney Phone
format (xxx) xxx-xxxx
Power of Attorney Address
Enter address in the box below

Street Address Address Line 2 City State ZIP Code
Relationship with Power of Attorney

Persons to be contacted if unable to get in touch with applicant(s):
e.g. spouse, children, or significant other
Person #1 Name
First Last
Person #1 Relationship
Person #1 Address
Enter address in the box below

Street Address Address Line 2 City State ZIP Code
Person #1 Email Address
Person #1 Phone (home)
format (xxx)xxx-xxxx
Person #1 Phone (work)
format (xxx)xxx-xxxx
Person #1 Phone (mobile)
format (xxx)xxx-xxxx
Person #2 Name
First Last
Person #2 Relationship
Person #2 Address
Enter address in the box below

Street Address Address Line 2 City State ZIP Code
Person #2 Email Address
Person #2 Phone (home)
format (xxx)xxx-xxxx
Person #2 Phone (work)
format (xxx)xxx-xxxx
Person #2 Phone (mobile)
format (xxx)xxx-xxxx

ADDITIONAL INFORMATION: APPLICANT #1
Are You Employed?
- Full-Time
- Part-Time
- Not Employed
Name of Employer
Position
Years of Service
Significant Volunteerism
Hobbies or Special Interests

ADDITIONAL INFORMATION: APPLICANT #2
Are You Employed?
- Full-Time
- Part-Time
- Not Employed
Name of Employer
Position
Years of Service
Significant Volunteerism
Hobbies or Special Interests

PETS
Application will be made to include a pet in my household
Approved pets: dogs, cats, birds, fish. Reptiles are not permitted. Additional limitations provided upon request.
- Yes
- No
If so, please describe your pet
Pet's Weight

HOUSEHOLD FINANCIAL STATEMENT
Assets: Checking, Savings & CDs
No need to enter dollar signs, cent signs, periods or commas.
Assets: Mutual Funds, Stocks & Bonds
No need to enter dollar signs, cent signs, periods or commas.
Assets: Trust Funds
No need to enter dollar signs, cent signs, periods or commas.
Assets: Revocable Annuities
No need to enter dollar signs, cent signs, periods or commas.
Assets: Retirement Fund (IRA)
No need to enter dollar signs, cent signs, periods or commas.
Assets: Value of Business
No need to enter dollar signs, cent signs, periods or commas.
Assets: Loans to Others
No need to enter dollar signs, cent signs, periods or commas.
Other Assets
Please Specify:
Total of Assets
No need to enter dollar signs, cent signs, periods or commas.
Applicant's Monthly Income: Wages
No need to enter dollar signs, cent signs, periods or commas.
Applicant's Monthly Income: Social Security
No need to enter dollar signs, cent signs, periods or commas.
Applicant's Monthly Income: Pensions
No need to enter dollar signs, cent signs, periods or commas.
Applicant's Monthly Income: Annuities
No need to enter dollar signs, cent signs, periods or commas.
Applicant's Monthly Income: Dividends & Interest
No need to enter dollar signs, cent signs, periods or commas.
Applicant's Monthly Income: Rental Income
No need to enter dollar signs, cent signs, periods or commas.
Other Monthly Income
Please Specify:
Total Monthly Income
No need to enter dollar signs, cent signs, periods or commas.
Liabilities: Credit Card Debt
No need to enter dollar signs, cent signs, periods or commas.
Liabilities: Notes Payable
No need to enter dollar signs, cent signs, periods or commas.
Other Liabilities
Please Specify:
Total of Liabilities
No need to enter dollar signs, cent signs, periods or commas.

PERSONAL REFERENCES:
Name
First Last
Relationship
Address
Enter address in the box below

Street Address Address Line 2 City State ZIP Code
Email
Phone
format (xxx)xxx-xxxx
Name
First Last
Relationship
Address
Enter address in the box below

Street Address Address Line 2 City State ZIP Code
Email
Phone
format (xxx)xxx-xxxx
Name
First Last
Relationship
Address
Enter address in the box below

Street Address Address Line 2 City State ZIP Code
Email
Phone
format (xxx)xxx-xxxx

OPTIONAL INFORMATION
How did you hear about Steeple View Lofts?
e.g. personal referral, Google, Facebook, advertising, etc.
What is your motivation for moving to Steeple View Lofts?
I certify the above information to be true and correct and authorize Quality Living Choices (an entity of Landis Communities and Lessor of Steeple View Lofts) to research any above information for verification and to request a copy of my credit report. I understand that Quality Living Choices may request proof of financial status. I too understand there will be a criminal background check.
I understand that this application is not binding on Quality Living Choices or me. It simply expresses my interest in becoming a resident and all information is held in strict confidence.
By typing your name in the signature lines below, it carries the same weight as a signed signature.
Signature of Applicant #1
Date
MM
DD
YYYY
Signature of person completing application, if other than Applicant
Date
MM
DD
YYYY
Signature of Applicant #2
Date
MM
DD
YYYY
Captcha

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Secure Link to Steeple View Lofts Residency Application

Online Application

Step 1 of 10 - Personal Data - Applicant #1

PERSONAL DATA: APPLICANT #1 (SINGLE OCCUPANCY)

APPLICANT #2 (CO-APPLICANT)

Persons to be contacted if unable to get in touch with applicant(s):

ADDITIONAL INFORMATION: APPLICANT #1

ADDITIONAL INFORMATION: APPLICANT #2

MISC. ADDITIONAL INFORMATION

PETS

HOUSEHOLD FINANCIAL STATEMENT

PERSONAL REFERENCES:

OPTIONAL INFORMATION