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?
Your Realtor's Name

First NameLast Name
Your Realtor's Company
Your Realtor's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Your Realtor's Email
example@example.com
Application Date

MonthDayYear
Date
Target Move - In Date

MonthDayYear
Date
Length of Lease

Other
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.Format: (000) 000-0000.
Work Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Are you a U.S. Citizen?

Other
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Length of Time at Current Address
Own or Rent?
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.Format: (000) 000-0000.
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?
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.Format: (000) 000-0000.
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
Supervisor Name
Supervisor Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
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.Format: (000) 000-0000.
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)
Personal references should be different than your emergency contact. At least one reference should be someone other than a family member.
Personal Reference Name
Personal Reference Relationship
Personal Reference Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Personal Reference Email Address
example@example.com
Personal Reference Name #2
Personal Reference Relationship #2
Personal Reference Phone Number #2
Please enter a valid phone number.Format: (000) 000-0000.
Personal Reference Email Address #2
example@example.com
Emergency Contact Name
Emergency Contact Relationship
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Email Address
example@example.com
Do you have a Co-Applicant?
Co-Applicant Name
Co-Applicants must complete a separate application
Please state the names of the all other Occupants and Relationship to the applicant, including Dependents.
Do Any Occupants Have Pets?
If Pets, what type?
Do Any Occupants Smoke?
Are You in the Military?
What do you think your Credit Score is?
Have You Ever Been Evicted?
Please explain Eviction(s) below:
Have You Been Convicted of a Crime?
Please explain Conviction(s) below:
Do You Have Any Lates, Collections, Liens, Judgements, Foreclosures, Bankruptcies and/or Lawsuits Against You?
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
Date Signed

MonthDayYear
Date
Should be Empty: