Rental Application

Rental Application

Instructions:
- Each adult (18 or older) must fill out a separate application.
- Applications with false or incomplete information will not be approved.
- $40.00 application fee per adult. This application fee is non-refundable under any circumstances.
- Animal screening is conducted via a third party service. The charge for this service is $25.00 per 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 applying for: *
N/A
Address applying for: *
N/A
Desired Move-In Date: *
N/A

MM/dd/yyyy
APPLICANT INFORMATION
Name
N/A

Required First Name Required Middle Name Required Last Name
Date of Birth: *
N/A

MM/dd/yyyy
Social Security Number *
N/A
Driver's License Number *
N/A
Driver's License State *
N/A
Any Other Names You've Used in the Past? Include any other last names used as a result of marriage or divorce. *
N/A
Cell Phone Number: *
N/A

### ### ####
Email Address: *
N/A
Which of these best describes your current living situation? *
N/A

I am renting from a private landlord or company
I am living with family or friends and paying no rent
I am renting from family or friends
I am a homeowner
Other
Please describe your current living situation: *
N/A
How do you currently pay your rent? *
N/A

Cash
Check
Money Order
Electronic Bank Draft (ACH)
Credit or Debit Card
Other
Can you provide documentation of on-time rental payments for the last 12 months? *
N/A

Yes
No
Are you the primary contact for your family or group? *
N/A

Yes
No
Enter the name of the primary contact for your family or group. *
N/A
How many adults including yourself will be living in the home? *
N/A
How many people total (adults + children) including yourself will be living in the home? *
N/A
Complete the following information for each person that will be living with you:
Person 1

Answer

First & Last Name *

Date of Birth *

Relationship to Applicant *
Person 2

Answer

First & Last Name *

Date of Birth *

Relationship to Applicant *
Person 3

Answer

First & Last Name *

Date of Birth *

Relationship to Applicant *
Person 4

Answer

First & Last Name *

Date of Birth *

Relationship to Applicant *
Person 5

Answer

First & Last Name *

Date of Birth *

Relationship to Applicant *
Person 6

Answer

First & Last Name *

Date of Birth *

Relationship to Applicant *
Person 7

Answer

First & Last Name *

Date of Birth *

Relationship to Applicant *
Person 8

Answer

First & Last Name *

Date of Birth *

Relationship to Applicant *
Person 9

Answer

First & Last Name *

Date of Birth *

Relationship to Applicant *
How many different addresses have you used or lived at for the last 5 years? *
N/A

	Answer
First & Last Name *
Date of Birth *
Relationship to Applicant *

	Answer
First & Last Name *
Date of Birth *
Relationship to Applicant *

	Answer
First & Last Name *
Date of Birth *
Relationship to Applicant *

	Answer
First & Last Name *
Date of Birth *
Relationship to Applicant *

	Answer
First & Last Name *
Date of Birth *
Relationship to Applicant *

	Answer
First & Last Name *
Date of Birth *
Relationship to Applicant *

	Answer
First & Last Name *
Date of Birth *
Relationship to Applicant *

	Answer
First & Last Name *
Date of Birth *
Relationship to Applicant *

	Answer
First & Last Name *
Date of Birth *
Relationship to Applicant *

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? *
Move-In Date *
Move-Out Date *

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? *
Move-In Date *
Move-Out Date *

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? *
Move-In Date *
Move-Out Date *

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? *
Move-In Date *
Move-Out Date *

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? *
Move-In Date *
Move-Out Date *

Current Employment

	Current Employment
Employed By *
Address *
Employer's Phone *
Occupation *
Name of Supervisor *
Monthly Bring-Home Pay *
What date did you start working here? *
What date did you stop working here? *

How often do you get paid? *
N/A
What rent payment frequency do you prefer? *
N/A

Previous Employment or Second Job

	Previous Employment or Second Job
Employed By *
Address *
Employer's Phone *
Occupation *
Name of Supervisor *
Monthly Bring-Home Pay *
What date did you start working here? *
What date did you stop working here? *

Prior Employment

	Prior Employment
Employed By *
Address *
Employer's Phone *
Occupation *
Name of Supervisor *
Monthly Bring-Home Pay *
What date did you start working here? *
What date did you stop working here? *

In the past, what events have caused you to be unable to pay rent when due? *
N/A
Do you have a savings account? *
N/A

Yes
No
How many different savings accounts do you have? *
N/A
Savings Account

Savings Account

Name of Bank *

Account Balance *
Second Savings Account

Second Savings Account

Name of Bank *

Account Balance *
Third Savings Account

Third Savings Account

Name of Bank *

Account Balance *
Do you have a checking account? *
N/A

Yes
No
How many different checking accounts do you have? *
N/A
Checking Account

Checking Account

Name of Bank *

Account Balance *
Second Checking Account

Second Checking Account

Name of Bank *

Account Balance *
Third Checking Account

Third Checking Account

Name of Bank *

Account Balance *
How many automobile loans do you currently have? *
N/A
Auto Loan

