Residential Rental Application

Property Applying For *

Applicant Name *

Co-Applicant Name *

Other Names Previously Used (including maiden) *

Best Phone Number *

Desired Lease Start Date *

Section 2. Applicant Information

Processing Fee: The Application and Credit Check Processing Fee is $39.95 PER APPLICANT. Employment, personal references, credit records, public records, current and previous property landlords' references and criminal records may be checked. This Processing Fee is NOT REFUNDABLE.

First Name *

Middle Name *

Last Name *

Social Security # *

Date of Birth *

Best Phone # *

Cell # *

Email *

Emergency Contact

Name *

Phone *

Relationship *

Previous Address Information

Do you have a previous address to report? *

Yes No

Present Address Information

Address *

City *

State *

Zip *

Is present Landlord related to you? *

Yes No N/A

How Long have you lived at this address? *

Rent/Mortgage Payment *

Present Landlord/Mortgage Co. *

Reason for Leaving *

Employment History

Current Employer *

Position *

City *

State *

Previous Employer *

How Long *

Gross Monthly Income *

Supervisor *

Supervisor Phone # *

Other Income *

Been sued for nonpayment of rent? *

Yes No N/A

Been sued for damage to rental property? *

Yes No N/A

Section 3. Co-Applicant Information

Do you have a co-applicant? *

Yes No

Section 4. Other Information - Occupants

Do you have other occupants (besides applicant/co-applicant)? *

Yes No

General Information

Will any smokers, including vaping, occupy the property? *

Yes No N/A

Do you currently carry renter's insurance? *

Yes No N/A

Do you currently have a pet? *

Yes No N/A

References

MUST HAVE TWO WITH ACCURATE CONTACT INFORMATION

Reference 1

Name *

Relationship *

Phone Number *

Years Acquainted *

Reference 2

Name *

Relationship *

Years Acquainted *

Picture ID Upload *

Please upload a clear photo of your government-issued ID (driver's license, passport, or state ID).

Choose File

Accepted formats: JPG, PNG, GIF, PDF (Max 5MB)

Please upload a picture ID. This field is required.

Section 5. Acknowledgement, Agreement and Authorization

Applicant(s) represents that all of the above statements are true and complete and authorizes verification of all of the above information by all means available, including employment, personal references, credit records, public records, current and previous property owners and criminal records by the Owner and/or Property Manager.

NOTICE: The above Property is offered for lease without regard to sex, race, religion, color, handicap, familial status, age or national origin.

RESIDENTIAL RENTAL APPLICATION

Section 2. Applicant Information

Emergency Contact

Previous Address Information

Present Address Information

Employment History

Section 3. Co-Applicant Information

Emergency Contact

Present Address

Previous Address

Employment History

Section 4. Other Information - Occupants

General Information

References

Reference 1

Reference 2

Picture ID Upload *

Section 5. Acknowledgement, Agreement and Authorization