Rental Application

To ensure a smooth and efficient approval process, all applicants are required to complete our Rental Application & Credit Authorization Form. This form allows us to verify identity, income, rental history, and overall eligibility to lease the property.

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APPLICANT

Property location/address

Application Date (YYYY-MM-DD)

Applicant Full Name

Date of Birth (YYYY-MM-DD)

Social Security Number

Email Address

Drivers License Number/State

Number of Dependents

Names and Ages

Home Phone

Work Phone

Phone number

Present Address

How long have you lived at this address?

Choose one option(required)

Own Rent

If rental, Landlord/Property Manager

Monthly rent

Landlord/Property Manager Phone

Reason for Leaving

APPLICANT – LAST TWO RENTAL HISTORIES

Address

Landlord/Manager

Phone number

Monthly Rent

Dates of Occupancy: From (MM/YYYY) To (MM/YYYY)

Address

Landlord/Manager

Phone number

Monthly Rent

Dates of Occupancy: From (MM/YYYY) To (MM/YYYY)

EMPLOYMENT

Present Employer

Phone number

Number of Years

Supervisor

Phone number

Business Name & Position

Wages (Monthly)

Previous Employer

Phone number

Number of Years

Supervisor

Phone number

Business Name/Type

Wages (Monthly

Additional income/source

Personal Reference

Phone number

Relationship

CO-APPLICANT

Full Name

Date of Birth (YYYY-MM-DD)

Social Security Number

Drivers License Number/State

Number of Dependents

Names & Ages

Home Phone

Work Phone

Phone number

Present Address

How long have you lived at this address?

Choose one option(required)

Own Rent

If rental, Landlord/Property Manager

Reason for leaving

CO-APPLICANT – LAST TWO RENTAL HISTORIES

Previous address

Landlord/Property Manager

Landlord/Property Manager Phone

Previous address

Landlord/Property Manager

Landlord/Property Manager Phone

EMPLOYMENT

Present Employer

Phone number

Number of Years

Supervisor

Phone number

Business Name & Position

Wages (Monthly)

Previous Employer

Phone number

Number of Years

Supervisor

Phone number

Business Name/Type

Wages (Monthly)

Additional income/source

Personal Reference:

Phone number

Relationship

Additional Occupants

Name(s)/Ages

BANK REFERENCES

Applicant-Bank Name/Location:

Choose one option(required)

Savings Checking Money Market

Co-Applicant-Bank Name/Location:

Choose one option(required)

Savings Checking Money Market

MONTHLY OBLIGATIONS

Applicant/Co-Applicant Name

Name of Creditor

Monthly Payment

Months remaining

Approx. Balance

Do you have any judgments/bankruptcy or lawsuits against you?(required)

NO YES

If “YES”, Explain

Have you ever been evicted?(required)

NO YES

If “YES”, Explain

Have you ever been convicted of a crime?(required)

NO YES

If “YES”, Explain

Do any occupants Smoke?(required)

NO YES

Do any occupants have a pet?(required)

NO YES

If “YES”, number/type/size)

Contingencies: (this application cannot be processed until the following contingencies are agreed to or removed)

AUTHORIZATION: Applicant(s) expressly authorize(s) verification of information provided in this application from credit sources, credit bureaus, current and former landlords, current and former employers & personal references. Applicant(s) has/have the right under section 606(b) of the Fair Credit Reporting Act, to make a written request to the credit information source for a complete and accurate disclosure to the nature and scope of any investigation. A credit check may take five business days after receipt of completed application. Applicant(s) understand(s) that this information may be shared with prospective landlords and/or their agents in determining Applicant(s) reputation for meeting financial obligations but a copy of the credit report may not be given to Applicant(s).

APPLICATION FEE: A separate non-refundable application fee in the amount of $40.00 accompanies this application.

LEASE & PAYMENT: Upon approval and acceptance of application, Applicant(s) agree(s) to execute a lease in accordance with the terms of the application and to make payment for the balance of the first month’s rent and security deposit in the form of a money order or cashier’s check. If Applicant(s) fail to execute a lease and/or make payment, the entire application fee accompanying this application shall be forfeited without recourse, as liquidated damages, and split equally between the Landlord and Listing Broker.

OCCUPANCY: Property is to be used as a single-family residence, subject to all applicable zoning laws and rules, regulations, by-laws, and covenants of any applicable Condo or Homeowners Association. Occupancy is contingent upon property being vacated by the present occupant. Applicant(s) understand(s) that the use or sale of illegal drugs on the premises shall be grounds for termination of lease and occupancy, without recourse, and that all advance rental payments and deposits shall be forfeited as liquidated damages in the event of said termination.

By submitting this form, I certify that all information provided is true and correct to the best of my knowledge. I authorize the landlord or property manager to verify the information submitted, including credit, rental, employment, and background history. I understand that submitting this form serves as my electronic signature and has the same legal effect as a handwritten signature.

I agree and authorize electronic signature