Online Rental Application Form

Online Rental Application

Each applicant aged 18 and over must submit a separate application. To complete our pre-screening process, applicants must email proof of income and a photocopy of their ID to veronica@duttoninvestmentgroup.com. Following the initial approval of the application, a non-refundable fee of $47.00 is necessary to conduct a background and credit check. The applicant(s) will pay this fee electronically, directly to TransUnion SmartMove, the background/credit check service utilized by Dutton Investment Group.
Dutton Investment Group LLC

2610 E 32nd St, Joplin, MO 64804
THIS SECTION TO BE COMPLETED BY THE LANDLORD

Amounts Due Prior to Occupancy

First month's rent: $_________

Security deposit: $__________

Pet Deposit: $__________

Monthly Pet Fee: $______________

TOTAL: $_________________
This is an application to rent: Street Address* City* State* Zip*
Preferred Move in Date*

MonthDayYear
Full Name*

First NameLast Name
Date of Birth*
Social Security Number*
E-mail*
example@example.com
Phone Number*
Please enter a valid phone number.
Driver's License Number & State*
Vehicle Information (year, make, model, color, plate #, & state)*
Year, Make, Model, Color, License Plate Number & State
Proposed Occupants (name, relationship, age)*
List full names of all occupants
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Do you currently rent?*

YesNoOwn
Monthly Amount*
Move-in Date*

MonthDayYear
Date
Move-out Date*

MonthDayYear
Date
Reason for Leaving*
Landlord/Manager's Name & Contact Information*
Previous Address*

Street Address

Street Address Line 2

CityState

Zip Code
Rent Amount*
Move-in Date*

MonthDayYear
Date
Move-out Date*

MonthDayYear
Date
Landlord/Manager's Name & Contact Information*
Reason for Leaving*
Are you currently employed?*

YesNo
Gross Monthly Salary*
Current Employer*
Title, Employer Name, Address
Start Date*

MonthDayYear
Date
Supervisor's Name & Contact Information*
Upload Most Recent Paystub Here*

Cancelof
Previous Employer*
Name & Location
Supervisor's Name & Contact Information*
Start Date*

MonthDayYear
Date
End Date

MonthDayYear
Date
Other Income
Such as Social Security, Disability, Child Support, etc.
List ALL Financial Liabilities (Account Type, Company Name, & Min. Monthly Payment)*
Revolving, Installment, Other
Do you smoke/vape?*

YesNoSometimes
Do you have pets?*

YesNo
If yes, please describe all pets*
Type, Breed, Weight, & Age
Have you ever filed for bankruptcy, or are you in the process of filing?*

YesNo
Have you ever been sued for bills?*

YesNo
Do you have any outstanding judgments or collections?*

YesNo
Have you ever been evicted or a defendant in an eviction action?*

YesNo
Have you ever broken a rental lease?*

YesNo
Have you ever been convicted of a felony?*

YesNo
If you answered yes to any of these questions, please explain & provide dates:*
List 1 Emergency Contact & 2 Personal References*
Name, Relationship & Contact Information
I, the applicant, certify that all the information given above is true and correct and understand that my lease or rental agreement may be terminated if I have made any materially false or incomplete statements in this application. I authorize verification of the information provided in this application from my credit sources, current and previous landlords, employers, and personal references.
Confirm*

I Agree
Signature*

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Online Rental Application

Dutton Investment Group LLC