Rental Application Rental Application Applicant Information Name * Name First First Last Last Phone * Email * plus1 Add Additional Applicant minus1 Remove Upload Photo ID * Drop a file here or click to upload - Must be a jpeg, png, pdf Choose File Maximum file size: 8.39MB Occupant Information - Must List ALL Occupants Name * Name First First Last Last Relationship * Reside Fulltime? * Yes No plus1 Add additional Occupant minus1 Remove Occupant Current Residence Details - add at least 2 if less than 6 months Property Type * Apartment Condominimum Single Family Home Duplex/MultiFamily OtherOther Monthly Rent * Beds * Baths * Sq Ft * Lease Start Date * Lease End Date * Reason Moving * Current Landlord Name * Current Landlord Name First First Last Last Landlord Phone * Landlord Email plus1 Add another residence minus1 Remove this residence Employer - Must list more than one if less than than 6 months employed Company Name * Company Address * Company Address Company Address Company Address City City State/Province State/Province Zip/Postal Zip/Postal Title/Position * Gross Monthly Income * Time on job * Supervisor Name * Supervisor Name First First Last Last Supervisor Phone * Supervisor Email * plus1 Add minus1 Remove Personal References - 3 Required Name Name First First Last Last Relationship Email Phone plus1 Add another reference minus1 Remove this reference Vehicle Information Make Model Year Color License Number State plus1 Add additional vehicle minus1 Remove vehicle Background Information Have you ever been evicted or a defendant in an eviction notice? Yes No Details of eviction notice Have you ever filed or in the process of filing bankruptcy? Yes No Details of bankruptcy Do you have any past due balances with previous landlords? Yes No Past due balance details Have you ever been asked to move for a lease violation of any kind Yes No Lease violation details Have you ever been convicted of a crime or felony? Yes No Conviction details Consent and Acknowledgment I hereby certify that I am at least 18 years of age and that all information given on this application is true and correct. I authorize the 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. I authorize the release of information from previous or current landlords, employers, bank representatives, and personal references. I agree to furnish additional credit and/or personal references upon request. I understand incomplete or incorrect information provided in this application may cause a delay in processing which may result in denial of tenancy. This investigation is for resident screening purposes only and is strictly confidential. I hereby hold Landlord and its agents free and harmless of any liability for any damages arising out of any improper use of this information. 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. Consumer Response Center, Room 130-A, Federal Trade Commission, 600 Pennsylvania Avenue N.W., Washington D.C. 20580. In connection with my application for housing, I understand that the property owner/agent may obtain one or more consumer reports, which may contain public information, for the purposes of evaluating my application. These consumer reports will be obtained from one or more of the following consumer reporting agencies: Equifax, E.C.I.F., P.O. Box 740241, Atlanta, GA, 30374-0241, (800) 685-1111 Trans Union, Regional Disclosure Center, 1561 Orangethorpe Ave., Fullerton, CA, 92631, (714) 738-3800 Experian (TRW), Consumer Assistance, P.O. Box 949, Allen, TX, 75002, (888) 397-3742 These consumer reports are defined as investigative consumer reports. These reports may contain information on my character, general reputation, personal characteristics, and mode of living. In connection with my application for housing, I authorize owner/agent to obtain a consumer report from the consumer reporting agencies listed above. I agree to the terms and all answers provided are true and accurate to the best of my knowledge * Yes No Signature signature keyboard Clear Submit If you are human, leave this field blank.