Rental Application

Personal Information

Full Name Birth Date Driver’s License # / State Phone # Email Current Employer Name / Phone #

Roommates / Other Occupants

#	Full Name	Birth Date	Relationship to You
1

Rental History

	Street Address / Unit No.	City, State, Zip	Landlord	Landlord Phone Number	Rent Cost
Current Address
Previous Address #1
Previous Address #2

Income / Employment History

	Employed By	Monthly Income	Address	Phone Number
Current Employer
Previous Employer #1
Previous Employer #2

Emergency Contact Information

Name Phone # Relationship

Other Information

Have you ever been evicted? Yes No

If yes, when & why

Do you have pets? Yes No

If yes, please describe

What is your Credit Score?

Required Documents

Please upload or attach clear copies of the following documents to complete your rental application:

Copy of your State ID or Driver’s License:

Last 3 Pay Stubs:

Last 3 Bank Statements:

Previous Year W-2 Form:

Proof of Rent Payments for the past 6 months:

Copy of your Credit Karma credit report or another recent credit report:

Agreement & Consent to Background Check

I believe that the statements I have made are true and correct. I authorize the verification of this information and understand that this is an application for a rental unit and does not constitute a rental agreement.

Printed Full Name Date

Draw Signature

Application Fee

After submitting your rental application, you will be redirected to pay the required non-refundable $75 application fee.

Your application will not be processed until the application fee is received.

I understand that I must pay the $75 non-refundable application fee after submitting this application.

All documents are used solely for verification purposes and kept confidential in accordance with fair housing and privacy laws.