Online Rental Application Form

Online Rental Application

Each applicant aged 18 and over must submit a separate application.
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.Format: (000) 000-0000.
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
YesNoOwn
Monthly Amount*
Move-in Date*

MonthDayYear
Date
Move-out Date*

MonthDayYear
Date
Reason for Leaving*
Landlord/Manager's Name & Contact Information*
Previous Address (if less than 24 month history)

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

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

Cancelof
Previous Employer & Job Title (If less than 2 years of employment history)
Name & Location
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Other Income
Such as Social Security, Disability, Child Support, etc.
YesNoSometimes
YesNo
If yes, please describe all pets (type, breed, weight & age)*
Type, Breed, Weight, & Age
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
If you answered yes to any of these questions, please explain & provide dates:*
List Emergency Contact *
Name, Relationship & Contact Information
Consent & Acknowledgement

I, the applicant, certify that all the information given above is true and correct. I understand that my lease or rental agreement may be terminated if I give false or incomplete information. I understand that incomplete or incorrect information provided in this application may cause a delay in processing, which may result in the denial of tenancy.

I understand that if I wish to be considered for the property after my tour, I will be required to pay a non-refundable screening fee directly to a third-party screening service, TransUnion SmartMove, to release my credit, criminal and eviction history. This screening is for resident screening purposes only and is strictly confidential.

I authorize the Landlord and its agents to check my consumer credit report, including, but not limited to, credit history, OFAC search, landlord/tenant court record search, criminal record search, and registered sex offender search. I further authorize the release of information from previous or current landlords, employers, and personal references. I release the Landlord and its agents from any liability related to the use of this information.
I Agree
Signature*

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Online Rental Application

Dutton Investment Group LLC