Rental Application Form

Rental Application

Personal Information

Name

Date of birth

Marital Status

Phone No

Current Residence

Address

City

State

Zip

Rent Amount Paid

Tenant Portion

Did you give a notice?

Employment & Income Information

Occupation

Current Employer

Employer's Address

Phone No

Monthly Gross Pay

Annual Income

Proposed Occupants

Name

Age

Relationship

General Information

Have you ever broken a lease?

Yes

Have you ever been served a late rent notice?

Yes

How long do you propose to stay in the home?

How much can you pay now to hold the house?

How many months rent can you pay after approval?

Do you have the security deposit now?

Yes

Do you have a pet?

Yes

References

Name

Address

Phone No

Payment Option

Select your primary payment option:

Zelle

Paypal

Apple Pay

Venmo

Chime

Bitcoin

Prepaid Cards

Personal Declaration

I declare that the information that I have provided in this renters application is true and updated to the best of my knowledge.

I understand that under the Tenant Fees Act2019 providing false and or misleading information on this form will lead to the retention of the one week holding deposit I am required to pay.

Applicant Signature

Choose file

Date Signed

Terms and conditions

Important Notice

NOTE: Cash/check not accepted! Payment will be refunded immediately after viewing either interested or not in the property.

Your refundable application fee must be paid immediately you submit your application form.
Please do not submit application if you are not ready to make payment for the refundable application fee.

REFUNDABLE APPLICATION FEE

(i) To fix/book appointments

(ii) To determine a serious applicant

(iii) To review submission of application forms immediately.

I agree to make payment for the refundable application fee.