Rental Application

1

Applicant Information

Property You Are Applying For

Enter the full street address, or city and state if you don't know the exact address.

Property Address *

First Name *

Middle Name

Last Name *

Date of Birth *

Social Security #

🔒 For your security, please provide your SSN in person or by phone. Do not include it here.

Driver's License #

🔒 Please provide your Driver's License # in person for your security.

Any Other Names Used

Home Phone

Cell Phone *

Email Address *

2

Other Proposed Occupants

List all other people who will be living in the unit, not including yourself.

Occupant 1 - Full Name

Occupant 1 - Date of Birth

Occupant 1 - Relationship

Occupant 2 - Full Name

Occupant 2 - Date of Birth

Occupant 2 - Relationship

Occupant 3 - Full Name

Occupant 3 - Date of Birth

Occupant 3 - Relationship

Occupant 4 - Full Name

Occupant 4 - Date of Birth

Occupant 4 - Relationship

3

Rental / Residence History

Current Residence

Street Address *

City *

State & Zip *

Last Rent Amount Paid *

Dates of Residency (From / To) *

Owner / Manager Name & Phone *

Reason for Leaving *

Name(s) utilities billed under *

Rent paid in full? *

Yes No

Did you give notice? *

Yes No

Asked to move? *

Yes No

Previous Residence

Street Address

City

State & Zip

Last Rent Amount Paid

Dates of Residency (From / To)

Owner / Manager Name & Phone

Reason for Leaving

Name(s) utilities billed under

Rent paid in full?

Yes No N/A

Did you give notice?

Yes No N/A

Asked to move?

Yes No N/A

Prior Residence

Street Address

City

State & Zip

Last Rent Amount Paid

Dates of Residency (From / To)

Owner / Manager Name & Phone

Reason for Leaving

Name(s) utilities billed under

Rent paid in full?

Yes No N/A

Did you give notice?

Yes No N/A

Asked to move?

Yes No N/A

4

Employment History

Current Employment

Employer Name *

Employer Phone *

Employer Address *

Occupation *

Supervisor Name *

Monthly Gross Pay *

Dates of Employment (From / To) *

Previous Employment

Employer Name

Employer Phone

Employer Address

Occupation

Supervisor Name

Monthly Gross Pay

Dates of Employment (From / To)

Prior Employment

Employer Name

Employer Phone

Employer Address

Occupation

Supervisor Name

Monthly Gross Pay

Dates of Employment (From / To)

5

Credit History

🔒 For your security, do not include full account numbers. Please provide bank name and approximate balance only.

Savings Account - Bank / Institution Name

Savings Account - Estimated Balance

Checking Account - Bank / Institution Name

Checking Account - Estimated Balance

Credit Card - Bank / Institution Name

Credit Card - Estimated Balance Owed

Auto Loan - Bank / Institution Name

Auto Loan - Estimated Balance Owed

6

Vehicles

Include all vehicles belonging to proposed occupants.

Veh. 1 Make

Veh. 1 Model

Veh. 1 Color

Veh. 1 Year

Veh. 1 Plate

Veh. 2 Make

Veh. 2 Model

Veh. 2 Color

Veh. 2 Year

Veh. 2 Plate

7

References & Emergency Contacts

By submitting you grant permission to contact these individuals if we are unable to locate you.

Emergency Contact 1 REQUIRED

Name *

Phone *

Street Address *

City *

State & Zip *

Relationship to Applicant *

Emergency Contact 2 OPTIONAL

Name

Phone

Street Address

City

State & Zip

Relationship to Applicant

8

General Information

Ever been served a late rent notice? *

YesNo

Do any occupants smoke? *

YesNo

How long do you expect to rent? *

When can you move in? *

Ever filed for bankruptcy? *

YesNo

If yes, when?

Ever convicted of a felony? *

YesNo

Ever been served an eviction notice? *

YesNo

If eviction notice, when?

Pets — Type, Breed, approximate Weight & Age *

Any recurring problems with current apartment or landlord? *

Why are you moving from your current address? *

Additional verifiable income sources you want considered (optional)

If you could not pay rent, who would loan you the money? (Name, address, phone)

Have you been party to a lawsuit? If yes, explain. *

Anything negative on a credit or background check you want to comment on?

9

Agreement & Authorization

I believe that the statements I have made are true and correct. I hereby authorize a credit and/or criminal check to be made, verification of information I provided and communication with any and all names listed on this application. I understand that any discrepancy or lack of information may result in the rejection of this application. I understand that this is an application for a property and does not constitute a rental or lease agreement in whole or part. I further understand that there is a non-refundable fee to cover the cost of processing my application and I am not entitled to a refund even if I don't get the property. Any questions regarding rejected applications must be submitted in writing and accompanied by a self-addressed stamped envelope.

I have read and agree to the terms above. *

Signature *

✎ Draw your signature below using your finger or mouse

Today's Date *

Disclaimer: A non-refundable $20 fee per applicant applies only if a background check and/or credit check is completed as part of the application process.

⚠ Please complete the following required fields:

Applicant Information

Other Proposed Occupants

Rental / Residence History

Employment History

Credit History

Vehicles

References & Emergency Contacts

General Information

Agreement & Authorization

Application Submitted!