Rental Property Inquiry Form

Rental Information Request Form

PROFIX PROPERTY MANAGEMENT, LLC
Rental Property Address

Street Address

CityState

Zip Code
Your Full Name*

First NameLast Name
Date of Birth
Month/Date/Year
Social Security Number
Driver's License Number
Phone Number

Area CodePhone Number
E-mail*
Are you active or retired military

YesNo
Spouse's Name*

First NameLast Name
Date of Birth
Month/Date/Year
Social Security Number
Driver's License Number
Phone Number

Area CodePhone Number
E-mail*
example@example.com
Desired Move Date
Date lease expires, or window of dates
Rent Amount
Current Address

Street Address

CityState

Zip Code
Move out Date

MonthDayYear
Date
Landlord's Name

First NameLast Name
Landlord's Phone Number

Area CodePhone Number
Landlord's Email
example@example.com
Was your rent up to date?

YesNo
Have you ever been evicted?

YesNo
OCCUPANTS THAT WILL LIVE IN THE PROPERTY
LIst of ocuppants
PETS THAT WILL LIVE IN THE PROPERTY
LIst of pets
APPLICANT'S EMPLOYMENT HISTORY
Current Employer
Position Supervisor's Name
Supervisor's Phone Number
Salary
How long worked there
Get paid weekly, monthly, bi-weekly
Previous employer position
Supervisor's name
Supervisor's phone number
APPLICANT’S VEHICLE INFORMATION
Make/Model/Year
LIcense Plate
APPLICANT’S REFERENCE
Full Name / Phone
Relationship
Full Name / Phone
Relationship
APPLICATION FEE:

A $95 Application Fee must be made out to: PROFIX PROPERTY MANAGEMENT. Money Order, Cash or Cashier’s Check ONLY. Application will NOT be processed until application fee has been received
I am submitting an application deposit of $500.00 I understand that my application deposit will be returned to me if my application is declined.

I understand that once my application has been accepted, if I change my mind (and decide not to rent the unit), my Application Deposit of $500.00 will be forfeited.
The total amount of my application fees and deposit is $
Enter the amount
Background Check Authorization*

I hereby authorize PROFIX PROPERTY MANAGEMENT,TenaScan and its affiliates and/or agents to procure a consumer report, as defined in thefederal Fair Credit Reporting Act, about me for purposes of evaluating my application forservice or for tenant purposes.By providing the information below and by my voluntary signature, I hereby acknowledge thatI have reviewed, understand, and agree with the above Background Check Consent and thisauthorization.
Full Name*

First NameLast Name
Social Security Number
Rental Property Address

Street Address

CityState

Zip Code
Applicant Signature

Clear
Today's Date

DayMonthYear
Date
For Purposes of evaluating your application for volunteer service or for tenant purposes, TenaScan, its affiliates and/or agents may obtain a Consumer reports as defined by the Federal Fair Credit Reporting Act, from a Consumer Reporting Agency. To include, but not limited to Consumer Credit Report and State Driving Record aka MVR Report Depending upon the position for which you are applying the consumer reporting agency may investigate and the Reports may include information about your driving record, including any such information maintained in all public records.
Should be Empty:

Rental Information Request Form

OCCUPANTS THAT WILL LIVE IN THE PROPERTY

PETS THAT WILL LIVE IN THE PROPERTY

APPLICANT'S EMPLOYMENT HISTORY

APPLICANT’S VEHICLE INFORMATION

APPLICANT’S REFERENCE

APPLICATION FEE: