Anne Kent Realty, LLC

Anne Kent Realty, LLC

RENTAL APPLICATION
One Columbus Center, Suite 600 Virginia Beach, VA 23462

Office: (757) 486-8543 Fax: (757) 486-7171
Please provide all requested information. Applications will not be processed if incomplete or unsigned. Each individual or married couple is required to complete a separate application and submit a check made payable to Anne Kent Realty, LLC for the non-refundable application fee in the amount of $40. Processing of applications will begin upon receipt of the completed form(s) and fee(s Please also provide us with a copy of your driver's license and social security card for verification.
Date

MonthDayYear
Date
For the rental property located at
Referred by
Desired Move-In Date

MonthDayYear
Date
What motivated you to rent?

Please provide us with a copy of your driver's license and social security card for verification.

	FIRST	MI	LAST	Date of Birth	SSN	DL#/State Issued
Applicant
(spouse)

If married, length of time
E-mail address
example@example.com
Mobile phone
Business phone
Home phone
Other names used within last five (5) years for applicant and/or spouse; please indicate who

ADDITIONAL OCCUPANTS

	ADDITIONAL OCCUPANTS	BIRTH DATE	RELATIONSHIP TO APPLICANT
Occupant 1
Occupant 2
Occupant 3

JOB HISTORY

	Current Employment	Previous Employment	Spouse's Employment
Company
Address
Phone
Position
Supervisor
Start Date
End Date
Income per month

RESIDENTIAL HISTORY
Current Address: Street Address City State/Zip Code
Prior Address 1: Street Address City State/Zip Code
Prior Address 2: Street Address City State/Zip Code
Occupancy Dates
Current Address, From

MonthDayYear
Date
to

MonthDayYear
Date
Prior Address 1, From

MonthDayYear
Date
to

MonthDayYear
Date
Prior Address 2, From

MonthDayYear
Date
to

MonthDayYear
Date

	Current	Prior 1	Prior 2
Owner Name Contact Telephone
Last Rent Paid
Reason for moving?

I/We hereby agree that no other person(s) except the above named will occupy the demised premises at any time without written consent of the property manager and that all adults residing in the premises are jointly and severally liable for all rent and damage incurred during the term of occupancy.
Applicant Initials

VEHICLES

	Cars/Trucks/Motorcycles/Boats	Make/Model	Year/Color	License Plate
Vehicle 1
Vehicle 2
Vehicle 3
Vehicle 4

FINANCIAL INSTITUTIONS

	Name of Bank	Branch Address	Account #	Date Opened
Bank 1
Bank 2

CREDIT REFERENCES

	Credit References	Address/City	Contact Phone
Reference 1
Reference 2

PERSONAL REFERENCES

In case of emergency, notify:

	Name	Address/City	Phone	Relationship
Emergency Contact
Close friend
Nearest relative living elsewhere

Have you ever been evicted or had an unlawful detainer action filed against you?

YesNo
Have you ever refused to pay your rent for any reason?

YesNo
Do you have any pets? If yes, how many, and what kind - explain below

NoYes (describe)
Have you declared bankruptcy in the past five (5) years?

YesNo
Are you subject to any pending bankruptcy proceedings?

YesNo
Have you, or anyone you know, past or present, resided at this address?

YesNo
Do you propose to operate a business at this address?

YesNo
Do you have a water bed?

YesNo
Please explain all "Yes" answers given above.
The owner of the premises you are applying for carries insurance on the dwelling only. You must acquire renter's insurance for your household goods. Neither the Agent nor the Owner of the property is responsible for damage to your personal property.

Each applicant certifies the information provided is true and accurate to the best of their knowledge. Owner and Agent have each applicant's permission to obtain credit history and verify any information provided. If any applicant withholds or gives false information, this application is considered void, and the lease agreement may be terminated by the Owner.

If the application is approved, and the applicants do not enter into a lease, any fees or deposits paid by the applicants may be retained by the Agent. Full security deposit must be received in certified funds by Agent within 24 hours after application approval. Property remains on the market until deposit is received. Application fees are non-refundable.

Owner and Agent are pledged to the letter and spirit of U.S. policy for achievement of equal housing opportunity. We encourage and support affirmative advertising and marketing programs in which there are no barriers to obtaining housing because of race, color, religion, sex, sexual orientation, disability, familial status, age, or national origin.

Megan's Law Disclosure: Applicants should exercise whatever due diligence they deem necessary with respect to information on any sex offenders registered under Chapter 23 19.2387, et seq of Title 19.2. Such information may be obtained by contacting your local police department or the Virginia State Police, Central Criminal Records Exchange, at 804 674-2000, or at www.state.va.us/vsp/vsp.html. Each applicant understands that the Agent represents the Owner of the premises and acknowledges having received a copy of this application at the time it was submitted.
Applicant

Clear
Co-Applicant

Clear
Date

MonthDayYear
Upload your credit (FICO) score here, and receive expedited processing!

Cancelof
CREDIT REPORTING INFORMATION

I have attached a copy of my FICO (credit) score identifying me as the payer from a credit reporting agency.I have not included my credit information and understand that my application will not be processed until credit information can be verified. Additional fees may apply.
Should be Empty:

RESIDENTIAL HISTORY

Occupancy Dates

PERSONAL REFERENCES