Renter Profile

Your privacy is very important to us. The form below will create a confidential renter’s profile for you in our system. This form in no way begins a tenancy or offer for housing. After seeing the apartment in person, this information will be used to process your rental application and will NOT be shared with any third-party.

Your Name (required)
Your Email
Phone # (required)
SS# (optional)
Driver's License # (optional)
Are there other names you've used in the past?
All Other Proposed Occupants> Birthdate Relationship to Applicant

Rental/Residence History

Current Residence Previous Residence Prior Residence
Street Address
State, Zip
Rent Amount $
Owner/Manager Name
Owner/Manager Phone Number
Reason for Leaving
Is/Was rent paid in full?
Did you give notice?
Were you asked to move?
Name(s) in which your utilities were billed
From / To From / To From / To
Dates of Residency

Employment History

Current Employment Previous Employment Prior Employment
Employer's Phone (required)
Monthly Gross $ (required)
Are you able to provide paystubs?
From / To From / To From / To
Dates of Employment

Credit History

  Bank Name Balance on Deposit or Balance Owed
Savings Account
Checking Account
Credit Card
Auto Loan

Vehicles (Include vehicles belonging to other proposed occupants also)

Make Model Color Year License Plate

References and Emergency Contacts

  Nearest Living Relative Living Elsewhere Personal Reference Personal Reference
Name (required)
Phone #

General Information

Have you ever been served a late rent notice?

Have you ever been served an eviction notice? If so, when?
Have you had any reoccurring problems with your current landlord? If yes, please explain:

Why are you moving from your current address? (required)

How many bedrooms do you need? (required)

Do you or the proposed applicants smoke?

What is your anticipated move-in date? (required)

How long do you think you would like to stay in the house/apartment?

Have you ever been convicted of a felony?

How many pets do you have (list type, breed, weight and age)?

List any additional verifiable sources of income you wish to have considered:

If you were to run into financial difficulty in the future, do you know someone that would loan you the money for your rent? If so, provide the person's name, address and phone # as a reference.

Have you been a party to a lawsuit in the past? If yes, please explain why:

We may run a credit check and a criminal background check. Is there anything negative we will find that you want to comment?

How did you hear about this apartment?

[dynamichidden BuyerType "Renter"]
[dynamichidden ExitStrategy "Renter"]
[dynamichidden RenterStatus "Application Submitted"]