Rental Application Form

Rental Application
Property Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Monthly Rent*
Security Deposit*
Lease Term*
Move in date*

YearMonthDay
Date
Move out date*

YearMonthDay
Date
Deposit Amount*
Deposit is to be held by Landlord/Agent with the clear understanding that this Application, including each prospective occupant, is subject to approval and acceptance by owner or his duly authorized property manager.

The Applicant has no leasehold interests in the rental property until there is a fully executed lease. In the case of payment by check, the words “Deposit” shall be placed on the check.
Application Fee*
The Application fee is to be used by the Landlord/Agent for understanding that this Application, including each prospective occupant, is subject to approval and acceptance by owner or his duly authorized property manager. The Applicant has no leasehold interests in the rental property until there is a fully executed lease. In the case of payment by check, the words “Deposit” shall be placed on the check.
Special Lease Requirements
Contingencies/Special Equipment
Military/Diplomatic clause*

YesNo

Occupants
Number of Occupants*
Pet Information
Do you have pets?*

YesNo
Total Number of Pets*
Types of pets

CatDogOther
Other pet(s)
Total Number of Cats
Automobiles, Motorcycles, Trucks, Boats, and Trailers
Total Number of Vehicles*
All motor vehicles or trailers shall have current licenses and may be parked ONLY in garages, driveways (if provided), on the street (not in fire lanes or on the lawn), OR AS REQUIRED BY THE CONDOMINIUM OR HOMEOWNER'S ASSOCIATION.
Fair Housing Notice
In compliance with federal fair housing regulations, the Property shall be made available to all persons without regard to race, color, religion, national origin, sex, physical or mental handicaps, familial status, or any additional protected classes specified by State of Maryland, District of Columbia, or local jurisdiction law.

Applicant Information
Applicant's Name*

First NameLast Name
Date of Birth*

YearMonthDay
Date
Social Security Number*
e.g. 123456789
Driver's License/ ID Number*
State*
Phone Number*
Email*
example@example.com
Citizenship (Country)*
Passport Number*
Current Address
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Residence Type*

OwnRent
Years*
Rent/Mortgage Payments*
Present Landlord/Agent*
Landlord Phone
Please enter a valid phone number.
Reason for Moving*
Have you ever paid late?*

YesNo
What was your reason for paying late?
Have you ever been evicted?*

YesNo
What was your reason for being evicted?
Previous Addresses
List all previous addresses for the last five years, including the period of stay in each and the name and telephone number of the Landlord/Agent from whom you rented.
Current Employment
Employer Name*
Position*
How long?*
Employment Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor's name*

First NameLast Name
Supervisor's Phone*
IF EMPLOYER REFUSES to verify applicant’s employment by phone, it shall become the responsibility of the applicant to provide immediate written confirmation of such information. If applicant is self-employed, attach copies for past two years of individual US tax form 1040 and self- employment US tax schedule C.
Current Gross Annual Income
Base pay*
e.g.,200,000
Overtime
e.g.1000
Bonuses
e.g.200
Commissions
e.g.300
Dividends
e.g.600
Others
e.g.400
Total*
If employed less than one year with the current employer, provide previous employment information.
Previous Employer
Position
How Long?
Gross Income
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor Name
Supervisor Phone
Please enter a valid phone number.
IF EMPLOYER REFUSES to verify applicant’s employment by phone, it shall become the responsibility of the applicant to provide immediate written confirmation of such information. If applicant is self-employed, attach copies for past two years of individual US tax form 1040 and self- employment US tax schedule C.

Co-Applicant Information
Is there a co-applicant?*

YesNo
Co-applicant's Name*

First NameLast Name
Date of Birth*

YearMonthDay
Date
Social Security Number*
e.g. 123456789
Driver's License/ ID Number*
State*
Phone Number*
Email*
example@example.com
Citizenship (Country)*
Passport Number*
Current Address
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Residence Type*

OwnRent
Years*
Rent/Mortgage Payments*
Present Landlord/Agent*
Landlord Phone
Please enter a valid phone number.
Reason for Moving*
Have you ever paid late?*

YesNo
What was your reason for paying late?
Have you ever been evicted?*

YesNo
What was your reason for being evicted?
Previous Addresses
List all previous addresses for the last five years, including the period of stay in each and the name and telephone number of the Landlord/Agent from whom you rented.
Current Employment
Employer Name*
Position*
How long?*
Employment Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor's name*

First NameLast Name
Supervisor's Phone*
IF EMPLOYER REFUSES to verify applicant’s employment by phone, it shall become the responsibility of the applicant to provide immediate written confirmation of such information. If applicant is self-employed, attach copies for past two years of individual US tax form 1040 and self- employment US tax schedule C.
Current Gross Annual Income
Base pay*
e.g.,200,000
Overtime
e.g.1000
Bonuses
e.g.200
Commissions
e.g.300
Dividends
e.g.600
Others
e.g.400
Total*
If employed less than one year with the current employer, provide previous employment information.
Previous Employer
Position
How Long?
Gross Income
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor Name
Supervisor Phone
Please enter a valid phone number.
IF EMPLOYER REFUSES to verify applicant’s employment by phone, it shall become the responsibility of the applicant to provide immediate written confirmation of such information. If applicant is self-employed, attach copies for past two years of individual US tax form 1040 and self- employment US tax schedule C.

Rental Application

Special Lease Requirements

Occupants

Pet Information

Automobiles, Motorcycles, Trucks, Boats, and Trailers

Fair Housing Notice

Applicant Information

Current Address

Previous Addresses

Current Employment

Current Gross Annual Income

Co-Applicant Information

Current Address

Previous Addresses

Current Employment

Current Gross Annual Income

Emergency Contact Information

Emergency Contact Information

Housing Assistance Program

Assets

Liabilities

Local Reference

Second Local Reference

Electronic Signatures

Authorization to Release Information