Rental Application

Please fill in all blank lines best as you can - Verification of your current income - employment status - will be necessary in order to process your application.

All holding deposits paid will be refunded if this application is not approved. Deposit for approved applicants cannot be refunded. They will apply to security deposit.

Property you wish to rent (Address):_____________________________________________

Name of Applicant (s):________________________________________________________

Other names used within last 3 years:____________________________________________

Date of Birth:_____/___/_______

Present Employer:________________________ Type of Work:______________________

Address of Employer:___________________________ Tel. No.: (____)______________

How much do you earn from salary or wages:$_____________ (per month)

Other income you receive: Source:$_______________________ Amount:$_____________

Other income you receive: Source:$_______________________ Amount:$_____________

Your Social Security No. ____-___-_____ Driver’s License No. __________________

Spouse Social Security No. ____-___-_____ Driver’s License No. __________________

List names of all occupants who will live in house or apartment.

_______________________ _____________________ _____________________

_______________________ _____________________ _____________________

List all pets that will live at property: Number Type Weight

__________ _______________________ ________

Your present address:_____________________________ What is your present rent:_____

How long have you lived there:____________________________

How much is security deposit: $_____________________________

What is owner’s (AGTS.) Name____________________________ Tel. No.:(____)________

What is your reason for moving:_________________________________________________

Have you ever been evicted: ___(Yes) ___(No) By Whom:___________________________

If yes explain why:___________________________________________________________

Your previous address:________________________________________

How long did you live there:________________ Security Dep. Paid $___________

Reason for moving:___________________________________________________________

References: (Friends, Real Estate Agents, Neighbors, Previous Landlords)

1. Name______________________ Address___________________ Tel. No.(___)________

2. Name______________________ Address___________________ Tel. No.(___)________

Authorization To Verify Information

I authorize the landlord or his authorized agents to verify the above information. Including but not limited to obtaining a credit report and if this application is accepted I agree to execute the residential lease or rental agreement with One Stop Home Rental Company.

Date: ___/__/20___ Applicant:_____________________________________

Applicant:_____________________________________

Your Tel. No.: (____)___________ Rental Agent:______________________________

Approval Date:____/___/20___ File No. __________________________

For more information and/or showing schedules Please Call our office at: (937) 859-8800