RENTAL APPLICATION

Rental Application

Each adult (18 or older) must fill out a separate application.
Providing false or incomplete information will result in automatic denial.
$30.00 application fee per adult. Our staff will send an invoice to your e-mail and you can pay via your debit or credit card.
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.
You may wish to review our basic rental qualifications and animal policy at www.peerlessinvestments.com/faq.html prior to competing this application.

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 *

Month Day Year

APPLICANT INFORMATION

Name *

First Middle Last

Date of Birth *

Month Day Year

Social Security # *

Driver's License # *

Any Other Names You've Used in the Past *

Cell Phone # *

Email Address *

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

Yes No

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 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

Owner/Manager

Owner/Manager Phone Number

Reason for leaving

Is/was Rent paid in full?

Did you give notice?

Were you asked to move?

Dates of Residency

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

Previous Residence

Street Address (Include Apartment Nbr)

City

State & Zip

Last Rent Amount Paid

Owner/Manager

Owner/Manager Phone Number

Reason for leaving

Is/was Rent paid in full?

Did you give notice?

Were you asked to move?

Dates of Residency

Second Previous Residence *

Previous Residence

Street Address (Include Apartment Nbr)

City

State & Zip

Last Rent Amount Paid

Owner/Manager

Owner/Manager Phone Number

Reason for leaving

Is/was Rent paid in full?

Did you give notice?

Were you asked to move?

Dates of Residency

Third Previous Residence *

Previous Residence

Street Address (Include Apartment Nbr)

City

State & Zip

Last Rent Amount Paid

Owner/Manager

Owner/Manager Phone Number

Reason for leaving

Is/was Rent paid in full?

Did you give notice?

Were you asked to move?

Dates of Residency

Fourth Previous Residence *

Previous Residence

Street Address (Include Apartment Nbr)

City

State & Zip

Last Rent Amount Paid

Owner/Manager

Owner/Manager Phone Number

Reason for leaving

Is/was Rent paid in full?

Did you give notice?

Were you asked to move?

Dates of Residency

EMPLOYMENT INFORMATION

Current Employment *

Current Employment

Employed By

Address

Employer's Phone

Occupation

Name of Supervisor

Monthly Bring-Home Pay

Dates of Employment

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

Prior Employment *

Prior Employment

Employed By

Address

Employer's Phone

Occupation

Name of Supervisor

Monthly Bring-Home Pay

Dates of Employment

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

CREDIT HISTORY *

Bank/Institution Name

Balance

Savings Account

Checking Account

Automobile Loan

Credit Card

Do you have renter's insurance? *

Yes No

Have you ever filed bankruptcy? *

Yes No

Have you ever broken a lease? *

Yes No

How many evictions have been filed on you? *

Do you currently have any utilities in your name? *

Yes No

If so, what companies? *

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

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

List all vehicles, motorcycles, boats, trailers, etc. which will be kept at the property *

Make

Model

Color

Year

License Plate

1

List all vehicles, motorcycles, boats, trailers, etc. which will be kept at the property *

Make

Model

Color

Year

License Plate

1

2

List all vehicles, motorcycles, boats, trailers, etc. which will be kept at the property *

Make

Model

Color

Year

License Plate

1

2

3

List all vehicles, motorcycles, boats, trailers, etc. which will be kept at the property *

Make

Model

Color

Year

License Plate

1

2

3

4

List all vehicles, motorcycles, boats, trailers, etc. which will be kept at the property *

Make

Model

Color

Year

License Plate

1

2

3

4

5

List all vehicles, motorcycles, boats, trailers, etc. which will be kept at the property *

Make

Model

Color

Year

License Plate

1

2

3

4

5

6

List all vehicles, motorcycles, boats, trailers, etc. which will be kept at the property *

Make

Model

Color

Year

License Plate

1

2

3

4

5

6

7

List all vehicles, motorcycles, boats, trailers, etc. which will be kept at the property *

Make

Model

Color

Year

License Plate

1

2

3

4

5

6

7

8

List all vehicles, motorcycles, boats, trailers, etc. which will be kept at the property *

Make

Model

Color

Year

License Plate

1

2

3

4

5

6

7

8

9

List all vehicles, motorcycles, boats, trailers, etc. which will be kept at the property *

Make

Model

Color

Year

License Plate

1

2

3

4

5

6

7

8

9

10

LIST 3 EMERGENCY CONTACTS THAT WILL NOT BE LIVING WITH YOU. EACH APPLICANT IN YOUR GROUP NEEDS TO LIST UNIQUE EMERGENCY CONTACTS *

Emergency Contact 1

Emergency Contact 2

Emergency Contact 3

Name

Street Address

City

State & Zip

Phone Number

GENERAL INFORMATION

Have you ever been served a late rent notice or eviction notice? *

Yes No

Have you ever had your security deposit not returned? *

Yes No

How long do you plan on living in the next rental home that meets your needs? *

1 Year 2 Years 3+ Years

Any convictions besides minor traffic violations? *

Yes No

If yes, please explain *

Do you have a history of drug use or offense? *

Yes No

If yes, please explain *

Have you had any problems with any previous or current landlords or rental properties? *

Yes No

If yes, please explain *

Have you ever refused or been unable to pay rent for any reason? *

Yes No

If yes, please explain *

List any other verifiable sources and amounts of income you wish to have considered *

We are going to run a credit check and a criminal background check. Is there anything we will find that you want to comment on? *

What kind of animals do you have and how many? *

Total move-in money available now? *

Veterinarian's Name *

Attorney's Name *

Do any occupants smoke? *

Yes No

In the event of some emergency that would prevent you from paying rent when due, is there a relative, person, or agency that could assist you with rent payments? If so, list Name, Full Address, and Phone #. *

Other Comments or explanations

By signing below, the applicant agrees to allow full credit and/or criminal record checks to be made and hereby authorizes management to contact any agencies, offices, groups, organizations, individuals, or references listed or not listed to obtain and verify any information or materials which is deemed necessary to complete my application and/or on a semi-annual basis to evaluate for renewal or to assist in contacting me should it become necessary to locate me relevant to matters involved in this tenancy, either before, during, or after tenancy. I understand that the application fee is non-refundable under any circumstances and there may be other applications submitted for the same property. I also agree to allow management to visit and inspect my current residence.

Name *

Signature *

Clear