McHarris Realty Residential Rental Application

Application Processing Fee

After completing this form, you will be prompted to submit a $25.00 non-refundable Application Processing Fee. You will not be able to submit your application without providing payment for this fee. Payment may be made with a debit or credit card, PayPal, PayPal Credit, or Venmo.
Applicant Information

Please enter the requested personal information below.
Applicant #1*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Date of Birth*

MonthDayYear
Date
Social Security Number*
Applicant #2

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Social Security Number
Date of Birth

MonthDayYear
Date
Address History

Please provide your address history for the last 5 years to date, starting with your current and/or most recent address.
Current Address*

Street Address

Street Address Line 2

CityState

Zip Code
Move-in Date*

MonthDayYear
Enter the date you moved into this address.
Monthly Rent*
Please enter your current monthly rent in $ dollars
Reason for moving:*
Name of Property Owner or Manager*

First NameLast Name
Property Owner or Manager's Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Property Owner or Manager's Address*

Street Address

Street Address Line 2

CityState

Zip Code
Previous Address #1

Street Address

Street Address Line 2

CityState

Zip Code
Move-in Date

MonthDayYear
Enter the date you moved into this address
Move-out Date

MonthDayYear
Enter the date you moved out of this address.
Monthly Rent
Please enter in $ dollars
Reason for moving:
Name of Property Owner or Manager

First NameLast Name
Property Owner or Manager's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Property Owner or Manager's Address

Street Address

Street Address Line 2

CityState

Zip Code
Previous Address #2

Street Address

Street Address Line 2

CityState

Zip Code
Move-in Date

MonthDayYear
Enter the date you moved into this address
Move-out Date

MonthDayYear
Enter the date you moved out of this address.
Monthly Rent
Please enter in $ dollars
Reason for moving:
Name of Property Owner or Manager

First NameLast Name
Property Owner or Manager's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Property Owner or Manager's Address

Street Address

Street Address Line 2

CityState

Zip Code
Use this space to provide information on any additional addresses you have lived at in the past 5 years, if applicable. Be sure to include dates, addresses, and monthly rent.
Employment & Income

Please enter your employment and income information
Name of Current Employer*
Employer Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Employer Address*

Street Address

Street Address Line 2

CityState

Zip Code
Date Hired*

MonthDayYear
Date
Position*
Please indicate your position or job title
Weekly Hours Worked*
How frequently are you paid?*
Weekly, bi-weekly, semi-monthly etc...
Gross Pay*
Please enter your gross pay in $ dollars
Other Income and/or Employment
Please indicate any other income you have, including income amount and source. If you have another employer, please provide the name and phone number of this employer.
Additional Information
Do you receive Section 8 benefits?*
Are you a convicted felon?*
Do you currently have the security deposit and amount required for move-in?*
How many times have you had an eviction filed against you?*
Do you have any pets? Please include information about any and all pets, including type (dog, cat etc.), and number.*
Please list the full names and ages of all persons who will live with you if your application is approved:*
Please list any vehicles or trailers your household possesses:*
Emergency Contacts

Please enter information for at least one emergency contact who does not live with you
Emergency Contact #1*

First NameLast Name
Emergency Contact #1 - Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact #1 Address*

Street Address

Street Address Line 2

CityState

Zip Code
Emergency Contact #2

First NameLast Name
Emergency Contact #2 - Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact #1 Address

Street Address

Street Address Line 2

CityState

Zip Code
Credit and Banking Information
Current Debt*
Please list your current debts (loans, credit cards etc) including the name of the lender, purpose of the debt, current balances, and monthly payment amounts.
Do you have a checking account:*
Do you have a savings account:*
Do you own any real estate?*
Applicant #1 Signature*

Powered by Jotform SignClear
Applicant #2 Signature

Powered by Jotform SignClear
Your application is not complete until you fill in all required fields and provide payment for your Application Processing Fee. Then, click the green SUBMIT APPLICATION button at the bottom of the form.*
prevnext( X )
2023 Rental Application
Non-refundable rental application processing fee for McHarris Realty, LLC

$25.00

Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Should be Empty:

Application Processing Fee

Applicant Information

Address History

Employment & Income

Additional Information

Emergency Contacts

Credit and Banking Information