Auto Loan

Name of Lender *

Balance Owed *
Second Auto Loan

Second Auto Loan

Name of Lender *

Balance Owed *
Third Auto Loan

Third Auto Loan

Name of Lender *

Balance Owed *
How many credit cards do you currently have? *
N/A
Credit Card

Credit Card

Name of Lender *

Balance Owed *
Second Credit Card

Second Credit Card

Name of Lender *

Balance Owed *
Third Credit Card

Third Credit Card

Name of Lender *

Balance Owed *
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? *
N/A

Yes
No
Do you have renter's insurance? *
N/A

Yes
No
Renter's insurance company: *
N/A
Have you ever filed bankruptcy? *
N/A

Yes
No
Have you ever broken a lease? *
N/A

Yes
No
Please describe the circumstances under which you broke a previous lease: *
N/A
How many evictions have been filed on you? *
N/A
Are you a party to a current lawsuit - either as the plantiff or defendant? *
N/A

Yes
No
Please describe the lawsuit: *
N/A
Do you currently have any utilities in your name? *
N/A

Yes
No
What companies? *
N/A
Is there anything to prevent you from placing utilites in your name? *
N/A
How many vehicles, motorcycles, boats, trailers, etc. will be kept at the property? *
N/A
Vehicle 1

Vehicle 1

Make *

Model *

Color *

Year *

License Plate *
Vehicle 2

Vehicle 2

Make *

Model *

Color *

Year *

License Plate *
Vehicle 3

Vehicle 3

Make *

Model *

Color *

Year *

License Plate *
Vehicle 4

Vehicle 4

Make *

Model *

Color *

Year *

License Plate *
Vehicle 5

Vehicle 5

Make *

Model *

Color *

Year *

License Plate *
Vehicle 6

Vehicle 6

Make *

Model *

Color *

Year *

License Plate *
Vehicle 7

Vehicle 7

Make *

Model *

Color *

Year *

License Plate *
Vehicle 8

Vehicle 8

Make *

Model *

Color *

Year *

License Plate *
Vehicle 9

Vehicle 9

Make *

Model *

Color *

Year *

License Plate *
Vehicle 10

Vehicle 10

Make *

Model *

Color *

Year *

License Plate *
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 1

Name *

Street Address *

City *

State & Zip *

Phone Number *
Emergency Contact 2

Emergency Contact 2

Name *

Street Address *

City *

State & Zip *

Phone Number *
Emergency Contact 3

Emergency Contact 3

Name *

Street Address *

City *

State & Zip *

Phone Number *
Would you like a washer and dryer set included in the unit for an additional $40-80 per month? *
N/A

Yes
No
Have you ever been served a late rent notice or eviction notice? *
N/A

Yes
No
Have you ever had your security deposit not returned? *
N/A

Yes
No
Why was it not returned? *
N/A
How long do you plan on living in the next rental home that meets your needs? *
N/A

1 Year
2 Years
3+ Years
Any convictions, pleas, or negotiated guilty besides minor traffic violations? *
N/A

Yes
No
Please describe the convictions. *
N/A
Do you have a history of drug use or offense? *
N/A

Yes
No
Please describe your drug use or offense *
N/A
What types of problems have you had with any previous or current landlords or rental properties? *
N/A
Have you ever refused or been unable to pay rent for any reason? *
N/A

Yes
No
Why were you unable to pay rent? *
N/A
List any other verifiable sources and amounts of income you wish to have considered *
N/A
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? *
N/A
What kind of animals do you have and how many? Be descriptive. Include breed, size, age, and if they are spayed/neutered. Please indicate if one or more are support animals. * *
N/A
If your application is approved, do you have funds required for move-in available? *
N/A

Yes
No
Veterinarian's Name *
N/A
Attorney's Name: *
N/A
Do any applicants smoke? *
N/A

Yes - inside and outside the home
Yes, but outside only
No smokers in the household
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 #. *
N/A
Other Comments or explanations *
N/A
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. Management may contact me via email and/or text/SMS message.
Name
N/A

Required First Name Required Last Name
Signature *
N/A

E-Signature Field
Clear
Application Fee *

Square USD

Amount to be paid $
N/A

MM/dd/yyyy HH:MM AM/PM

Rental Application

APPLICANT INFORMATION

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	Savings Account
Name of Bank *
Account Balance *

	Second Savings Account
Name of Bank *
Account Balance *

	Third Savings Account
Name of Bank *
Account Balance *

	Checking Account
Name of Bank *
Account Balance *