Rental Application for 541Homes4Rent.com

INCLUDING SCREENING GUIDELINES AND AUTHORIZATION FOR RELEASE OF INFORMATION

Unit you are applying for:

Name*

First NameLast Name

Date of Birth*

MonthDayYear

Phone Number*

Email

Confirmation Emailexample@example.com

Preferred move in date *

Date

Preferred length of stay*

Current Address*

Street Address

Street Address Line 2

CityState

Zip Code

Move In Date*

MonthDayYear

Current Monthly Rent*

$

Reason for Moving:*

Manager Name*

Manager Phone*

Area CodePhone Number

Have you given legal notice to vacate where you live now? *

YesNo

Are you related in any way to your landlord?*

YesNo

Previous Address*

Street Address

Street Address Line 2

CityState

Zip Code

Move In Date*

MonthDayYear

Move Out Date*

MonthDayYear

Reason for Moving:*

Previous Manager Name*

Previous Manager Phone*

Area CodePhone Number

Are you related in any way to your landlord?*

YesNo

Other States you have lived in the past 5 years*

Current Occupation*

Company*

Manager Name*

Manager Phone*

Area CodePhone Number

Current Gross Monthly Income*

Time with employer*

Previous Occupation*

Previous Company*

Previous Manager Name*

Previous Manager Phone*

Area CodePhone Number

Previous Gross Monthly Income*

Time with previous employer*

If you have other sources of income for us to consider, please list income, source, and person (banker, employer, etc.) who we may contact. You do not have to reveal alimony, child support, or spouse's annual income unless you want us to consider it in this application.

Credit Score, if known. This can be obtained from your bank or websites like creditkarma.com

Do you have animals? If so please give details.*

NoOther

Have you declared bankruptcy in the past seven (7) years?*

YesNo

Have you ever been convicted or plead guilty or no contest to a crime?*

YesNo

Please provide detailed information if answered Yes to above

Willfully or intentionally refused to pay rent when due?*

NoYes

Details for refusing to pay rent

Have you had two or more late rental payments in the past year?*

NoYes

Late rent details

Have you been evicted from a tenancy, left owing money or sued by a landlord?*

NoYes

Please explain if Yes above

Broken a lease?*

NoYes

Broken Lease Details

Have you ever been served a notice to vacate?*

NoYes

Server Notice Details

How many people will occupy the unit*

Other Occupants

	Name	Age	Relationship
Occupant 1
Occupant 2
Occupant 3
Occupant 4

Any additional information you would like to submit?

This is a smoke free property. You will be required to sign a "No Smoking" agreement upon rental approval.*

I AGREE to sign a "No Smoking" agreementI do NOT agree

I understand the above information is given in order for you to inquire on and determine my rental, work history and credit standing. I give permission to my employers & landlords, past and present, to speak to the owners or agents about all phases of my employment & residency. I also acknowledge that if approved by the owner or agent, the above named are the only occupants to maintain residency. I certify that the forgoing information is true and accurate. I understand that if I lie or give misleading or incomplete answers I will not be approved for tenancy. Providing false information may also be used as grounds for immeditate termination of residency.

Applicant Signature Authorizing Release of Employment, Rental References, Credit and Background Check*

Name

First NameLast Name

Date of Birth

MonthDayYear

Phone Number

Email

Confirmation Emailexample@example.com

Preferred move in date

Date

Preferred length of stay

Current Address

Street Address

Street Address Line 2

CityState

Zip Code

Move In Date

MonthDayYear

Move in Date:

Date

Current Monthly Rent

$

Reason for Moving:

Manager Name

Manager Phone

Area CodePhone Number

Have you given legal notice to vacate where you live now?

YesNo

Are you related in any way to your landlord?

YesNo

Previous Address

Street Address

Street Address Line 2

CityState

Zip Code

Move In Date

MonthDayYear

Move Out Date

MonthDayYear

Reason for Moving:

Previous Manager Name

Previous Manager Phone

Area CodePhone Number

Are you related in any way to your landlord?

YesNo

Other States you have lived in the past 5 years

Current Occupation

Company

Manager Name

Manager Phone

Area CodePhone Number

Current Gross Monthly Income

Time with employer

Previous Occupation

Previous Company

Previous Manager Name

Previous Manager Phone

Area CodePhone Number

Previous Gross Monthly Income

Time with employer

If you have other sources of income for us to consider, please list income, source, and person (banker, employer, etc.) who we may contact. You do not have to reveal alimony, child support, or spouse's annual income unless you want us to consider it in this application. Details

Credit Score if known. This can be obtained from your bank or websites like creditkarma.com

Do you have animals? If so please give details.

NoOther

Have you declared bankruptcy in the past seven (7) years?

YesNo

Have you ever been convicted or plead guilty or no contest to a crime?

YesNo

Please explain if Yes above

Willfully or intentionally refused to pay rent when due?

NoYes

Details for refusing to pay rent

Have you been evicted from a tenancy, left owing money or sued by a landlord?

