Welcome
About
Purchase a Home
Long-Term Rentals
Contact
Welcome
About
Purchase a Home
Long-Term Rentals
Contact
RENTAL APPLICATION
Applying For
Please select one.
7 Wilson Creek Drive
Other
APPLICANT INFORMATION
Name
First Name
Last Name
Phone
(###)
###
####
Date of Birth
MM
DD
YYYY
Social Security Number
Driver's License Number
State
Email
CO-APPLICANT INFORMATION
Co-Applicant's Name
Phone
(###)
###
####
Date of Birth
MM
DD
YYYY
Social Security Number
Driver's License Number
State
Email Address
Have you or your co-applicant ever been convicted by a court of law? If yes, please explain.
Have you or your co-applicant ever been convicted of a felony offense? If yes, please explain.
Total number of persons who will occupy this apartment (including applicants)
Other Occupant Information
Please provide full name, date of birth, and relationship for each additional occupant here.
In case of emergency, notify (other than occupants)
Please provide name, phone number, and address of emergency contact here.
Do you have any pets? If so, please specify breed and weight here.
RESIDENCE HISTORY FOR THE PAST 3 YEARS
Residence 1
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Landlord/Mortgage Company Name
Landlord/Mortgage Company Phone
(###)
###
####
Length of Time Lived There
Monthly Rent/Payment Amount
Residence 2
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Landlord/Mortgage Company Name
Landlord/Mortgage Company Phone
(###)
###
####
Length of Time Lived There
Monthly Rent/Payment Amount
Residence 3
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Landlord/Mortgage Company Name
Landlord/Mortgage Company Phone
(###)
###
####
Length of Time Lived There
Monthly Rent/Payment Amount
APPLICANT'S EMPLOYMENT FOR THE PAST 3 YEARS
Company Name 1
Job Title
Supervisor's Name
Phone Number
(###)
###
####
Length of Employment
Monthly Income
Company Name 2
Job Title
Supervisor's Name
Phone Number
(###)
###
####
Length of Employment
Monthly Income
CO-APPLICANT'S EMPLOYMENT FOR THE PAST 3 YEARS
Company Name 1
Job Title
Supervisor's Name
Phone Number
(###)
###
####
Length of Employment
Monthly Income
Company Name 2
Job Title
Supervisor's Name
Phone Number
(###)
###
####
Length of Employment
Monthly Income
OTHER INCOME?
Source
Amount Per Month
VEHICLE IDENTIFICATION
Vehicle 1 Make/Model/Color
License Plate
County/State
Vehicle 2 Make/Model/Color
License Plate
County/State
APPLICATION FEE
Applicant(s) has submitted the sum of $30 ("application fee") with this application. Applicant(s) understand and agree that this application shall not be considered by management until the application fee is paid. Applicant(s) understand and agree that the application fee is used by management for the payment of processing of this application, which included costs for verifying the authenticity of the information provided and to obtain or otherwise procure information regarding criminal background and rental references of applicant(s). As such, applicant(s) understand and agree that the application fee is nonrefundable. Applicant(s), by signing this application for occupancy, represent that the information provided herein is true and correct to the best of their knowledge. In the event that management discovers that any information provided herein is false, resident understands and agrees that management may, at management's sole option, reject this application and immediately rescind any current or future agreement with applicant(s).
APPLICANT(S) RELEASE AND AUTHORIZATION
By signing this application for occupancy, the undersigned applicant(s) authorize management to obtain any information necessary in management's sole discretion to assist in the evaluation of this application for occupancy. Applicant(s) understand and agree that any such information obtained by management may include by it not limited to, applicant's criminal history, evidence of any civil litigation and civil judgements, records of arrest, past rental history, employment history, salary information and history, vehicle records, driver's license records, driving history, and any other information. Applicant(s) release management, its principals, investors, employees, agents, vendors, the owner(s) of the community or property generally described in this application, and any furnisher or supplier of information related to this application from any and all liability in the procurement, use, distribution, and possession of all obtained information. Applicant(s) also understand and agree that the information provided in this application and other consumer reports, to include criminal records, evidence of any civil litigation, and civil judgements, records of arrest, past rental history, employment history, salary information/history, vehicle records, driver's license records, driving history, or any other information may be provided to state, local, and/or federal government agencies. Any disposal of information received by management shall be done in accordance with 16 CFR part 682 and N.C. Gen. Stat. 75-64, et. seq.
Applicant's Signature
Date
MM
DD
YYYY
Co-Applicant's Signature
Date
MM
DD
YYYY
Thank you! We will be in touch soon.
Application Fee
$30.00
Please pay your $30 nonrefundable application fee here.
