Magnolia Rental Application Form

The Rental Application Fee is $45
Acknowledge that to be considered for application a $45 non refundable fee is required*

Yes

Previous Rental Information
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date In:*

MonthDayYear
Date Out:*

MonthDayYear
Reason for Moving:*
Current Owner / Manager Name*
Current Owner / Manager Phone*

Area CodePhone Number
Previous Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date In:*

MonthDayYear
Date Out:*

MonthDayYear
Reason for Moving:*
Previous Owner / Manager Name*
Previous Owner / Manager Phone*

Area CodePhone Number
Name, relationship, and age of every person to live with you*
ex: Joe Smith, Son, 12

Income Information
Current Gross Income Per Month (before deductions)*
Are your payments current and up to date with Power, Water/Sewer, & Gas Companies ?*

YesNo
Do you pay alimony or child support ?*
Amount of alimony or child support you pay per month ?
Do you receive child support or alimony ?*
Amount of alimony or child support you receive per month ?
Have you ever filed bankruptcy?*
Have you ever been evicted?*

Communication Preference
Preferred Method of Contact for Billing , Repairs, and Reminders ?*

Snail MailEmailPhone
Do you agree to allow Magnolia Rental Property Management to conduct scheduled home inspections every 2 months with the required 24 hr notice via email / phone / mail as supplied above ?*

YesNo
Personal Reference
Full Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Emergency Contacts
Full Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Full Name*

First NameLast Name
Phone Number*

Area CodePhone Number

This deposit of $45 per person is to cover a background / credit check and is non refundable.
Prospective Tenant Full Name*

First NameLast Name
I give the above Landlord/Agent my permission to run a credit check on my credit history and or background check at the discretion of Magnolia Rental Property Management.
Signature*

My Products

Rental Application Fee$45.00

Total $0.00

The Rental Application Fee is $45