Rental Application & Credit Check – A Little More Renting

THIS APPLICATION IS NON-REFUNDABLE!

Applicant

Name *

First

Middle

Last

Home Phone

Work Phone

Cell Phone *

Email *

FAX

Social Security Number *

Drivers License Number/State

Other Identifying Information

Vehicle Make

Vehicle Model

Vehicle Color

Vehicle Year

License Plate Number/State

Additional Occupants: List everyone, including minor children, who will live with you.

First

Last

Full Name & Rela (copy)

First

Last

Full Name & Rela (copy) (copy)

First

Last

Full Name & Rela (copy) (copy) (copy)

First

Last

Rental History

Current Address *

Address Line 1

Address Line 2

City

State

Zip Code

Dates Lived at Address *

Ex. 1/1/2019 - 1/2/2021

Reason for Leaving *

Landlord/Manager Name *

Landlord/Manager Phone *

Rent *

Security Deposit *

Previous Address

Address Line 1

Address Line 2

City

State

Zip Code

Dates Lived at Address

Ex. 1/1/2019 - 1/2/2021

Reason for Leaving

Landlord/Manager Name

Landlord/Manager Phone

Rent

Security Deposit

Previous Address

Address Line 1

Address Line 2

City

State

Zip Code

Dates Lived at Address

Ex. 1/1/2019 - 1/2/2021

Reason for Leaving

Landlord/Manager Name

Landlord/Manager Phone

Rent

Security Deposit

Employment History

Name of Current Employer *

Phone *

Address of Current Employer *

Address Line 1

Address Line 2

City

State

Zip Code

Name of Supervisor *

Supervisor's Phone *

Dates Employed at This Job *

Ex. 1/2/2020 - 6/8/2020

Position or Title *

Name of Previous Employer

Phone

Address of Previous Employer

Address Line 1

Address Line 2

City

State

Zip Code

Name of Supervisor

Supervisor's Phone

Dates Employed at This Job

Ex. 1/2/2020 - 6/8/2020

Position or Title

Attach Pay Stubs for the Past Two Years, from this Employer or Prior Employers.

Click or drag files to this area to upload. You can upload up to 2 files.

Self-Employed Applicants: Attach Tax Returns for the Past Two Years.

Click or drag files to this area to upload. You can upload up to 2 files.

Income

Your Gross Monthly Employment Income (Before Deductions) *

Average Monthly Amounts of Other Income (Specify Sources) *

Total Monthly Income *

Other Income Sources *

Bank/Financial Accounts

Savings Account Number

Savings Account

First

Last

Checking Account Number

Checking Account

First

Last

Money Market or Similar Account Number

Money Market or Similar Account

First

Last

Credit Card Accounts

Major Credit Card *

Other:

Issuer *

Account Number *

Balance *

Average Monthly Payment *

Major Credit Card

Other:

Issuer

Account Number

Balance

Average Monthly Payment

Loans

Type of Loan Payment

(Mortgage, Car, Student Loan, etc)

Name of Creditor

Account Number

Amount Owed

Monthly Payment

Type of Loan Payment

(Mortgage, Car, Student Loan, etc)

Name of Creditor

Account Number

Amount Owed

Monthly Payment

Other Major Obligations

Type

Payee

Amount Owed

Monthly Payment

Type

Payee

Amount Owed

Monthly Payment

Miscellaneous

Describe the number and type of pets you want to have in the rental property

Describe water-filled furniture you want to have in the rental property

Do you smoke? *

Yes
No

Have you ever filed for bankruptcy? If yes, please indicate how many times *

Yes
No

Numbers

Been sued? If yes, please indicate how many times *

Yes
No

Single Line Text

Sued someone else? If yes, please indicate how many times *

Yes
No

Single Line Text

Been evicted? If yes, please indicate how many times *

Yes
No

Single Line Text

Been convicted of a crime? If yes, please indicate how many times *

Yes
No

Single Line Text

Explain any "yes" listed above

References and Emergency Contact

Personal Reference *

Relationship *

Phone *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Personal Reference *

Relationship *

Phone *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Contact in Emergency *

Relationship *

Phone *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Checkboxes *

I agree

I certify that all the information given above is true and correct and understand that my lease or rental agreement may be terminated if I have made any material false or incomplete statements in this application. I authorize verification of the information provided in this application from my credit sources, current and previous landlords and employers, and personal references. I give permission for the landlord or its agent to obtain a consumer report about me for the purpose of this application, to ensure that I continue to meet the terms of the tenancy, for the collection and recovery of any financial obligations related to my tenancy, or for any other permissible purpose.

Signature

Date

Application Fee *

Price: $ 25.00

Stripe Credit Card *

Card

Name on Card

Total *

$ 0.00