Online Application

pdf-small You can download our Application Form in editable PDF format

Submit completed Rental Application to The Birches Townhomes by email to:

Birches Townhomes: bellwells@aol.com – Kim 701-509-2027 Mailing address: 208 34th St., E OFC, Williston, ND 58801

General Information

Occupancy Date

Applicant's Full Name:

Date Of Birth:

Phone (H/C): (W): Email:

SSN: Drivers License #:

Current Address:

Owner/Management Company: Phone:

How Long: Monthly Payment:

Reason For Moving:

Employment History

Current Employer and Address:

Supervisor & Phone: Length of Employment:

Position: Monthly Earnings From All Sources:

Vehicle Information

Make/Model and Year: License #:

Emergency Information

Name: Relationship: Phone:

Each applicant understands that all information given above is true and accurate and hereby authorizes verification of all references, including credit reports and background/criminal checks. Additional information may be requested. Applicant waives all claims and releases from liability any person(s) providing or obtaining said verification, additional information and/or documents.

Applicant's Digital Signature: Date: