Rental Resident Application

RENTAL RESIDENT APPLICATION

Property Address: Unit/Apartment #: Desired Move-in Date:

Applicant Information

Date of Birth: Social Security Number (last 4 digits acceptable):

Phone: Email:

Co-Applicant / Additional Occupants

Residence History

Length of Residency: Monthly Rent/Mortgage: $ Landlord/Manager Name & Phone:

Employment and Income

Employer Address: Phone:

Position/Title: Length of Employment: Gross Monthly Income: $

References

Relationship: Phone:

Relationship: Phone:

Vehicle & Pet Information

Do you have pets? Yes No

Background Questions

Have you ever been evicted? Yes No

Have you ever been convicted of a felony? Yes No

Authorization, Certification, and Consent

By signing below, Applicant certifies that all information provided in this application is true, correct, and complete. Applicant authorizes verification of all information provided, including but not limited to credit reports, criminal background checks, employment verification, rental history, and references. Applicant consents to the release of such information to the property owner, manager, and their agents for the purpose of evaluating this application. Applicant acknowledges that any material misrepresentation or omission may be grounds for denial of the application or termination of any resulting rental agreement.

Applicant understands and agrees that the application fee, if any, is for processing and is non-refundable unless required otherwise by law. Applicant further acknowledges that submission of this application does not constitute approval nor a promise to rent, and that a separate lease or rental agreement will be required upon approval.

Applicant authorizes current and prior landlords and employers to release information necessary to process this application. Applicant releases all parties from liability arising from the release of such information.

I authorize credit and background checks necessary for tenancy evaluation.
I authorize contact with employers to verify income and employment.

Additional Information / Comments

Fair Housing & Privacy Notice

Applicant is entitled to fair housing protections. The landlord/agent will process personal data contained in this application for tenancy evaluation and related administration consistent with applicable privacy laws. Information will be stored and used only for legitimate business purposes and shared with third parties only as necessary to verify application information.

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