D Stubbs Residential Rental Application

RESIDENTIAL RENTAL APPLICATION

Any questions please reach out to us via email dstubbsrentals@gmail.com
Unit
Preferred Move In Date

MonthDayYear
APPLICANT INFORMATION
Primary Applicant

First NameLast Name
Date of Birth

MonthDayYear
Primary Phone Number
Format: (000) 000-0000.
Email Address
example@example.com
CURRENT RESIDENCE
Address

STREET ADDRESS

Street Address Line 2

CITYSTATE

POSTAL / ZIP CODE
Current Landlord
Lease Expiration Date

MonthDayYear
Current Monthly Rent
Years with Landlord

OCCUPATION
Position Title
Employer
Status
Years at Job
Yearly Gross Income
Employer Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you have a Co-Applicant?

Co-Applicant

If you have a Co-Applicant, please add their email so we can link your applications.
Co-Applicant Name

First NameLast Name
Co-Applicant email
example@example.com
Co-Applicant Occupation
Co-Applicant Position Title
Co-Applicant Employer
Co-Applicant Yearly Gross Income
Years at Job
Co-Applicant Employer Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.

ADDITIONAL INFORMATION
Other Occupants
Please state the names of the other occupants and relationship to the applicant.
ADDITIONAL SOURCES OF INCOME

List any additional income, its source, and a contact (e.g., banker or employer). Disclosure of alimony, child support, or spousal income is optional.
Please list any additional consistent income
Do you have a Vehicle?

Do you have pets?
How many and size
APPLICANT REFERENCES

(OTHER THAN RELATIVES)
Please state the name, location, email and phone of atleast two non-related references

PERSONAL HISTORY
Have you filed for Bankruptcy in the past seven (7) years?
If you have had Bankruptcy, please feel free to explain
Have you ever been evicted from a residence?
If Evicted, please add additional details
Have you had two or more late rental payments in the last 24 months?
If Late Payments occurred, please list the times and circumstances
ADDITIONAL INFORMATION
Please give us any additional information that might help the owner/management to evaluate your application.

Authorization
If the application is not approved or accepted by the owner or agent, the deposit will be refunded, the application hereby waiving any claim for damages by reason of non-acceptance which the owner or agent may reject. I recognize that as a part of your procedure for processing my application, an investigative consumer report may be prepared whereby information is obtained through personal interviews with others with whom I may be acquainted. This inquiry includes information as to my character, general reputation, personal characteristics and mode of living as permitted by state law.
Signature
Date Signed

MonthDayYear
Date
Should be Empty:

RESIDENTIAL RENTAL APPLICATION