Callahan Pedersen Properties, LLC Applicant Pre-Screen

Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
Email*

Confirmation Email
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Date of Birth*

MonthDayYear
What is your preferred contact method?*

PhoneSMSEmail
Select the property you are interested in.*
Have you had any evictions in the past 7 years?*

YesNo
Do you have any convictions on your record? (This is not an immediate denial)*

YesNo
Do you have any felony convictions? (This is not an immediate denial)*

YesNo
Do you have any bankruptcies?*

YesNo
How many years ago was your bankruptcy?*
How many individuals will be in the home?*
How many individuals are 18 years or older?*
**Please Note** Each individual 18 years of age or older will be required to complete a formal rental application and pay the application fee.
What is the gross monthly household income?*
Please list all adults who will reside in the household.*
Do you plan to have any animals that will be coming with you?*

YesNo
What kind of animal(s) do you plan on bringing to the home?*

Dog(s)Cat(s)Bird(s)FishOther
Are any dogs of the following breed or breed mix?*

Doberman PinscherPit bullRottweilerChow ChowWolf Dogs/Wolf HybridsCanary dogAkitaOther
When are you looking to move?*
Are you willing to pay a $45.00 application fee (Credit, Background, Income & Eviction Check) and a $55.00 administration fee as part of the approval process?

YesNo
* NOTICE *

Because you have selected No on paying the application fee, your application will not be approved. After 30 days, the application will be denied and the process will close.
References

Please provide your previous Landlord's information and at least one additional reference.
Add A Reference*
This form is informational only. It does not indicate approval for renting. Your information will remain private and used only to contact you regarding our properties and services.

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Company
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References

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