Hutcheson Realty Rental Application

Hutcheson Realty, Inc.

5629 Providence Road, Virginia Beach, VA 23464 Property Management and Sales – Office 757.424.2222, Fax 757.424.2921
Rental Application

(Use one form per single person or per married couple)
Application for Property Address:
Date Desired

MonthDayYear
Date
Applicant #1 Cell Phone #
Please enter a valid phone number.Format: (000) 000-0000.
Applicant #2 Cell Phone #
Please enter a valid phone number.Format: (000) 000-0000.
Applicant #1 Name

First NameLast Name
Email
example@example.com
Do you agree to receive email messages?
Social Security Number
Date of Birth

MonthDayYear
Date
Applicant #2 Name

First NameLast Name
Email
example@example.com
Do you agree to receive email messages?
Social Security Number
Date of Birth

MonthDayYear
Date
Your Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Current Landlord's Name and Phone #
How long have you been at the above address?
Monthly Rental Amount?
$ /month
Do you have a lease?
If yes, Expiration Date?

MonthDayYear
Date
Notice Given?
Your Former Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Former Landlord's Name AND Phone Number
Have you ever been sued or evicted for non-payment of rent?
If yes, please explain.
Applicant #1 Employment or Income Information
Occupation
Employer
Address
How long have you been employed?
Supervisor
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Gross Income
(Week/Month/Year)
Additional Income
Source
Applicant #1 - If military, please complete the following:
Duty Station
Rank/Rate
Commanding Officer
Telephone
Please enter a valid phone number.Format: (000) 000-0000.
Home of Record
Applicant #2 Employment or Income Information
Occupation
Employer
Address
How Long Employed
Supervisor
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Gross Income
(Week/Month/Year)
Additional Income
Source
Applicant #2 - If military, please complete the following:
Duty Station
Rank/Rate
Commanding Officer
Telephone
Please enter a valid phone number.Format: (000) 000-0000.
Home of Record
Credit Information
Do you have any judgments?
If yes, please explain.
Have you filed bankruptcy?
If yes, please explain.
Current debts and monthly payments (1)
Current debts and monthly payments (2)
Current debts and monthly payments (3)
Current debts and monthly payments (4)
Your Bank's Name
Branch / City

List ALL Residents who will be residing in the property other than the Applicants.

Rows	Name	Relationship	Birthdate
1
2
3
4

Applicant #1 Next of Kin
Name
Relationship
Address
(Include city, state & zip-code)
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Applicant #2 Next of Kin
Name
Relationship
Address
(Include city, state & zip-code)
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Additional Questions

Vehicles

Rows	Your Vehicle Type	Year	License Plate #	State
Vehicle #1
Vehicle #2

Do you have any pets?
If so, how many?
List Kind, Breed and Age
If yes, Additional Monthly Pet Rent Is Required. ** All Pet Rents Are Non-Refundable **
Renters Insurance is required, list insurance company, agents and contact numbers
The property owner carries insurance coverage on the building only. Neither the agent nor owner of the rental property is responsible for damage/loss to your personal property items.
I/We certify the information in this application is true and accurate to the best of my/our knowledge. The agent or owner has my/our consent to investigate my/our credit record and verify all credit, employment and any rental or income references as needed to approve this application, renewal of leases and collection proceedings.

In the event applicant(s) withhold information or give false information, this application and any lease agreement may be terminated by the agent or owner.

Agent has the responsibility to offer equal service to all clients and prospects pursuant to State and Federal Fair Housing Laws.

YOU ARE ADVISED THIS AGENCY/AGENT REPRESENTS THE LANDLORD/OWNER OF THE PROPERTY AND YOUR SIGNATURE BELOW ACKNOWLEDGES THIS STATEMENT HAS BEEN DISCLOSED TO YOU.

PLEASE READ THIS APPLICATION CAREFULLY BEFORE SIGNING.

* Credit & Processing Fee is $50.00 per application (single person or married couple) if monthly rent is $900.00 or more.

* Credit & Processing Fee is $40.00 per application (single person or married couple) if monthly rent is under $900.00 or less.

* Use separate application for unmarried, i.e., or two single persons.

* Add $30.00 for each additional applicants or co-signers.

* Move-In Administrative fee of $125.00 is due with security deposit to secure property – non-refundable.

** All Credit/Processing Fees Are Non-Refundable
Applicant #1 Signature
Applicant #2 Signature
Should be Empty:

Hutcheson Realty, Inc.

Rental Application

Applicant #1 Employment or Income Information

Applicant #1 - If military, please complete the following:

Applicant #2 Employment or Income Information

Applicant #2 - If military, please complete the following:

Credit Information

Applicant #1 Next of Kin

Applicant #2 Next of Kin

Additional Questions