Rental Application Form| Virginia | Washington, DC

Application

RENTAL APPLICATION

Subject Property
1. Location of premises
2. Rental term to commence:
3. Term of Rental:
4. Monthly Rent:
5. Security Deposit:
6. Application Fee:
7. Pets?
- Yes
- No
8. Smoking Allowed?
- Yes
- No
Applicant Information
9. Applicant name:
10. Social Security No.:
11. DOB:
12. Driver’s License No.
13. Phone:
14. E-Mail:
15. Ever Been Convicted of a Crime?
- Yes
- No
If Yes, Describe:
16. Ever Filed for Bankruptcy?
- Yes
- No
If Yes, Describe:
17. Ever Been Evicted?
- Yes
- No
If Yes, Describe:
18. Spouse / Roommate:
19. Spouse SSN.:
20. DOB:
Applicant Household
21. Other Occupants?
- Yes
- No
If Yes, Describe:
22. Pets?
- Yes
- No
If Yes, Describe:
Applicants Vehicles
23. Vehicles?
- Yes
- No
If Yes, Describe:
CURRENT EMPLOYMENT
24. Company:
25. Occupation/Title:
26. How Long?
27. Gross Income: $
(From Prior Year Tax Filing)
25. Supervisor:
28. Street Address:
City:
State:
PREVIOUS EMPLOYMENT
29. Company:
30. Occupation/Title:
31. How Long?
32. Gross Income: $
(From Prior Year Tax Filing)
33. Supervisor:
34. Street Address:
City:
State:
CURRENT RESIDENCE
35. Type (Apt, Home, Condo):
36. Bedrooms:
37. Rent Amount:
/Month
38. Street Address:
City:
State:
39. How long at this Address?
40. Current Lease Expiration Date:
41. Desire for Moving?
CURRENT LANDLORD
42. Name:
43. Phone:
44. E-Mail:
45. Street Address:
City:
State:
PREVIOUS RESIDENCE
46. Type:
47. Bedrooms:
48. Rent Amount:
49. Start Date:
50. End Date:
51. Street Address:
City:
State:
PREVIOUS LANDLORD
52. Name:
53. Phone:
54. E-Mail:
55. Street Address:
City:
State:
PERSONAL REFERENCES
56. Full Name:
57. Relationship:
58. E-Mail:
59. Phone:
60. Full Name:
61. Relationship:
62. E-Mail:
63. Phone:
FINANCIAL INFORMATION
64. Bank:
65. Account #
66. Routing #
67. Branch Location
68. Type:
- Checking
- Savings
69. Bank:
70. Account #
71. Routing #
72. Branch Location
73. Type:
- Checking
- Savings
ADDITIONAL DETAILS (IF ANY)
I hereby certify that I am at least 18 years of age. Applicant represents that all information given on this application is true and correct. Applicant hereby authorizes verification of all references and facts, including but not limited to current and previous landlords, employers, and personal references. Applicant hereby authorizes owner/agent to obtain any and all Unlawful Detainer, Credit Reports, Telechecks, and/or Criminal Background Reports. Applicant agrees to furnish additional credit and/or personal references upon request. Applicant understands that incomplete or incorrect information provided in the application may cause a delay in processing which may result in denial of tenancy. Applicant hereby waives any claim and releases from liability any person providing or obtaining said verification or additional information.
Applicant’s Signature
Date
Co-Applicants signature
Date
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