HOMES Inc Rental Application

RENTAL APPLICATION
Date

MonthDayYear
Date
Applicant's Name*

First NameLast Name
Email*
Primary Phone Number*
Please enter a valid phone number.
Additional Phone Number
Please enter a valid phone number.
Mailing Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Which location are you interested in?*

Applicant Information
Applicant's Birthdate*

MonthDayYear
Date
Marital Status:*
How many people are in your household?*
Including you.
Monthly Household Income*
This includes ALL residents of the home.
Have you been a renter in the last 3 years?*

YesNo
Previous Landlord's Name*
Previous Landlord's Phone*
Please enter a valid phone number.
Move In date:*

MonthDayYear
Date
Monthly Rent:*
Move Out date:*

MonthDayYear
Date
Photo ID:*

Take a photo of your ID here.
Cancelof

Pet Application and Policy
Date

MonthDayYear
Date
NOTE: This is a PET APPLICATION Only. In order for the pet to be permitted on the premises, the pet must be approved by the landlord, a PET ADDENDUM signed by the Tenants and Landlord and all fees paid including but not limited to a non-refundable pet fee and additional rent as required by the landlord.

I understand that the landlord is under no obligation to approve my pet for occupancy. The following pets will not be accepted under any circumstances, German Shepherds, Dobermans, Pit Bulls, Chows or Rottweiler’s, any mix of the aforementioned or any other breed or mixture thereof which the landlord decides to not approve.

About your pet(s):*

	Pet's Name	Breed/Type	Color	Age	Current Weight	Estimated Weight at Maturity
Pet 1
Pet 2

I, the owner of the above described pet(s) do hereby certify the following:

My pet is well trained, is not dangerous to others and does not have a propensity to be vicious. My pet has never bitten, clawed or caused harm to another person or other pet.

My pet is not pregnant and will not become pregnant while we are residing on the premises. If my pet becomes pregnant, I will be in violation of this agreement and the offspring must be removed from the premises OR I will be subject to eviction. I shall not engage in any pet-raising or selling activities.

There shall be no pets, other than listed above on the premises.

I agree to keep the pet from becoming a nuisance to neighbors and follow everything stated in the PET ADDENDUM. This includes but is not limited to controlling the barking of the pet, if necessary and cleaning any animal waste on and about the premises.

In the event that my pet causes damage or destruction to the property, I agree that all cost of said damage or destruction shall come out of our Security Deposit. Should the Security Deposit be insufficient to cover the cost of any pet damage or destruction, then I agree to be financially responsible for damages above and beyond the amount of my security deposit.

If the pet becomes a nuisance, causes damage or destruction to the premises or otherwise violates the terms of the PET ADDENDUM, PET APPLICATION or LEASE AGREEMENT it may result in eviction.

If a neighbor becomes frightened because of a pet’s behavior, Homes, Inc., the pet owner, and the neighbor will have to have an arbitration to settle the issue.

I do hereby agree to the terms and conditions of the PET APPLICATION form.
Signature of Acceptance*

Clear

Certification
I certify that the information contained in this form is truthful and complete to the best of my knowledge and is provided in good faith. I understand that if I knowingly give false information, withhold information, or fail to report any changes promptly, I will be in violation of the terms of agreement and will become ineligible to receive housing services/assistance through HOMES, Inc.
Applicant Signature*

Clear
Should be Empty:

RENTAL APPLICATION

Applicant Information

Additional Residents

Special Circumstances

Pet Application and Policy

Certification