Rental Application (One Applicant)

Rental Application (One Applicant)

Thank you for applying for a rental with us. To complete this application you will need a photo of your drivers license, your last two paystubs, past landlord's information and debit card. Call Legal Couriers Yakima at 509-453-1134 if you have questions.
Rental Information

This is for the rental you are applying. (Do not enter current rental information here.)
Rental Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Monthly Rent*
Landlord's Name*

First NameLast Name
Landlords Phone Number*
Please enter a valid phone number.
Applicant Information

This is your information.
Enter name and ages of all persons who will be living in the unit with you.
Note: Each person over 18 years of age will need to fill out an application and apply for this rental..
Name*

First and Middle NameLast Name
Social Security Number*
Example 555-55-5555
Birth Date*

MonthDayYear
Date
Phone Number*
Please enter a valid phone number.
Current Employer*
Hire Date*

MonthDayYear
Date
Your Title*
Supervisor's Name*

First NameLast Name
Employers Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Monthly Net Pay*
What is the average amount of your monthly paychecks?
Employer's Contact Number*
Please enter a valid phone number.
Have you been convicted of a felony?

YesNo
Have you been evicted?

YesNo
If yes to either above questions, explain.
Drivers License

Upload a photo of your drivers license here.
Drivers License*

Upload a photo of your drivers license.
Cancelof
Paystubs

Upload a photo of your two most recent paystubs.
Paystubs*

Upload a photo of your two most recent paystubs.
Cancelof
Do you have pets?*
If so, what are they? Dog, Cat, etc.
Emergency Contact*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.
Make and Model of all Vehicles.*
Current Rental Information

This is the information of the rental in which you currently are living.
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Present Rent*
Rent of your current home
Reason for Leaving*
Landlord's Name*

First NameLast Name
Landlord's Phone Number*
Please enter a valid phone number.
Landlord's email address*
example@example.com
Second Landord Reference

This is not your current landlord's information, but two landlords ago.
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Landlord's Email Address
example@example.com
Rental Address (Not current, but the one previous to your current rental.)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Desired move in date

MonthDayYear
Date
I, the undersigned, certify the above information is true. If accepted as a tenant, a false or willingly omitted statement will, at the option of the owner/agent, be grounds for cancellation of the rental agreement of which this document shall be a part. I hereby give my permission for a full credit, public record and reference check, plu anything that may become apparent as a result of this information. I also authorize and request my employer to verify to you that the employment information I have given on this application is correct. applicant (or tenant) agrees that the Landlord may notify him or her by email to his or her email address. any such notice shall be considered the same as if the Landlord has mailed the notice to the applicant/tenant by first class mail, postage prepaid. Applicant/tenant agrees to immediately notify Landlord of any changes in his/her email address.
I give Legal Couriers Yakima permission to run my credit report iSoftpull.*

Yes
I give my current employer permission to release information to Legal Couriers Yakima.*

Yes
I give my current and past landlord permission to release information to Legal Couriers Yakima.*

Yes

My Products*

Background ScreeningPlus $3 credit card convenience fee

$53.00 Quantity

Total

$0.00

Credit Card

Applicant One Signature*

Powered by Jotform SignClear
Should be Empty:

Rental Application (One Applicant)

Rental Information

Applicant Information

Drivers License

Paystubs

Current Rental Information

Second Landord Reference

Credit Card