Rental Application

Please Return To
Application Fee
Address Applying For
Desired Move-In Date
Important: Please complete this application fully and accurately. Incomplete or false information may result in denial of the application or termination of the lease.
Personal Information
First Name
MI
Last Name
Social Security #
Date of Birth
Driver's License #
Phone Number
Alternate Phone
Email
Who else will be living with you?
Rental History

Current Address

Address
City / State / Zip
Move-in Date
Landlord's Name
Landlord's Phone
Monthly Rent
Reason for Moving

Previous Address 1

Address
City / State / Zip
Move-in Date
Move-out Date
Landlord's Name
Landlord's Phone
Monthly Rent
Reason for Moving

Previous Address 2

Address
City / State / Zip
Move-in Date
Move-out Date
Landlord's Name
Landlord's Phone
Monthly Rent
Reason for Moving
Employment Information
If self-employed, please be prepared to supply two (2) years of tax returns as proof of income.
Current Employer
Position
Employer Phone
Supervisor Name
Gross Wages Per Month
Hire Date
Other Sources of Income
Amount Per Month
Explain
Questionnaire
How long do you plan to live here?
What pets do you have?
How many evictions have been filed upon you?
How many felonies do you have?
Have you ever broken a lease?
Do you smoke?
How many vehicles will you have?
Is the total move-in amount available now?
When would you like to move in?
How did you hear about this home?
For what reasons could you not pay rent on time?
Do you have a checking account? Balance?
Do you have a savings account? Balance?
Emergency Contact
Name
Phone
Relationship
Why should we rent to you?
Additional Information
Authorization

I hereby authorize the Landlord and/or their Agent to verify all information provided in this application, including but not limited to employment, rental history, credit history, criminal background, and any other relevant information. I understand that a Consumer Reporting Agency may be contacted to provide a consumer report and/or investigative consumer report. I understand that I have the right to request the name and address of the Consumer Reporting Agency furnishing the report.

Consumer Reporting Agency Name & Address
Phone
Holding Fee

Upon approval, a deposit to hold the property will be required within twenty-four (24) hours. This holding deposit will be applied toward the security deposit upon execution of the lease. If the applicant fails to execute the lease within fourteen (14) days of approval, the holding deposit may be forfeited. If the Landlord fails to provide the property as agreed, the holding deposit will be returned in full.

Qualification Standards

Applicants must meet the following minimum requirements:

  • Combined household income must be at least three (3) times the monthly rent
  • Positive references from previous landlords
  • No prior evictions
  • Credit score of 600 or above
  • Satisfactory background check
  • Non-smoker
  • Maximum of two (2) persons per bedroom

By signing below, I certify that all information provided in this application is true and complete to the best of my knowledge. I authorize the Landlord and/or their Agent to obtain a consumer credit report and verify all information contained herein. I understand that providing false information is grounds for denial of this application or termination of any resulting lease agreement.

Applicant Signature Date: