Rental Application

DFW Genesis Homes RENTAL APPLICATION
Anticipated Move-In Date*

MonthDayYear
Where in the North Texas area are you looking for an apartment?*
We only cover the North Texas, Dallas/Ft Worth and surrounding areas
Target Amount for Rent*
Enter your budget for rent
APPLICANT INFORMATION
Full Legal Name*

First NameMiddle NameLast NameSuffix
Birth Date*

MonthDayYear
E-mail*
Driver's License #
State
Social Security #*
Primary Phone Number*

Area CodePhone Number
Secondary Phone Number

Area CodePhone Number
Applicant Background Information
Have you ever been convicted of a crime?*

YesNo
Please provide Type of Offense, County and State.
Have you ever filed for bankruptcy?*

YesNo
Please provide Date and State where filed.
Have you been evicted from a tenancy or left owing money?*

YesNo
Please provide Property Name, City, State and Landlord Name.
Have you willfully or intentionally refused to pay rent when due?*

YesNo
If yes, please explain.
Other Occupants
Name
Birth Date

MonthDayYear
Relationship
Name
Birth Date

MonthDayYear
Relationship
Name
Birth Date

MonthDayYear
Relationship
Name
Birth Date

MonthDayYear
Relationship
List of All Vehicles to be parked on the premises by applicant, spouse, occupants or children
Type of Vehicle
Year
Model
License #
State
Type of Vehicle
Year
Model
License #
State
Type of Vehicle
Year
Model
License #
State
Pet Information
Will you or the other occupants have a pet?*

YesNo
Kind
Weight
Age
Kind
Weight
Age
Kind
Weight
Age
RENTAL HISTORY
Present Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Present Landlord Name*
Phone Number*

Area CodePhone Number
How Long There?*
Monthly Rent*
Reason for Leaving?*
Previous Address (if less than 2 years ago)
Previous Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Previous Landlord Name
Phone Number

Area CodePhone Number
How Long There?
Monthly Rent
Reason for Leaving?
EMPLOYMENT INFORMATION
Present Employer*
Position Title*
Start Date*

MonthDayYear
Gross Monthly Income*
Present Employer Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Employer Phone Number*

Area CodePhone Number
Supervisor Name*
Previous Employer (if less than 2 years ago)
Previous Employer
Position Title
Start Date

MonthDayYear
Gross Monthly Income
Previous Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Employer Phone Number

Area CodePhone Number
Supervisor Name
PERSONAL REFERENCES
First Reference*

First NameLast Name
Phone Number*

Area CodePhone Number
Relationship*
Second Reference

First NameLast Name
Phone Number

Area CodePhone Number
Relationship
EMERGENCY CONTACTS
Full Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Relationship*
Full Name

First NameLast Name
Phone Number

Area CodePhone Number
Relationship
ADDITIONAL INFORMATION
Please provide any additional information you believe would help evaluate this application.
Birth Date

MonthDayYear
Driver's License #
State
Social Security #
Primary Phone Number

Area CodePhone Number
Secondary Phone Number

Area CodePhone Number
Spouse/Roommate Background Information
Have you ever been convicted of a crime?

YesNo
If yes, please provide Type of Offense, County and State.
Have you ever filed for bankruptcy?

YesNo
If yes, please provide Date and State where filed.
Have you ever been evicted from a tenancy or left owing money?

YesNo
If yes, please provide Property Name, City, State and Landlord Name.
Have you willfully or intentioinally refused to pay rent when due?

YesNo
If yes, please explain.
SPOUSE/ROOMMATE RENTAL HISTORY
Present Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Present Landlord Name
Phone Number

Area CodePhone Number
How Long There?
Monthly Rent
Reason for Leaving?
Previous Address (if less than 2 years ago)
Previous Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Previous Landlord Name
Phone Number

Area CodePhone Number
How Long There?
Monthly Rent
Reason for Leaving?
SPOUSE/ROOMMATE EMPLOYMENT INFORMATION
Present Employer
Position Title
Start Date

MonthDayYear
Gross Monthly Income
Present Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Employer Phone Number

Area CodePhone Number
Supervisor Name
Previous Employer (if less than 2 years ago)
Previous Employer
Position Title
Start Date

MonthDayYear
Gross Monthly Income
Previous Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Employer Phone Number

Area CodePhone Number
Supervisor Name

Need to Add Another Roommate?
Full Legal Name

First NameMiddle NameLast NameSuffix
Birth Date

MonthDayYear
E-mail
Driver's License #
State
Social Security #
Primary Phone Number

Area CodePhone Number
Secondary Phone Number

Area CodePhone Number
Roommate Background Information
Have you ever been convicted of a crime?

YesNo
If yes, please provide Type of Offense, County and State.
Have you ever filed for bankruptcy?

YesNo
If yes, please provide Date and State where filed.
Have you ever been evicted from a tenancy or left owing money?

YesNo
If yes, please provide Property Name, City, State and Landlord Name.
Have you willfully or intentioinally refused to pay rent when due?

YesNo
If yes, please explain.
ROOMMATE RENTAL HISTORY
Present Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Present Landlord Name
Phone Number

Area CodePhone Number
How Long There?
Monthly Rent
Reason for Leaving?
Previous Address (if less than 2 years ago)
Previous Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Previous Landlord Name
Phone Number

Area CodePhone Number
How Long There?
Monthly Rent
Reason for Leaving?
ROOMMATE EMPLOYMENT INFORMATION
Present Employer
Position Title
Start Date

MonthDayYear
Gross Monthly Income
Present Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Employer Phone Number

Area CodePhone Number
Supervisor Name
Previous Employer (if less than 2 years ago)
Previous Employer
Position Title
Start Date

MonthDayYear
Gross Monthly Income
Previous Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Employer Phone Number

Area CodePhone Number
Supervisor Name

Spouse/Roommate Signature
I, the undersigned represent that all the above statements are true and complete and hereby authorize DFW Genesis Homes, Landlord, and its agents to obtain an investigative consumer credit report including but not limited to credit history, OFAC search, landlord/tenant court record search, criminal record search and registered sex offender search. Such authorization does not require the owner to make verifications or investigations. I authorize the release of information from previous or current landlords, employers, and bank representatives. I authorize contact with any emergency contacts and references listed. This investigation is for resident screening purposes only, and is strictly confidential. This report contains information compiled from sources believed to be reliable, but the accuracy of which cannot be guaranteed. I hereby hold DFW Genesis Homes,, Landlord and its agents free and harmless of any liability for any damages arising out of any improper use of this information. False information given in any of the above inquiries shall entitle the owner to (1) reject this application, (2) retain application fee(s) and deposit(s) as liquidated damages for owners time and expenses of processing this application, and (3) terminate resident’s right of occupancy. False information may also constitute a serious criminal offense under the laws of this state. In any lawsuit relating to this application, application agreement or rights under statue or government regulations the prevailing party is entitled to recover attorney’s fees and all other costs of litigation from the non-prevailing party. owner reserves the right to regularly and routinely furnish information to consumer reporting agencies about the performance of lease obligations by residents. Such information may be reported at any time and may include both favorable and unfavorable information regarding a resident’s compliance with the lease, rules and financial obligations. I understand that fees submitted to DFW Forward, are non-refundable.

Important information about your rights under the Fair Credit Reporting Act: You have a right to request disclosure of the nature and scope of the investigation. You must be told if information in your file has been used against you. You have a right to know what is in your file, and this disclosure may be free. You have the right to ask for a credit score (there may be a fee for this service). You have the right to dispute incomplete or inaccurate information. Consumer reporting agencies must correct inaccurate, incomplete, or unverifiable information. A summary of your rights under the Fair Credit Reporting Act is available by visiting or writing (Para information en espanol, visite o escribe): http://www.ftc.gov/credit Consumer Response Center, Room 130-A, Federal Trade Commission, 600 Pennsylvania Avenue N.W., Washington D.C. 20580
Signature

