Rental Application

Address of Rental you are applying for *

Name *

First

Last

Email Address

Date of Birth *

Home Phone #

Cell Phone # *

Work Phone #

Driver's License # *

Issuing State of Drivers License *

For security reasons, we do not request your Social Security Number here, but you may be required to submit it separately upon request.

History

Have you provided your current landlord 30-day notice? *

Yes No N/A

Have you ever been named in an Eviction? *

Yes No

If yes, when?

Evicting Landlords Name

First

Last

Residence History

Current Address *

City *

State *

Current Landlords Name

First

Last

Current Landlord's phone number

How long at this address? (months) *

Rent amount per month

Reason for moving

Previous Address *

City *

State *

Previous Landlords Name

First

Last

Previous Landlord's Phone Number

How long at this address? (month) *

Rent Amount (per month)

Reason for moving

Names, ages, and relationship to you of who will live with you (including immediate family members and children) *

Current occupation/job *

Employer's Name *

First

Last

Supervisor's Name

First

Last

Supervisor's Work Phone Number

Start date *

Approximate gross monthly income *

Other income & sources

Current Bank Name *

Number of Vehicles *

Make, model, color, & plate numbers of cars *

Will you have any pets? (please list type, size, and breeds) *

I understand that no smoking is allowed inside the house. *

Please check to indicate your agreement

FIRST REFERENCE

Name *

First

Last

Phone Number *

Address

How long have you known reference? *

Second Reference

Name

First

Last

Phone Number

Address

How long have you known reference?

Emergency Contact

Emergency Contact Name *

First

Last

Emergency Contact Phone Number *

Please answer the following questions as they apply to you, to current household members, or anyone who will be living with you.

Have you, or anyone who will be living the property, ever been convicted on a charge involving illegal use, abuse, possession, manufacture or distribution of any controlled substance, or plead "No Contest" to any drug and/or alcohol charges? *

Yes No

Name of Person Involved

First

Last

Date of offense

Have you, or anyone else who will be living at the property, ever been convicted of a felony or aggravated misdemeanor? *

Yes No

Name of Person Involved

First

Last

Date of Offense

Court location

Violation(s)

Have you, or anyone else who will be living at the property, ever been charged/convicted/plead "No Contest" to any sex offender charge? *

Yes No

Have you, or anyone else who will be living at the property, ever been registered, or required to register as a sex offender? *

Yes No

Have you, or anyone else who will be living at the property, ever been on any state's sex offender list? *

Yes No

Name of Person(s) Involved

First

Last

Date of offense(s)

Have you ever been a defendant in a Money Judgement action for: *

Unpaid rent Damages Non-compliance No - Not applicable

Name of person(s) involved

First

Last

Date of offense(s)

Court location

Any recent adverse cedit conditions/situations that will show on a credit report? *

Yes No

Please provide any relevant explanation

Authorization

I authorize Landlord to check information for verification by all available means: consumer reporting agencies, plublic records, current @ previous rental property owners, employers & personal references. If any of my answers are found to be incorrect, any Rental Agreement becomes void and will be sufficient reason for eviction and loss of Security Deposit. I also authorize verification of Employment, Military status, Bank Accounts, Credit History (including Credit Bureau Reports), Criminal Records, Rental History, Income, Evictions, Judgments, Student status. I declare that my Rental History and Credit Reports are in good standing, and understand that if my rental application is accepted, and I fail to complete this transaction by promptly signing any required papers, any deposit will be forfeited.

Signature (Please authorize and sign by entering your full name) *

History

Residence History

FIRST REFERENCE

Second Reference

Emergency Contact

Please answer the following questions as they apply to you, to current household members, or anyone who will be living with you.

Authorization

Right Click Properties, LLC