IMPACT REALTY, LLC
147 Veterans Pkwy, Murfreesboro, TN 37128
Office 615-869-0616
RENTAL APPLICATION
Please answer all questions, put N/A where does not apply. Please write legibly.
Which property address are you applying for?
Applicant Name
First Name
Last Name
Social Security Number
Email Address:
Home/Cell #
Please enter a valid phone number.
Format: (000) 000-0000.
Work #
Please enter a valid phone number.
Format: (000) 000-0000.
Name of Co-Applicant (if applicable)
List All other occupants that will be living in the household (Name and Age)
1.
2.
3.
Applicant Current LandLord / Rental:
Current Address:
Landlord/Mortgage Name and Phone #:
Dates of Residency:
Rent Amount:
Reason for Leaving?
Landlord/Mortgage Name and Phone #:
Dates of Residency:
Rent Amount:
Reason for Leaving?
Applicant Employment:
Check:
Full time
Part Time
Student
Unemployed
Retired
Employer Name:
Address:
Contact Name:
Contact Number:
Dates of Employment:
Pay and Rate:
List any additional income and its source:
Employer Name:
Address:
Contact Name:
Contact Number:
Dates of Employment:
List any additional income and its source:
NOTE: A lease must be signed within 3 days of acceptance of application. All application fees are non-refundable. Security deposit must be received at the time of signing lease. You will have one full business day to change your mind, you must give written notice to our office or security deposit will not be returned.
Revised March 21, 2024
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CREDIT VERIFICATION
Additional Information
When would you like to move in?
How much notice will you need to give your current landlord?
How long do you intend to rent this property?
Are you subject to transfer?
Planning to buy a home?
Going into military service or currently active duty?
Do you or anyone in the Household: Smoke?
Have a Waterbed?
Have Pets?
If so, what kind and how many?
Have you ever filed Bankruptcy?
If so, what chapter?
Date Discharged?
Have you ever been evicted?
If so, explain:
Have you or anyone listed ever been convicted of a felony?
If so, explain:
Vehicle Information
Vehicle #1: Make/Model:
Year
Tag#
Exp. Date
Vehicle #2: Make/Model:
Year
Tag#
Exp. Date
List additional vehicles:
List 3 personal references, include relationship and contact number:
1.
2.
3.
I/We declare that the statements provided in this application are true and correct to the best of my knowledge and I/We hereby give authorization to release information for verification of all statements given on this application.
Applicant Signature:
Date:
Revised March 21, 2024
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BACKGROUND INVESTIGATION CONSENT FORM
The undersigned, (Applicant) and/or (Co-Applicant), hereby gives Impact Realty permission to complete a full investigation of my application by whatever means deemed necessary. This will include, but is not limited to, employment, including salary, rental verification, a credit report, criminal background search, education, references, MVR, Sexual Offense Registries, Bankruptcy, Collection/Judgment verification or verification of any other that may be deemed necessary. Any omissions can result in the declination of your application.
Applicant Full Name:
First Name
Last Name
Date of Birth:
-
Month
-
Day
Year
Date
SSN#
Email Address:
example@example.com
Drivers License #:
State Issued:
Current Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Previous Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Nick names or any other names used, including Maiden Names:
Daytime Telephone #:
Format: (000) 000-0000.
Signature
Upload Income Documents (if not uploaded, you will be contacted by Impact Realty to provide via email)
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