APPLICATION FOR RENTAL
NOTE: All occupants must be listed on the application.
APPLICATION INFORMATION
Which home are you applying for?
Please Select
1 Bedroom Tiny House w/Loft
2/1 Bedroom House
2/1 Bedroom Apartment
3/1 Bedroom House
4/2 Bedroom House
Total number of occupants
Does anyone in the household smoke or vape?
Please Select
YES
NO
Tenant 1 - Name
First Name
Last Name
What is Tenant 1's credit score?
Birth Date
/
Month
/
Day
Year
Date
Phone Number
Please enter area code first.
Format: (000) 000-0000.
Email
example@example.com
Current Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Landlord Name
First Name
Last Name
Monthly Rent
Reason for leaving
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OTHER OCCUPANTS
List names and date of births of ALL additional occupants
Tenant 2 - Name
First Name
Last Name
What is tenant 2's credit score?
Birth Date
/
Month
/
Day
Year
Date
Phone Number
Please enter area code first.
Format: (000) 000-0000.
Email
example@example.com
Tenant 3 - Name
First Name
Last Name
Date
/
Month
/
Day
Year
Date
Phone Number
Please enter area code first.
Format: (000) 000-0000.
Email
example@example.com
Tenant 4 - Name
First Name
Last Name
Date
/
Month
/
Day
Year
Date
Phone Number
Please enter area code first.
Format: (000) 000-0000.
Email
example@example.com
Tenant 5 - Name
First Name
Last Name
Date
/
Month
/
Day
Year
Date
Phone Number
Please enter area code first.
Format: (000) 000-0000.
Email
example@example.com
Tenant 6 - Name
First Name
Last Name
Date
/
Month
/
Day
Year
Date
Phone Number
Please enter area code first.
Format: (000) 000-0000.
Email
example@example.com
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PETS
Do you have any pets?
Please Select
YES
NO
Describe
Please describe if the above answer is yes.
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EMPLOYMENT & INCOME INFORMATION
Total income from all sources
Tenant 1 - Occupation
Employer
Monthly Salary
Supervisor Name
First Name
Last Name
Phone Number
Please enter area code first.
Format: (000) 000-0000.
Start Date
/
Month
/
Day
Year
Date
End Date
/
Month
/
Day
Year
Date
2. Other Income and Type
Monthly Income
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EMPLOYMENT & INCOME INFORMATION
Tenant 2 - Occupation
Employer
Monthly Salary
Supervisor Name
First Name
Last Name
Phone Number
Please enter area code first.
Format: (000) 000-0000.
Start Date
/
Month
/
Day
Year
Date
End Date
/
Month
/
Day
Year
Date
2. Other Household Income & Type
Monthly Income
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EMERGENCY CONTACT
Emergency Contact Name
First Name
Last Name
Emergency Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
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BACKGROUND INFORMATION
****TENANT - 1****
HAVE YOU EVER?
Filed for Bankruptcy?
Please Select
YES
NO
Willfully or intentionally refused to pay rent when due?
Please Select
Been evicted from a tenancy or left owing money?
Please Select
YES
NO
If yes, Please provide Property Name, City, State, and Landlord name below.
Been convicted of a crime?
Please Select
YES
NO
If yes, please provide Type of Offense, County, and State below.
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BACKGROUND INFORMATION
****TENANT - 2****
HAVE YOU EVER?
Filed for Bankruptcy
Please Select
YES
NO
Willfully or intentionally refused to pay rent when due?
Please Select
YES
NO
Been evicted from a tenancy or left owing money?
Please Select
YES
NO
If yes, please provide Property Name, City, State, and Landlord name below.
Been convicted of a crime?
Please Select
YES
NO
If yes, please provide Type of Offense, County, and State below.
Submit
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