Online Rental Application Form

Online Second Chance Rental Application Form

Complete This Questionnaire And See If You Qualify Full Service Second Chance Rental Help
Date

MonthDayYear
Date
Number Of Adults On The Lease
First Name*
Last Name*
Full Name*

First NameLast Name
E-mail*
Please use a valid Gmail account to access our network. Access is not available for Yahoo, Outlook, Bing, AOL, iCloud, or other email account types. If you use one of these accounts, you won't be able to access our platform.
Phone Number*
Please enter a valid phone number.
Address*
City*
State*
Zip Code
Date Of Birth*

MonthDayYear
Date
Which city are you planning to move to?*
Check All That Applies To Your Rental Case*

EvictionBroken LeaseRental BalanceMultiple Eviction FilingsChronic Late PaymentsBankruptcyI Have No Rental Problems
What is your current living situation?*

Currently renting but looking for a new place.Staying with family/friends.Living in temporary housing.I’m homeless and need a place urgently.
Please provide details of your current rental situation (e.g., reasons for needing a new place, rental history issues, etc.):*
What is your main source of income?*

Employed full-time.Employed part-time.Self-employed.Section 8 or housing voucher.Social Security benefits (SSDI, SSI).Pension/retirement income.Child support or alimony.Unemployment benefits.No income currently.Other
How much do you make monthly from all sources of income?*

Over $3,000 per month.Between $2,000 and $3,000 per month.Between $1,500 and $2,000 per month.Less than $1,500 per month.
What is your exact combined monthly income?*
How many adults will be listed on the lease?*
Will the additional adults on the lease be contributing to the monthly income or paying rent?*

Yes, they will contribute to monthly income.Yes, they will be paying part of the rent.No, I will be covering the entire rent myself.
Have you been denied a rental recently due to eviction, broken lease, or poor credit?*

Yes, I’ve been denied because of my rental history or credit.No, I haven’t applied recently but expect issues
Do you have any evictions or broken leases on your rental record?*

Yes, I have an eviction/broken lease on my record.No, I don’t have any evictions or broken leases.
What is your estimated credit score?*

Below 600.Between 600 and 650.Above 650
Are you okay with paying for rental assistance to improve your chances of getting approved?*

Yes, I’m open to investing in rental assistance.I’m not sure, I’d like more information on how it works.No, I’m not interested in paying for rental services.
How soon are you hoping to move into a new place?*

As soon as possible.Within the next 30 days.I’m flexible but looking within the next few months.
Would you prefer a program that offers a low startup fee with payment options or no upfront payment but a higher fee after approval?*

I prefer a low startup fee with manageable payments.I would prefer no upfront payment, even if the fee is higher after approval.
Are you familiar with how a Renter’s Identification Number (RIN) can help improve your chances of rental approval?*

Yes, I know how it works and am interested.No, I’d like more information on how it works and why it’s beneficial.
Would you be interested in adding Lease Armor to your rental program to enhance your approval chances and protect your lease?*

Yes, I’m interested in learning more about Lease Armor.No, I’m not sure if I need it, but I’d like more details.
Do you have a specific area in mind where you want to live, or are you flexible with the location?*

Yes, I have a specific area in mind.I’m flexible and willing to consider different locations.
When is the best time to contact you to discuss your rental situation?*

Mornings (9 AM – 12 PM)Afternoons (12 PM – 5 PM)Evenings (5 PM – 8 PM)Weekends
How can we best reach you?*

Phone callEmail
What is your preferred move-in date?*

ImmediatelyNext WeekNext MonthI'm flexible, but soon
Confirm*

I Agree
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Online Second Chance Rental Application Form