Residential Rental Application

Residential Rental Application
Thank you for your interest in renting a property with Homes By Niecie Draper. Please complete this application form. You will need to have your documents ready for upload as part of the application process. After completing the application, pay the application fee for your Credit and Background Check at CreditCheck.HomesByNiecieDraper.com

Please note that each Co-Applicant and/or Occupant over the age of 18 should complete a separate application at RentalApp.HomesByNiecieDraper.com
Property Location / Address*

Street Address Line 2

CityState / Province

Postal / Zip Code
Street Address for the Property that you would like to rent. If you do not know the address, type "TBD". Note: If you are completing an application before you find a property, once we have identified the jurisdiction and the requirements of the owner, landlord and/or property manager for your new rental home, we will complete their rental application.
Is Niecie Draper your Realtor?

YesNoI don't have a Realtor
Your Realtor's Name

First NameLast Name
Your Realtor's Company
Your Realtor's Phone Number
Please enter a valid phone number.
Your Realtor's Email
example@example.com
Application Date*

MonthDayYear
Date
Target Move - In Date*

MonthDayYear
Date
Applicant's Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Social Security Number*
Driver's License Number/State*
Cell/Home Number*
Please enter a valid phone number.
Work Number*
Please enter a valid phone number.
Email*
example@example.com
Are you a U.S. Citizen?

YesNoOther
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Length of Time at Current Address*

At least 2 yearsLess than 2 years
Own or Rent?*

OwnRent
Moved In Date*

MonthDayYear
Date
Move Out Date*

MonthDayYear
Date
Reason for Leaving*
How's your Rental and/or Mortgage History? Any Lates in the last 12 months? Any Lates in the last 24 months?
Monthly Rent/Mortgage*
Landlord/Property Manager
Landlord/Property Manager Phone Number
Please enter a valid phone number.
Landlord/Property Manager Email Address
example@example.com
Previous Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Previously Own or Rent?*

OwnRent
Moved In Date*

MonthDayYear
Date
Moved Out Date*

MonthDayYear
Date
Previous Monthly Rent/Mortgage*
Previous Reason for leaving*
Previous Landlord / Property Manager Name
Previous Landlord / Property Manager Phone Number
Please enter a valid phone number.
Previous Landlord / Property Manager Email Address
example@example.com
Current Employer*
Current Position *
Start Date*

MonthDayYear
Date
How Long have you been with your Current Employer*

At least 2 yearsLess than 2 years
Supervisor Name*
Supervisor Phone Number*
Please enter a valid phone number.
Supervisor Email Address*
example@example.com
What is Your Annual Income? *
Previous Employer*
Previous Position*
Start Date*

MonthDayYear
Date
End Date*

MonthDayYear
Date
Length of Time at Previous Employer*
Previous Supervisor Name*
Previous Supervisor Phone Number*
Please enter a valid phone number.
Previous Supervisor Email Address*
example@example.com
What was Your Previous Annual Income?*
Additional Sources of Income*
Bank References*
Monthly Obligations*
Year, Make, Model, Color of Vehicle(s)
Emergency Contact Name*
Emergency Contact Relationship*
Emergency Contact Phone Number*
Please enter a valid phone number.
Emergency Contact Email Address*
example@example.com
Personal Reference Name*
Personal Reference Relationship*
Personal Reference Phone Number*
Please enter a valid phone number.
Personal Reference Email Address*
example@example.com
Do you have a Co-Applicant?*

YesNo
Co-Applicant Name*
Co-Applicants must complete a separate application
Please state the names of the other Occupants and Relationship to the applicant.
Do Any Occupants Have Pets?*

YesNo
Do Any Occupants Smoke?*

YesNo
Are You in the Military?*

YesNo
What do you think your Credit Score is?*
Have You Ever Been Evicted?*

YesNo
Please explain Eviction(s) below:*
Have You Been Convicted of a Crime?*

YesNo
Please explain Conviction(s) below:*
Do You Have Any Lates, Collections, Liens, Judgements, Foreclosures, Bankruptcies and/or Lawsuits Against You?*

YesNo
Please explain Credit Issue(s) below:*
The DOCUMENTS below are requested to apply for your new rental home.

Please upload your documents. If you are unable to upload them at the time of application submission, please email them to Documents@HomesByNiecieDraper.com.

These documents will help in facilitating the transaction of renting your new home. If you don't have a document that is being requested, please provide an explanation.

Please plan to save & keep your pay stubs and proof of funds handy as you go through the process. You may be asked for updated documents throughout the process until you get the keys to your new home.
Documents Needed:
Special Circumstances:
Please Upload Proof of Income for 1 Month

Income documents include Pay Stubs, Pension, Social Security Awards Letters, Vouchers, Food Stamps, etc.
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Please Upload W2

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Please Upload Proof of Funds

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Please Upload Social Security Card

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Please Upload an Image of your Valid ID (Front and Back)*

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Please Upload Any Other Documents

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Is there anything else that we should know?
Please share any additional information that we should know about you and your situation so that we may proactively advocate for you.
Applicant's Signature*

Clear
Date Signed*

MonthDayYear
Date
Should be Empty: