SoftScreen Rental Application

AGENT REPRESENTING TENANT

PLEASE TELL US THE NAME OF YOUR AGENT. If Not Applicable, please type NONE

Agent's Brokerage Firm

This is the name of the real estate company YOUR AGENT is affiliated with. If not applicable, please type NONE

Agent's Phone

A cell phone number is always best!Format: (000) 000-0000.

Agent's email

Your Agent's email address - example@example.com

Your Name*

Your Mobile Phone Number*

Format: (000) 000-0000.

Your Home Phone Number

Format: (000) 000-0000.

Your Work Phone Number

Format: (000) 000-0000.

Your email*

example@example.com

Your Current Address*

How long have you lived at your current address*

Amount of monthly rent or mortgage you currently pay*

Name of current Landlord or Property Manager*

If you currently own your home, please enter N/A

Phone Number of Landlord or Property Manager

Format: (000) 000-0000.

Reason for leaving current address*

Your Prior Address

How long have did you live at your prior address

Amount of monthly rent or mortgage you paid

Name of prior Landlord or Property Manager

If you owned your home, please enter N/A

Phone Number of prior Landlord or Property Manager

This information is required if you had rented your home. If you owned your home, please skip this field.Format: (000) 000-0000.

Reason for leaving prior address

Business or company name of your current employer*

If not employed, please type N/A

Address*

Contact person*

Phone number of current employer*

Format: (000) 000-0000.

Date hired*

Date

Your job title/position*

Gross monthly salary*

Business or company name of your prior employer

Address

Contact person

Phone number of prior employer

Format: (000) 000-0000.

Date hired

Date

Your job title/position

Gross monthly salary

Name*

Address*

Phone Number*

Format: (000) 000-0000.

How long known

Relationship*

Name*

Address*

Phone Number*

Format: (000) 000-0000.

How long known*

Relationship*

Name*

Address*

Phone Number*

Format: (000) 000-0000.

How long known*

Relationship*

CHECKING - Name of Bank

Name on checking account

Current Account Balance

SAVINGS - Name of Bank

Name on savings account

Current Account Balance

Additional Assets - Name of Financial Institution/Brokerage

Name(s) on account

Balance/Value

Current Renters Insurance or Homeowners Carrier

The name of your insurance provider

Policy Number

Auto Insurance Carrier

The name of your insurance provider

Policy Number

Year, Make and Model Vehicle #1

Year, Make and Model Vehicle #2

License Plate Numbers

If more than one, seperate with a comma

YES I Have declared bankruptcy in the pastNO I have not declared bankruptcy in the past

YESNO

Desired date of occupancy (mm/dd/yyyy): Desired*

Date

length of lease in MONTHS*

List Names of those who will occupy the property

Occupant 1

Occupant 2

Occupant 3

Occupant 4

YESNO

If YES - Please describe: Types, Breed, Weight, any details for consideration

List ALL

YESNO

Please use this field to volunteer any additional information you wish to provide:

SoftScreen® and TENANT VERIFY, LLC DO NOT PARTICIPATE IN THE REAL ESTATE TRANSACTION, OR THE DECISION PROCESS, NOR ARE WE COMPENSATED IN ANY WAY BY ANY ENTITY THAT IS A PARTY TO THE RENTAL TRANSACTION.

THE UNDERSIGNED APPLIES FOR RENT/LEASE AND REPRESENTS THAT THE PROPERTY WILL NOT BE USED FOR ANY ILLEGAL OR RESTRICTED PURPOSE.

THIS APPLICATION IS PROVIDED FOR INFORMATION GATHERING PURPOSES ONLY. ALL INFORMATION BEING PROVIDED BY THE UNDERSIGNED APPLICANT IS ACCURATE AND TRUE.

ALL STATEMENTS MADE IN THIS APPLICATION ARE FOR THE PURPOSE OF OBTAINING THE RENT OR LEASE FOR THE RELATED PROPERTY.

