Rental Application

Posted February 25, 2016 by mdhoffman 0

Please fill out the Rental Application below, separate applications are required from each applicant age 18 or older.

The safety of your personal information is important to us, therefore we will be calling after you’ve submitted the form below to verify your identity and to collect your Social Security Number.

If you are a human and are seeing this field, please leave it blank.

Fields marked with an * are required

Applicant Information

Address of Property to Rent *

Full Name - Include all names you use(d) *

Home Phone *

Work Phone

Cell Phone *

Email *

Drivers License Number/State *

Other Identifying Information

Vehicle Information

Vehicle Make *

Vehicle Model *

Vehicle Color *

Vehicle Year *

License Plate Number/State *

Additional Occupants (List everyone, including children & their relationship to you)

Rental History: First-time renters use the following text box for a description of your housing situation for the past 5 years. Otherwise fill out the specific text boxes below.

First Time Renters Only

Current Address *

Dates Lived at Address

Reason for Leaving

Landlord/Manager Name & Phone *

Rent $

Security Deposit $

Previous Address

Dates Lived at Address *

Reason For Leaving

Landlord/Manager Name & Phone *

Rent $

Security Deposit $

Previous Address

Employment History

Name & Address of Current Employer *

Phone of Employer *

Name & Phone of Supervisor

Dates Employed

Position/Title

Name & Address of Previous Employer *

Phone of Employer

Name & Phone of Supervisor

Dates Employed

Position/Title

Income: List gross monthly income(before deductions), Average monthly amounts of other income (specify sources), Total Income

References & Emergency Contact

Personal Reference *

Relationship *

Phone *

Address *

Personal Reference *

Relationship *

Phone *

Address *

Where did you hear of this vacancy?

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 relating to my tenancy, or for any other permissible purpose.

By Checking this box and submitting this form I'm agreeing to the terms of this application. *

Rental Application

Kraig Lehman, Licensed Managing Broker

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