DRC Rental Form

DRC Rental Form
Property*
APT#*
Rent*
Agent*
Move in Date*

MonthDayYear
Date

APPLICANT INFORMATION

PRIMARY
Name*

First NameMiddle NameLast Name
Phone Number*
Please enter a valid phone number.
SS#*
Drivers License#*
State*
Marital Status*

SingleMarriedSeparated
Birth Date*

MonthDayYear
Date

APPLICANT INFORMATION

SPOUSE (IF YOU DO NOT HAVE A LEGAL SPOUSE, PLEASE CLICK "NEXT")
Name

First NameMiddle NameLast Name
Phone Number
Please enter a valid phone number.
SS#
Drivers License#
State
Birth Date

MonthDayYear
Date

APPLICANT INFORMATION

OTHER OCCUPANTS
Name

First NameMiddle NameLast Name
Age
Birth Date

MonthDayYear
Date
Name

First NameMiddle NameLast Name
Age
Birth Date

MonthDayYear
Date
Name

First NameMiddle NameLast Name
Age
Birth Date

MonthDayYear
Date
Name

First NameMiddle NameLast Name
Age
Birth Date

MonthDayYear
Date

PRIMARY APPLICANT

PRESENT EMPLOYER
Company
Supervisor
Personal Phone#
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Start Date

MonthDayYear
Date
Postion
Monthly Gross Income $

PRIMARY APPLICANT

PREVIOUS EMPLOYER
Company
Supervisor
Personal Phone#
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Start Date

MonthDayYear
Date
Postion
Monthly Gross Income $

PRIMARY APPLICANT

PRESENT ADDRESS
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Apartment or Landlord Name*
Contact Number*
Please enter a valid phone number.
Residency Start Date*

MonthDayYear
Date
Residency End Date*

MonthDayYear
Date
Rent Amount $*

PRIMARY APPLICANT

PREVIOUS ADDRESSES
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

SPOUSE

PRESENT EMPLOYER
Company
Supervisor
Personal Phone#
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Start Date

MonthDayYear
Date
Postion
Monthly Gross Income $

SPOUSE

PREVIOUS EMPLOYER
Company
Supervisor
Personal Phone#
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Start Date

MonthDayYear
Date
Postion
Monthly Gross Income $

SPOUSE

PRESENT ADDRESS
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Apartment or Landlord Name
Contact Number
Please enter a valid phone number.
Residency Start Date

MonthDayYear
Date
Residency End Date

MonthDayYear
Date
Rent Amount $

SPOUSE

PREVIOUS ADDRESSES
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

NEAREST RELATIVE
Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone*
Please enter a valid phone number.
Work Phone
Please enter a valid phone number.

PERSONAL DESCRIPTION

PRIMARY APPLICANT
Height
Weight
Hair Color
Eye Color

PERSONAL DESCRIPTION

SPOUSE
Height
Weight
Hair Color
Eye Color

VEHICLE DESCRIPTION

VEHICLE 1
Make*
Model*
Year
License Plate #
State
VEHICLE 2
Make
Model
Year
License Plate #
State

BANK

PRIMARY
Name of Bank*
Phone Number*
Checking Account Number*
Savings Account Number*
SPOUSE
Name of Bank
Phone Number
Checking Account Number
Savings Account Number
Other Income and Amount
Indicate checking or savings
Are you a full time or part time student? If so, please list how many hours you are taking. If you are full time, please list your hourly requirement for your school.

QUALIFYING QUESTIONS
Have you or your spouse ever been evicted from rental housing? If yes, list state.*
Have you or your spouse ever been convicted of a crime? If yes, list state.*
Will there be any other occupants over the age of 18 years other than those listed above?*

I understand that I acquire no rights in an apartment until I sign this agreement and submit a reservation deposit in the amount of

$$$

Upon approval of tenancy and the signing of an apartment rental agreement, this fee will be credited against my deposit, in consideration for landlord holding said apartment at

Street Address   Address Line 2   City   State   Zip

If application withdraws the application, a fee of

$$$

will be retained by Landlord. If approved and the rental unit is held for applicant for more than 3 days after approval and the applicant withdraws the application, all monies deposited shall be forfeited to the Landlord.

Pursuant to State and Federal Fair Credit Reporting Acts, this is to inform you that an investigation involving the statements made on your rental application at the above-mentioned apartment complex, as well as inquiries regarding public records, your character, general reputation, personal characteristics and mode of living may be initiated. You have the right to dispute the information reported. Upon written
request , you are entitled to a complete and accurate disclosure of the investigation's nature and scope as well as a written summary of your rights and remedies under the Fair Credit Reporting Act.

We certify that, to the best of my/our knowledge, all statements are true and complete. False, fraudulent of misleading information may be grounds for denial of tenancy or subsequent eviction. I/We authorize WKHODQGORUG to obtain all reports and verifications necessary to verify all information put fourth in the above application and to furnished all information to the landlord named above.

Keys will be furnished only after contemplated lease and other rental documents have been properly executed by all parties and only after applicable rents and security deposits have been paid. This application does not obligate Property to execute a lease or deliver possession of the proposed premises. I understand if Property is unable to deliver possession of proposed apartment on the agreed date for any reason, including holdover of a prior Resident, then Property shall not be liable as a result. Property is also under no obligation to deliver possession of another apartment. By my signature below, I certify that I have read and understand the terms of this rental application. I am aware that an incomplete application causes a delay in processing and may result in denial of tenancy. Equal Housing Opportunity
Signature

Clear
Should be Empty:

DRC Rental Form

APPLICANT INFORMATION

APPLICANT INFORMATION

APPLICANT INFORMATION

PRIMARY APPLICANT

PRIMARY APPLICANT

PRIMARY APPLICANT

PRIMARY APPLICANT

SPOUSE

SPOUSE

SPOUSE

SPOUSE

NEAREST RELATIVE

PERSONAL DESCRIPTION

PERSONAL DESCRIPTION

VEHICLE DESCRIPTION

BANK

QUALIFYING QUESTIONS