VERIFICATION MAY BE OBTAINED BY A REAL ESTATE AGENT, A RENTAL AGENT, PROPERTY MANAGER, OR BY THE LANDLORD OR THEIR APPOINTED REPRESENTATIVE, FROM ANY SOURCE NAMED IN THIS APPLICATION AND/OR FROM www.SoftScreen.com A RECOGNIZED CONSUMER REPORTING AGENCY. YOU HAVE AGREED TO PROVIDE YOUR CREDIT, CRIMINAL, AND EVICTION SCREENING REPORTS. YOU WILL PAY FOR THE COST OF REPORTING.

A COPY OF THIS APPLICATION AND THE INFORMATION YOU HAVE PROVIDED MAY BE OBTAINED BY OR PROVIDED TO A REAL ESTATE AGENT, A RENTAL AGENT, A PROPERTY MANAGER, OR BY THE LANDLORD OR THEIR APPOINTED REPRESENTATIVE. THE DECISION TO GRANT OR DENY THIS APPLICATION IS AT THE SOLE DISCRETION OF THE REAL ESTATE AGENT, RENTAL AGENT, PROPERTY MANAGER, THE LANDLORD, OR THEIR APPOINTED REPRESENTATIVE.

YOU AUTHORIZE AN INVESTIGATION OF YOUR CREDIT, YOUR TENANT HISTORY, YOUR CRIMINAL BACKGROUND, AND YOUR EMPLOYMENT FOR THE PURPOSES OF TENANT SCREENING TO RENT PROPERTY. THIS INCLUDES BUT IS NOT LIMITED TO A HOUSE, AN APARTMENT, OR A CONDOMINIUM. YOU AUTHORIZE THE RELEASE OF ALL INFORMATION TO A REAL ESTATE AGENT, A RENTAL AGENT, PROPERTY MANAGER, LANDLORD, OR THEIR APPOINTED REPRESENTATIVE, FOR THE PURPOSE OF TENANT SCREENING.

YOU DIRECT THE REAL ESTATE AGENT, RENTAL AGENT, PROPERTY MANAGER, LANDLORD, OR THEIR APPOINTED REPRESENTATIVE, TO ASK QUESTIONS ABOUT YOU. YOU WAIVE ALL RIGHTS OF ACTION OR CONSEQUENCE AS A RESULT OF SUCH QUESTIONS INCLUDING BUT NOT LIMITED TO BEING DENIED TENANCY.

YOU UNDERSTAND AND ACKNOWLEDGE THAT THIS RENTAL APPLICATION IS PROVIDED AS A COURTESY AND THAT SoftScreen® AND TENANT VERIFY, LLC ARE NOT PARTICIPATING IN THE REAL ESTATE TRANSACTION, ARE NOT INVOLVED IN THE DECISION-MAKING PROCESS REGARDING YOUR TENANCY, AND ARE NOT RECEIVING COMPENSATION FROM ANY ENTITY THAT IS A PARTY TO THE RENTAL TRANSACTION.

APPLICANTS - PLEASE NOTE:

This courtesy Rental Application is NOT our "system provided rental application" which accompanies our secure package of TransUnion® reports. This is a stand-alone, cost-free download publicly available to all, found on our homepage.

To apply for rent, please register your Tenant account and generate reports at www.SoftScreen.com. Once you have shared your generated reports with your chosen recipients - the listing agent and/or landlord for the property you wish to rent, you will automatically be presented with your rental application. Upon completion, it will be provided to your chosen recipient along with your TransUnion® reports.

BY SIGNING BELOW YOU ACKNOWLEDGE HAVING READ THE ABOVE TERMS OF SUBMISSION, YOU UNDERSTAND THEM AND YOU AGREE TO THEM.

Signature*

Print Name*

Date*

Date

Courtesy Rental Application PLEASE READ

Applicant Information

Current Residence Information

Previous Residence Information

Current Employment Information:

Previous Employment Information

Personal References

Banking Information

Additional Information

Vehicle

PLEASE READ and SIGN