Holderworth Leasing LLC Rental Application

Holderworth Leasing LLC Rental Application
Please complete this form to the best of your ability. If you have any questions please contact us at holderworthleasing@gmail.com or visit our website for more contact options. www.holderworthleasing.com

Questions marked with an asterisk are required. You will not be able to submit this application unless all required questions are answered.
Applicant Questionnaire

Please fill out the entire questionnaire and submit.
How long have you lived at your current address?*
Reason for moving?*
What would you feel comfortable with as a monthly rent?*
List all sources of income:*
Examples: Work, Scholarship, parents...etc.
Date I want to move in by.*
How many people will be living with you?*
If any children will be living with you, what are their ages?*
Vehicle Information
Make/Model/Year of Vehicle
License Number
Do you have any pets/service animals? If so please specify:*
Does anyone that would be living in the residence smoke tobacco or anything else?*
Do you have any charges or have you been convicted of a crime?*
Have you ever been evicted, please explain.*
How did you learn about our rental?*
Student Only Section

If you are not a student, scroll down and click next.
Fathers Name

First NameLast Name
Fathers Phone Number
Please enter a valid phone number.
Fathers Job
Mothers Name

First NameLast Name
Mothers Phone Number
Please enter a valid phone number.
Mothers Job
Classification

FreshmanSophomoreJuniorSenior
Major?
Sorority or Fraternity?

Which property are you interested in?

Hawk's Way DuplexesHeartland ApartmentsYork Street DuplexesOther
Name*

First NameMiddle NameLast Name
Date of Birth*
Social Security Number*
Phone Number*
Email*
example@example.com
Do you have Credit?*
Amount of Money You Make Each Month*
Are you paid hourly or salary*
How many hours do you work each week*
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you own or rent?*

OwnedRented
Amount of monthly payment or rent*
How long have you lived here?*
Previous Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Amount of monthly payment or rent*
How long did you live there?*
Employment Information
Current employer*
Employer Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer Phone*
Employer E-mail*
example@example.com
Position*
How long have you been employed here?*
Emergency Contact
Emergency Contact*
Emergency Contact Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Phone*
Previous landlord
1. Name*
1. Email Address*
1. Phone*
2. Name
2. Email Address
2. Phone
Do you have a co-applicant that you would like to include on this application?*

YesNo
Co-Applicant Information

Only fill this section out if you have someone else you want to include on the application. If you do not have anyone else to add here, just leave this section blank, just scroll to the bottom of the page and click next.
Co-Applicant Name

First NameMiddle NameLast Name
Co-Applicant Date of birth

MonthDayYear
Date
Co-Applicant Phone
Co-Applicant SSN
Co-Applicant Email
example@example.com
Co-Applicant - Do you have credit?
Co-Applicant - Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Co-Applicant - Monthly payment or rent
Co-Applicant - How long have you lived here?
Co-Applicant - Previous Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Co-Applicant - Owned or Rented?

OwnedRented
Co-Applicant - Monthly payment or rent
Co-Applicant - How long did you live there?
Co-Applicant Employment Information

Only fill this out if there is someone else you want to include on your application.
Co-Applicant - Current employer
Co-Applicant - Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Co-Applicant - Employer Phone
Co-Applicant - Employer E-mail
example@example.com
Co-Applicant - Position
Co-Applicant - Hourly or Salary?

HourlySalary
Co-Applicant - Amount of monthly income
I authorize the verification of the information provided on this form as to my credit and employment.

By Signing or submitting this form I hereby consent(s) that the Holderworth Leasing LLC or his/her Agent is authorized to order credit reports, criminal background checks, and any other reasonable tenant screening reports from third party providers. The Applicant(s) also authorize(s) Holderworth Leasing LLC or his/her Agent to contact past and present employers, landlords, creditors and/or neighbors to verify employment, income, rent payment history, cleanliness and any other relevant inquiries as to the Applicant’s likelihood to make regular, timely rent payments and treat the Leased Premises with care and respect.
Signature of applicant*

Clear
Date*

MonthDayYear
Date
Signature of co applicant

Clear
Applicant Photo ID Upload*

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Applicant Proof of Income (paystubs, student loans, scholarship money, bank statements, etc..)*

Cancelof
Co-Applicant Photo ID Upload

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Co-Applicant Proof of Income (paystubs, student loans, scholarship money, bank statements, etc..)

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As a final step, please download this PDF, fill it out and re-upload it below.
Upload Authorization form here.*

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Thank you for completing our application. Press submit and we will be in contact with you soon!
Should be Empty:

Holderworth Leasing LLC Rental Application

Applicant Questionnaire

Vehicle Information

Student Only Section

Employment Information

Emergency Contact

Previous landlord

Co-Applicant Information

Co-Applicant Employment Information