Form

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RENTAL APPLICATION

Secure Web Form

Upon completion, a copy of this application will be emailed to both you and to your Realtor®.

PLEASE READ THE FOLLOWING INFORMATION BEFORE COMPLETING THIS APPLICATION:

THIS IS A COST FREE RENTAL APPLICATION. IT IS PROVIDED AS A COURTESY TO YOU AND YOUR REALTOR®.

THE INFORMATION YOU PROVIDE ON THIS APPLICATION WILL BE SENT TO YOUR REALTOR®.

YOU WILL ALSO RECEIVE A COPY FOR YOUR RECORDS.

MOST PROPERTIES REQUIRE A RENTAL APPLICATION, LIKE THIS ONE, TO BE COMPLETED WHEN YOU WISH TO RENT OR LEASE A PROPERTY. ADDITIONALLY, A CREDIT REPORT AND/OR POSSIBLY BACKGROUND AND EVICTION SCREENING REPORTS MAY BE REQUIRED. IF YOU HAVE BEEN ASKED TO PROVIDE ANY OF THE FOLLOWING SCREENING REPORTS:

CREDIT REPORT
CRIMINAL BACKGROUND REPORT
PAST EVICTION REPORT

PLEASE CLICK HERE: www.tenantverify.net

YOU WILL BE REDIRECTED TO OUR SECURE WEBSITE WHERE YOU CAN ORDER AND PAY FOR ANY OF THE ABOVE LISTED SCREENING REPORTS.

THANK YOU!

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This Application Shall Not Be Considered As Accepted Unless and Until It Has Been Approved By The Landlord and a Written Lease Has Been Executed By Both The Applicants and The Landlord.

Your Realtor's® Name *

First Name Last Name

Name of YOUR REALTOR'S® Brokerage Company *

YOUR Realtor's® Phone Number *

- Area Code Phone Number

YOUR Realtor's® email *

Listing Agent Name

First Name Last Name

Name of Listing Brokerage Company

Rental Property Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Please Tell Us How Many People Will Be Applying *

One Person Single Applicant Two People - Joint Application

Applicant 1 - Name *

First Name Last Name

Applicant 1 - Date of Birth *

Applicant 1 - Phone Number *

- Area Code Phone Number

Applicant 1 - email *

Applicant 1 - Have You Ever Been Convicted of a Crime? *

YES NO

Applicant 1 - Current Home AddressAddress *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Applicant 1 - Amount You Currently Pay in Rent $ *

Applicant 1 - Name of Current Landlord

Applicant 1 - Current Landlord Phone Number

- Area Code Phone Number

Applicant 1 - Date You Moved in to Current Address

Applicant 1 - Reason For Leaving Current Address

Applicant 1 - Name of Current Employer *

Applicant 1 - Current Employer Phone Number *

- Area Code Phone Number

Applicant 1 - Date of Hire

Applicant 1 - Job Title or Position

Applicant 1 - Gross MONTHLY Income $ *

Applicant 1 - Prior Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Applicant 1 - Personal Reference

First Name Last Name

Applicant 1 - Personal Reference Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Applicant 1 - Personal Reference Phone Number

- Area Code Phone Number

Applicant 1 - Personal Reference Relationship

Applicant 1 - Personal Reference How Long Known?

Applicant 1 - Personal Reference

First Name Last Name

Applicant 1 - Personal Reference Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Applicant 1 - Personal Reference Phone Number

- Area Code Phone Number

Applicant 1 - Personal Reference Relationship

Applicant 1 - Personal Reference How Long Known?

Applicant 1 - Name of Your Bank

Applicant 1 - Name on Account

Applicant 1 - Account Number

Applicant 1 - Current Checking Account Balance

Applicant 1 - Please List All Credit Accounts, Current Outstanding Balances Owed and Credit Limit for Each

Applicant 1 - Vehicle Year, Make, Model and License Plate Number

Applicant 1 - Have You Ever Declared Bankruptcy? *

Yes No

Applicant 2 - Name

First Name Last Name

Applicant 2 - Date of Birth

Applicant 2 - Phone Number

- Area Code Phone Number

Applicant 2 - email

Applicant 2 - Have You Ever Been Convicted of a Crime?

YES NO

Applicant 2 - Current Home AddressAddress

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Applicant 2 - Amount You Currently Pay in Rent $

Applicant 2 - Name of Current Landlord

Applicant 2- Current Landlord Phone Number

- Area Code Phone Number

Applicant 2 - Date You Moved in to Current Address

Applicant 2 - Reason For Leaving Current Address

Applicant 2 - Name of Current Employer

Applicant 2 - Current Employer Phone Number

- Area Code Phone Number

Applicant 2 - Date of Hire

Applicant 2 - Job Title or Position

Applicant 2 - Gross MONTHLY Income $

Applicant 2 - Current Home AddressAddress

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Applicant 2 - Prior Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Applicant 2 - Personal Reference

First Name Last Name

Applicant 2 - Personal Reference Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Applicant 2 - Personal Reference Phone Number

- Area Code Phone Number

Applicant 2 - Personal Reference Relationship

Applicant 2 - Personal Reference How Long Known?

Applicant 2 - Personal Reference

First Name Last Name

Applicant 2 - Personal Reference Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Applicant 2 - Personal Reference Phone Number

- Area Code Phone Number

Applicant 2 - Personal Reference Relationship

Applicant 2 - Personal Reference How Long Known?