NoYes

Please explain if Yes above

Have you had two or more late rental payments in the past year?

NoYes

Late rent details

Eviction Details

Broken a lease?

NoYes

Broken Lease Details

Have you ever been served a notice to vacate?

NoYes

Server Notice Details

Any additional information you would like to submit?

This is a smoke free property. You will be required to sign a "No Smoking" agreement upon rental approval.

I AGREE to sign a "No Smoking" agreementI do NOT agree

I understand the above information is given in order for you to inquire on and determine my rental, work history and credit standing. I give permission to my employers & landlords, past and present, to speak to the owners or agents about all phases of my employment & residency. I also acknowledge that if approved by the owner or agent, the above named are the only occupants to maintain residency. I certify that the forgoing information is true and accurate. I understand that if I lie or give misleading or incomplete answers I will not be approved for tenancy. Providing false information may also be used as grounds for immeditate termination of residency.

C0-Applicant Signature Authorizing Release of Employment, Rental References, Credit and Background Check

APPLICATION PROCESS
• We offer an Application form to everyone.
• We review completed Applications in the order in which we receive them.
• We may require up to 10 business days to verify information on an Application.

APPLICATION SCREENING GUIDELINES
Complete Application
• Each Applicant over the age of 18 must submit an individual Application.
• Applications must be signed and dated. We will not review incomplete Applications. At least one adult must view the property prior to acceptance.
• Applicants must show two pieces of identification reasonably calculated to confirm identity. One must include a photograph.
• We will accept the first qualified Applicant(s).
Prior Rental History
• Positive rental history of last 2 years must be verifiable from unbiased and unrelated sources. Favorable rental reference must be recieved from current managment within 48 hours of contact and must include, but not limited to, confirmation of timely rent payments, compliance with terms of the rental agreement with no violations and no current unpaid balance owed.
• No evictions within the past five years. We do not consider evictions which took place five years or more ago, nor do we consider
evictions which resulted in a dismissal or a general judgment for the Applicant. We also do not consider eviction judgments that were
rendered during the COVID-19 Protected Period (April 1, 2020 - February 28, 2022).
• Applicants must provide the information necessary to contact past Landlords.
Income/Resources
• Household income shall be at least 2.5 times the Rent (excluding utilities).
• Income must be verifiable through pay stubs or employer contact; award letters for Social Security, alimony, child support, public
assistance, utility or housing assistance; current tax records; or bank statements.
Credit History
• We may require you to submit a copy of your credit report obtained within the past 30 days.
• Negative credit reports may result in denial of Application. Negative reports include, but are not limited to: late payments, collections,
judgments, total debt load, and pending bankruptcy excepting nonpayment balances that accrued during the COVID-19 Protected
Period (April 1, 2020 – February 28, 2022).
Criminal History
• Criminal convictions or pending charges which may result in an Application denial include, but are not limited to: drug-related crimes,
person crimes, sex offenses, any crimes involving financial fraud (including identity theft or forgery), or any other crime that would
adversely impact the health, safety or right of peaceful enjoyment of the premises by the Residents or Owner/Agent but not including
pending charges or crimes that are no longer illegal in the state of Oregon, or charges that are pending but for which the Applicant is
presently participating in a diversion, conditional discharge or deferral of judgment program on the charges.
• Criminal history will be evaluated on a case-by-case basis, taking into consideration the nature and severity of the incidents that would
lead to denial, the number and type of incidents, the time that has elapsed since the date the incidents occurred, and the age of the
individual at the time the incidents occurred.
• Applicants are encouraged to provide Supplemental Information to explain, justify or negate the relevance of potentially negative
screening outcomes.
Explanations/Exceptions
• All Applicants may submit a written explanation with their Application if there are extenuating circumstances which require additional
consideration.
• If, after making a good faith effort, we are unable to verify information on your Application, or if you fail to pass any of the screening
criteria, the application process will be terminated.
• Exceptions may be made for Applicants with increased Deposits or qualified Co-Signers at the sole discretion of the Owner/Agent.

FALSIFICATION OR MISREPRESENTATION OF ANY PART OF THE APPLICATION

WILL BE GROUNDS FOR DENIAL.

Any Suggestions to improve this form?

Enter the message as it's shown*

Application to Rent

Thank you for submitting your online application with us.

Application Instructions

Applicant Info

Current Address

Previous Address

Applicant Employment Information

Applicant Background Information

Applicant Background Information

Applicant Background Information

Smoke Free Property

If only one adult is applying, please scroll to the bottom of this application to complete and submit the application. You can also save the entered information to complete the application at a later time with the "Save" option at the bottom of the application.

If more than one adult is applying, please complete the Co-Applicant section below.

Co-Applicant Info

Co-Applicant Current Address

Co- Applicant Previous Address

C0-Applicant Employment Information

C0-Applicant Background Information

Co-Applicant Background Information

Co-Applicant Background Information

Smoke Free Property

Complete Application Below

Please click "Preview Answers" to review application before final submission. If you would like to complete the application later, click "Save" below. Thank you for applying.