RESIDENTIAL RENTAL APPLICATION

RESIDENTIAL RENTAL APPLICATION
$68 per adult 18 and over (non-refundable)

Please note: A separate application is required for each adult.
Address applying for
Applicants name

First NameLast Name
Email
example@example.com
Phone:
Format: (000) 000-0000.
Are you 18 years old or older (check one):
Number of occupants
Names
RESIDENTIAL HISTORY
Current address
How long at this address
Rent amount
Reason for moving
Landlord
Phone
Format: (000) 000-0000.
Previous address
How long at this address
Reason for moving
Landlord
Phone
Format: (000) 000-0000.
INCOME
Current Employer
Date Hired

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Supervisor's name
Work phone
Format: (000) 000-0000.
Monthly income
Current employer
Date hired

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Supervisor's name
Work phone
Format: (000) 000-0000.
Monthly income
Other sources of income
How many leases have you broken
Are you a convicted felon
How many evictions have been filed against you
Do you smoke
What kind of pets do you have

Criminal & Credit Background Check Agreement & Authorization
By signing this application, I verify that the statements in this application are true and correct. I authorize rental property owner the use of the information and contacts provided to complete a credit, reference, and/or criminal background check. I understand that false or lack of information may result in the rejection of this application.
Applicant's Signature:
SSN:
Date:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Applicant's Name (print)

First NameLast Name
Required Documentation:
To complete your rental application, please provide the following:
For all applicants:
- A valid Driver's License or State ID
- Your last 5 paycheck stubs and/or proof of any additional income
If you are self-employed, please provide:
- Your 1040 and Schedule C tax returns for the previous 2 years
- Your most recent 3 months of bank statements
Applications are evaluated based on the totality of the applicant's qualifications, including income, employment history, rental history, credit history, eviction history, criminal background (where permitted by law), and other relevant factors. No single factor, including credit score, automatically determines approval or denial.
The property is intended for applicants who are ready to complete the lease and take possession.
Drivers License Upload

Cancelof
Proof of Income Upload

Cancelof
OFFICE USE ONLY
2
Revised 08-2026

Rows	RECEIVED BY & DATE	APP FEE PAID	VIEWED PROPERTY	PICTURE ID COPY	PROOF OF INCOME
1

Criminal & Credit Background Check Agreement & Authorization