Property Address
*
First Name and Last Name
*
Phone Number
*
E-mail
*
Occupation
*
Household Income (example: $100,000)
*
Credit Rating
*
Please Select
Excellent Credit: 750+
Good Credit: 700-749
Fair Credit: 650-699
Poor Credit: 600-649
Bad Credit : Below 600
No Credit
Reason for Moving
*
Move-In Date (mm/dd/yyyy)
*
Lease Term
*
Please Select
03 months
06 months
09 months
12 months
18 months
24 months
# of Other Occupants (excl. yourself)
*
Please Select
No Other Occupant
1 Other Occupant
2 Other Occupants
3 Other Occupants
4 Other Occupants
5 Other Occupants
Relationship With Each Occupant
*
# of Pets
*
Please Select
0
1
2
Pet 1 - Type
*
Pet 1 - Breed
*
Pet 1 - Height
*
Pet 1 - Weight
*
Pet 2 - Type
*
Pet 2 - Breed
*
Pet 2 - Height
*
Pet 2 - Weight
*
Are there any delinquency(ies) on any of your household member's credit report?
*
Yes
No
Are there any delinquency(ies) on your credit report?
*
Yes
No
Do you have funds available for the first month's rent?
*
Yes
No
Do you have funds available for the security deposit (usually one months' rent)?
*
Yes
No
Are you currently employed?
*
Yes
No
Do you or anyone in your household smoke?
*
Yes
No
Have you or any member of your household been ever evicted before?
*
Yes
No
Have you or any member of your household ever been convicted of a felony or misdemeanor?
*
Yes
No
Do you have previous landlord or management company reference available?
*
Yes
No
Have you or any member of your household ever been sued by a Landlord?
*
Yes
No
Is anyone in your household a registered sex offender?
*
Yes
No
Are you willing to take renter's insurance as required by the lease agreement?
*
Yes
No
Is your pet housetrained?
*
Yes
No
N/A
Has your pet bitten anyone in the past for any reason?
*
Yes
No
N/A
How long have you owned this pet?
*
3 months
6 months
9 months
1 year
>1 year
N/A
Does your pet have any medical or behavioral problems?
*
Yes
No
N/A
Is your pet up-to-date on vaccinations?
*
Yes
No
N/A
Do you or anyone in your household own a gun?
*
Yes
No
Explanation for any responses
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