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Availabilities
Qualifications
Rental Assistance Programs
Pet Policy
Water Rates
Get Started
Online Rental Application
Enter the Property Address that you are applying for below
Name
*
First Name
Last Name
Email Address
*
Phone Number
*
S.S.N. #
*
Date of Birth
*
Martial Status
*
Single
Married
Divorce
If Divorce SInce
Driver License #
*
Present Street Name
*
Present City Name
*
Present State Name
*
Length of Time
*
Present Landlord's Name
*
Present Landlord's Phone Number
*
Reason for Leaving
Amount of Rent
Is Present Rent Up to Date
*
Yes
No
Previous Home Street Address
Previous Home City Name
Previous Home State Name
Length of Time
Previous Landlord Name
Previous Landlord Phone Number
Reason for Leaving
Amount of Rent
Is Previous Rent Up to Date
Yes
No
Next Previous Home Street Address
Next Previous Home City Name
Next Previous Home State Name
Length of Time
Next Previous Landlord Name
Next Previous Landlord Phone #
Reason for Leaving
Amount of Rent
Is Next Previous Rent Up to Date
Yes
No
Proposed Occupant(s)
Occupants #1
Relationship
Occupation
Age
Occupants #2
Relationship
Occupation
Age
Occupants #3
Relationship
Occupation
Age
Occupants #4
Relationship
Occupation
Age
Occupants #5
Relationship
Occupation
Age
Proposed Pet(s)
Name #1
Type/Breed
Indoor/Outdoor
Indoor
Outdoor
Age
Name #2
Type/Breed
Indoor/Outdoor
Indoor
Outdoor
Age
Vehicle(s) Information
Vehicle 1
Year
Make
Model
Color
Plate #
State
Vehicle 2
Year
Make
Model
Color
Plate #
State
Employment
Current Employer 1
*
Occupation
*
Hours\Week
*
Supervisor Name
*
Supervisor Phone #
Years Employed
Employer's Street Address
*
Employer's City Name
*
Employer's State Name
*
Current Employer 2(if needed)
Occupation
Hours\Week
*
Supervisor Name
Supervisor Phone #
*
Years Employed
*
Employer's Street Address
Employer's City Name
Employer's State Name
Income
Current Income #1
*
Weekly
Biweekly
Monthy
Yearly
Source
Proof of Income
*
Yes
No
Current Income #2
Weekly
B-weekly
Monthly
Yearly
Source
Proof of Income
Yes
No
Credit Card/Financial Information
Car Loan Lien Holder
Amount Owed
Monthly Payment
Creditor's Phone #
Credit Card Company #1
Amount Owed
Monthly Payment
Creditor's Phone #
Credit Card Company #2
Amount Owed
Monthly Payment
Creditor's Phone #
Credit Card Company # 3
Amount Owed
Monthly Payment
Creditor's Phone #
Child Support/Other Credit Owed
Amount Owed
Monthly Payment
Creditor's Phone #
Bank Account/Name of Bank
Balance
Monthly Payment
Account #
Emergency Information
Emergency Contact #1
*
Relationship
Phone Number #1
Home
Cell
Phone Number # 2
Home
Cell
Address
City
State
Zip Code
Emergency Contact #2
*
Relationship
Phone Number #1
Home
Cell
Phone Number #2
Home
Cell
Address
City
State
Zip Code
Personal Reference
Personal Reference #1
*
Relationship
Phone Number # 1
Home
Cell
Phone Number # 2
Home
Cell
Address
City
State
Zip Code
Personal Reference #2
*
Relationship
Phone Number # 1
Home
Cell
Address
City
State
Zip Code
Applicant's Questionnaire/Authorization
Has Applicant ever been sued for bills?
*
Yes
No
Has Applicant ever filed bankruptcy?
*
Yes
No
Has Applicant ever been convicted of a felony?
*
Yes
No
Has Applicant ever broken a lease?
Yes
No
Has Applicant ever been locked out of property by the sheriff?
*
Yes
No
Has Applicant ever been brought to court by a landlord?
*
Yes
No
Has Applicant ever moved owing rent or for damages to a property?
*
Yes
No
Is total rent and deposit monies available now upon application approval?
*
Yes
No
Notes
Date
*
MM
DD
YYYY
Signature
*
Applicant authorizes Landlord to contact past and present landlords, employers, creditors, credit bureaus, neighbors, and other sources deemed necessary to investigate applicant. All information is true, accurate, and complete to the best of the applicant's knowledge. Landlord reserves the right to disqualify applicant if information is not as represented. AUTHORIZED TO RELEASE INFORMATION ABOUT THE UNDERSIGNED UPON PRESENTATION OF THIS FORM OR PHOTO COPY OF THIS FORM AT ANY TIME. If you have any questions about the interpretation or legality of this form, please consult an attorney or other qualified person. By pressing "SUBMIT", you agree to the above statements.
Thank you! for submitting Rental Application with Rent From Us Properties