Applicant 2 - Name of Your Bank

Applicant 2 - Name on Account

Applicant 2 - Account Number

Applicant 2 - Current Checking Account Balance

Applicant 2 - Please List All Credit Accounts, Current Outstanding Balances Owed and Credit Limit for Each

Applicant 2 - Vehicle Year, Make, Model and License Plate Number

Applicant 2 - Have You Ever Declared Bankruptcy?

Yes No

Have Any of the Applicants Ever Been Evicted or Late Paying Rent?

YES NO

If You Answered YES to the Above, Please Explain in Detail

Desired Move In Date

Desired Length of Lease

Amount of Rent You Are Offering to Pay $

Amount of Security Deposit You Are Offering to Provide $

Amount of Deposit You Will Be Providing with This Application $

Total Number of Occupants Who WIll be Living at the Property

Name of ALL Occupants Who Will Be Residing at the Property

Do You Have Any Pets?

Yes No

If You Answered YES to Pets, Please State the Number of Pets, Type of Animal, Breed, Size/Weight, etc. and Any Details for Consideration

Do You Smoke? *

Yes No

ADDITIONAL INFORMATION - Please use this area to provide any additional information you would like to share:

PLEASE READ and ACCEPT

TENANT VERIFY, LLC DOES NOT PARTICIPATE IN THE REAL ESTATE TRANSACTION, THE DECISION PROCESS NOR ARE WE COMPENSATED IN ANY WAY BY ANY ENTITY THAT IS A PARTY TO THE RENTAL TRANSACTION.

THE UNDERSIGNED APPLIES FOR RENT/LEASE AND REPRESENTS THAT THE PROPERTY WILL NOT BE USED FOR ANY ILLEGAL OR RESTRICTED PURPOSE.

ALL INFORMATION BEING PROVIDED IS ACCURATE AND TRUE.

ALL STATEMENTS MADE IN THIS APPLICATION ARE FOR THE PURPOSE OF OBTAINING THE ABOVE MENTIONED RENT OR LEASE.

VERIFICATION MAY BE OBTAINED BY A REAL ESTATE AGENT, A RENTAL AGENT OR BY THE LANDLORD FROM ANY SOURCE NAMED IN THIS APPLICATION AND/OR FROM A RECOGNIZED CREDIT REPORTING AGENCY, FOR WHICH YOU GRANT PERMISSION.

YOU AGREE TO PAY FOR THE COST OF CREDIT REPORTING (AS WELL AS A CRIMINAL BACKGROUND CHECK AND RECORD OF PAST EVICTIONS SHOULD THEY BE REQUIRED BY THE LANDLORD OR THEIR AGENT).

THE ORIGINAL OR A COPY OF THIS APPLICATION MAY BE OBTAINED BY OR PROVIDED TO A REALTOR® OR REAL ESTATE AGENT. A COPY OF THIS APPLICATION MAY BE PROVIDED TO THE RENTAL AGENT OR LANDLORD EVEN IF THE RENT OR LEASE IS NOT GRANTED. THE DECISION TO GRANT OR DENY THIS APPLICATION IS AT THE SOLE DISCRETION OF THE AGENT OR LANDLORD.

THIS APPLICATION IS PROVIDED BY TENANT VERIFY,LLC. FOR INFORMATION GATHERING PURPOSES ONLY AND WILL BE PROVIDED TO A Realtor®, REAL ESTATE AGENT, LANDLORD AND/OR THE AGENT FOR LANDLORD, FOR WHICH YOU GRANT PERMISSION.

YOU AUTHORIZE AN INVESTIGATION OF YOUR CREDIT, YOUR TENANT HISTORY, YOUR CRIMINAL BACKGROUND AND YOUR EMPLOYMENT FOR THE PURPOSES OF TENANT SCREENING TO RENT PROPERTY. THIS INCLUDES BUT IS NOT LIMITED TO A HOUSE, AN APARTMENT OR A CONDOMINIUM FROM A LANDLORD. YOU AUTHORIZE RELEASE OF ALL INFORMATION TO THE LANDLORD OR TO THEIR AGENT FOR THE PURPOSE OF TENANT SCREENING.

YOU DIRECT THE LANDLORD OR THEIR AGENT TO ASK QUESTIONS ABOUT ME OR US. YOU WAIVE ALL RIGHTS OF ACTION OR CONSEQUENCE AS A RESULT OF SUCH QUESTIONS INCLUDING BUT NOT LIMITED TO BEING DENIED TENANCY.

YOU UNDERSTAND AND ACKNOWLEDGE THAT THIS RENTAL APPLICATION IS PROVIDED AS A COURTESY AND THAT TENANT VERIFY IS NOT PARTICIPATING IN THE REAL ESTATE TRANSACTION, IS NOT INVOLVED IN THE DECISION MAKING PROCESS REGARDING YOUR TENANCY AND IS NOT RECEIVING COMPENSATION FROM ANY ENTITY THAT IS A PARTY TO THE RENTAL TRANSACTION.

BY CHECKING YES BELOW YOU ACKNOWLEDGE HAVING READ THE ABOVE TERMS OF SUBMISSION, YOU UNDERSTAND THEM AND YOU AGREE TO THEM.

Do You Accept Tenant Verify's Terms for the Use of Your Rental Application and the Information it Contains? *

YES - I/We Agree and Accept Tenant Verify's Terms for the Use of this Rental Application and the Information it Contains.

APPLICANT 1 - Please Sign *

APPLICANT 2 - Please Sign

Your Realtor® Information

Property Information

APPLICANT 1 Information

APPLICANT 2 Information (if applicable)

Additional Information