Rental Application

Rental Application

Please fill out the form to apply for the rental property.
Address you are applying for
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Email
example@example.com
Phone Number
Please enter a valid phone number.
Driver License #
Employment Information
Current Employer contact and number
Employment History
Rental History
Current Address
How long at current address
Current Landlord Contact
Previous address
How long at previous address
Previous Landlord contact
Reason for Leaving Previous Rental
Banking Reference
Personal References
Personal Reference 1

First NameLast Name
Phone Number
Please enter a valid phone number.
Relationship
Personal Reference 2

First NameLast Name
Phone Number
Please enter a valid phone number.
Relationship
Other Information
Do you have any pets?

YesNo
Vehicle to be parked on premises

MakeModelYearLicense #
Vehicle to be parked on premises

MakeModelYearLicense #
Have you ever filed bankruptcy?

YesNo
If yes, when?
Have you ever been served with eviction or asked to vacate for non-payment of rent?

YesNo
Acknowledgement

By pressing submit, I/We, understand that Junction Property Management is the leasing agent and representative for the owner/landlord and that the leasing agent’s fees will be paid by the owner/landlord. The undersigned acknowledge that this written notice was received prior to the undersigned receiving a lease agreement.
Consent to Obtain Credit/Employment Information

By pressing submit, I/We authorize Junction Property Management to investigate my/our credit qualifications and hereby release, in any manner, all of the information obtained by you. I/We further release all persons, agencies, or firms from any liabilities resulting from providing such information.

By pressing submit. I/We declare under penalty of perjury that the information listed in this application is true and correct.

By pressing submit, I/We authorize landlord, leasing agent, and representatives of owner/landlord to contact the undersigned's current or previous landlord, and current employer, and further, by a copy of this Application, authorizes any said landlord or employer to release pertinent residential and employment history information to be used in evaluating my lease application. I further authorize owner/landlord, leasing agent or its representatives to apply for or obtain an investigation or credit report in connection with this application. I understand that said investigation or credit report may contain information obtained from various state governmental and private entities relative to the undersigned's number of children, employment, occupation, general health, financial, and criminal history information.
Date

MonthDayYear
Date
After you press submit, please return to the Appilication page to make payment for the application by clicking on the credit card icon at the bottom of the page.
Should be Empty:

Rental Application

Employment Information

Rental History

Banking Reference

Personal References

Other Information