RENTAL APPLICATION

Rental Application

Each adult (18 or older) must fill out a separate application.
Applications with false or incomplete information will not be approved.
$35.00 application fee per adult. Our staff will send an invoice to your e-mail or via text/SMS and you can pay via your debit or credit card. This application fee is non-refundable.
Animal screening is conducted via a third party service. The charge for this service is $20.00 for the first animal and $15.00 for each additional animal. There is no charge for assistance animals.
Please review our basic rental qualifications and animal policy at www.rent479.com/faq/ prior to competing this application. If you or your animals do not meet the qualifications, please do not apply.

All fields must be completed. Please enter "N/A" or "None" if the field is not applicable to you.

Address Applied For:*

Desired Move-In Date*

MonthDayYear

APPLICANT INFORMATION

Name*

FirstMiddleLast

Date of Birth*

MonthDayYear

Social Security #*

Driver's License #*

Any Other Names You've Used in the Past*

Cell Phone #*

Email Address*

Which of these best describes your current living situation?*

I am renting from a private landlord or companyI am renting from family or friendsI am living with family or friends and paying no rentI am a homeownerOther

How do you currently pay your rent?*

Can you provide documentation of on-time rental payments for the last 12 months?*

YesNo

Are you the primary contact for your family or group?*

YesNo

Enter the name of the primary contact for your family or group.*

How many adults including yourself will be living in the home?*

How many people total (adults + children) including yourself will be living in the home?*

If accepted the following persons will be living with me*

	Name	Date of Birth	Relationship to Applicant
1

If accepted the following persons will be living with me*

	Name	Date of Birth	Relationship to Applicant
1
2

If accepted the following persons will be living with me*

	Name	Date of Birth	Relationship to Applicant
1
2
3

If accepted the following persons will be living with me*

	Name	Date of Birth	Relationship to Applicant
1
2
3
4

If accepted the following persons will be living with me*

	Name	Date of Birth	Relationship to Applicant
1
2
3
4
5

If accepted the following persons will be living with me*

	Name	Date of Birth	Relationship to Applicant
1
2
3
4
5
6

If accepted the following persons will be living with me*

	Name	Date of Birth	Relationship to Applicant
1
2
3
4
5
6
7

If accepted the following persons will be living with me*

	Name	Date of Birth	Relationship to Applicant
1
2
3
4
5
6
7
8

If accepted the following persons will be living with me*

	Name	Date of Birth	Relationship to Applicant
1
2
3
4
5
6
7
8
9

How many different addresses have you used or lived at for the last 5 years?*

Provide the following information regarding your most recent residences/addresses.

Current Residence*

	Current Residence
Street Address (Include Apartment Nbr)
City
State & Zip
Last Rent Amount Paid
Name of landlord - include apartment name or management company
Landlord Phone Number
Why are you moving?
Is/was Rent paid in full?
Did you give notice?
Were you asked to move?
Dates of Residency (Move-in & Move-out)

Previous Residence - where did you live before your current residence?*

	Previous Residence
Street Address (Include Apartment Nbr)
City
State & Zip
Last Rent Amount Paid
Name of landlord - include apartment name or management company
Landlord Phone Number
Reason for leaving
Is/was Rent paid in full?
Did you give notice?
Were you asked to move?
Dates of Residency (Move-in & Move-out)

Second Previous Residence*

	Previous Residence
Street Address (Include Apartment Nbr)
City
State & Zip
Last Rent Amount Paid
Name of landlord - include apartment name or management company
Landlord Phone Number
Reason for leaving
Is/was Rent paid in full?
Did you give notice?
Were you asked to move?
Dates of Residency (Move-in & Move-out)

Third Previous Residence*

	Previous Residence
Street Address (Include Apartment Nbr)
City
State & Zip
Last Rent Amount Paid
Name of landlord - include apartment name or management company
Landlord Phone Number
Reason for leaving
Is/was Rent paid in full?
Did you give notice?
Were you asked to move?
Dates of Residency (Move-in & Move-out)

Fourth Previous Residence*

	Previous Residence
Street Address (Include Apartment Nbr)
City
State & Zip
Last Rent Amount Paid
Name of landlord - include apartment name or management company
Landlord Phone Number
Reason for leaving
Is/was Rent paid in full?
Did you give notice?
Were you asked to move?
Dates of Residency (Move-in & Move-out)

EMPLOYMENT INFORMATION

Current Employment*

	Current Employment
Employed By
Address
Employer's Phone
Occupation
Name of Supervisor
Monthly Bring-Home Pay
Dates of Employment (Beginning and End)

How often do you get paid?*

What rent payment frequency do you prefer?*

Previous Employment or Second Job*

	Previous Employment or Second Job
Employed By
Address
Employer's Phone
Occupation
Name of Supervisor
Monthly Bring-Home Pay
Dates of Employment (Beginning and End)

Prior Employment*

	Prior Employment
Employed By
Address
Employer's Phone
Occupation
Name of Supervisor
Monthly Bring-Home Pay
Dates of Employment (Beginning and End)

What may interrupt your income or ability to pay rent?*

CREDIT HISTORY*

	Bank/Institution Name	Balance
Savings Account
Checking Account
Automobile Loan
Credit Card

Is there someone who lives locally (preferably same county as the property is located) who is financially secure and stable that would be willing to co-sign your lease or serve as a guarantor?*

YesNo

Do you have renter's insurance?*

YesNo

Have you ever filed bankruptcy?*

YesNo

Have you ever broken a lease?*

YesNo

How many evictions have been filed on you?*

Do you currently have any utilities in your name?*

YesNo

If so, what companies?*

Is there anything to prevent you from placing utilities in your name?*

How have you been impacted financially by the Covid-19 Pandemic?*

How many vehicles, motorcycles, boats, trailers, etc. will be kept at the property?*