Clear
Date

MonthDayYear

Additional Roommate Signature
Signature

Clear
Date

MonthDayYear

Electronic Signature
ELECTRONIC SIGNATURE
This agreement between DFW Forward, (Housing Consultant) and you, (the client), is a legally binding agreement. DFW Forward, LLC agrees to provide consultation to the client wishing to locate second chance housing rental properties, resources, or programs which we consider any rental property and/or program that will consider approving an applicant with negative credit history and to improve their personal credit, finances, knowledge of their credit rights, credit identity theft, choices and options and more. For any efforts to be effective, you (the client) must be truthful and diligent in giving the correct information to DFW Forward, LLC. DFW Forward, LLC reserves the right to cancel the agreement with any client it believes to be providing false or fraudulent information to us, its creditors or the credit bureaus. The client understands that the sole strategy and service used by DFW Forward, LLC to assist our clients with their housing needs. Our service objective is to save our client time and money by taking an upfront and transparent approach in locating rental properties that will consider approving them. The client understands that the Application Fee they are charged is for DFW Forward, LLC services; the client understands that DFW Forward, LLC does not offer a guaranteed approval at a rental property and that the approval of the client’s official rental application at their chosen rental property is solely the management company’s or landlord’s decision. The client understands that any third party company, management company, or landlord that may be referred to operate as independent entities and are not directly affiliated with DFW Forward, LLC; therefore DFW Forward, LLC does not accept any responsibility nor liability for any potential disputes the client may have with outside entities. The client understands that there may be separate risk fee and/or service fees associated with doing business with management companies, landlords, corporate guarantors, and/or third-party companies to secure the approval of a rental property. The client acknowledges and understands that other potential cost and fees beyond DFW Forward, LLC may include the application /admin fee paid directly to the management company or landlord, monthly rent and other bills associated with the rental property, any sort of rental property-related insurance fee required by the management company, landlord, or corporate guarantor to secure the approval, and any security deposits required by the management company or landlord to secure an approval. The client gives consent for management companies, landlords, corporate guarantors, rental-related third-party companies, and DFW Forward, LLC to verify and contact their employer, income sources, personal & professional references for verifying submitted details and/or to investigate any potential fraud. The client agrees to be invoiced and pay a $100.00 cancellation and/or convenience fee for the following reasons A. If the client is found to have committed fraud against DFW Forward, LLC or our third-party corporate partners. B. If the client breaches and/or unjustly cancels their contract agreement with DFW Forward, LLC before the agreed time allotted for services to be fully performed. The client understands that though this technique increases their chances of locating rental properties that will approve them tremendously DFW Forward, LLC makes no guarantee that the client will be officially approved at their chosen rental property, as the final approval decision is solely the selected management company and/or landlord.

Please note that the agreed-upon charge is for one or more of the following services: Initial housing Consultation and rental property file preparation for management companies, property managers, landlords, corporate guarantors; Researching available rental properties and documents; Expertise and Knowledge; Reviewing Credit Reports; data entry;

By making any payments on this website for services you, (the client) , understand and agree to its conditions, agree to be truthful with your consultant, understanding that no promises have been made outside this agreement.
I have read and agree to the terms of service*

Yes
Signature*

Clear
Date

MonthDayYear
Should be Empty:

DFW Genesis Homes RENTAL APPLICATION

APPLICANT INFORMATION

Applicant Background Information

Other Occupants

List of All Vehicles to be parked on the premises by applicant, spouse, occupants or children

Pet Information

RENTAL HISTORY

Previous Address (if less than 2 years ago)

EMPLOYMENT INFORMATION

Previous Employer (if less than 2 years ago)

PERSONAL REFERENCES

EMERGENCY CONTACTS

ADDITIONAL INFORMATION

Spouse/Roommate Background Information

SPOUSE/ROOMMATE RENTAL HISTORY

Previous Address (if less than 2 years ago)

SPOUSE/ROOMMATE EMPLOYMENT INFORMATION

Previous Employer (if less than 2 years ago)

Roommate Background Information

ROOMMATE RENTAL HISTORY

Previous Address (if less than 2 years ago)

ROOMMATE EMPLOYMENT INFORMATION

Previous Employer (if less than 2 years ago)

ELECTRONIC SIGNATURE