Rental Application Form - Idaho printable pdf download

RENTAL APPLICATION

INCOMPLETE APPLICATIONS SUBJECT TO IMMEDIATE REJECTION

Equal Housing Opportunity Provided

______________________________________

Name to appear on Lease

Present address______________________________________________________________________

Phone number_________________________ Email address____________________________

Applicant’s employer___________________________ Phone #_____________________

alary______________________________________(per week)

Co-Applicant’s employer________________________ Phone #____________________________

Co-applicant Salary______________________________(per week)

Do you receive income assistance? ______ Dollar value? _________________________________

Please describe _____________________________________________________________

Do you receive child support income? _________________ Dollar value? ___________________

Does your family have medical insurance? _________ Name of provider ____________________

Essex, Richmond, & Northumberland County units; Please indicate your choice. 1

choice?________ 2

choice? ________ 3

choice ________

List ALL people who plan to live in the apartment:

(1)__________________________Age_______ (2) ________________________Age________

(3)__________________________Age_______ (4) ________________________Age________

REFERENCES

to be returned with application

(YOU

PROVIDE)

1. WRITTEN credit reference from RETAIL STORE/CAR FINANCE COMPANY, ETC.

2. WRITTEN LANDLORD credit reference. (Questionnaire available)

(ITEMS 1 & 2 CAN BE SUBSTITUTED BY AN APPROVED BANK REFERENCE LETTER)

3. WRITTEN CHARACTER REFERENCE from your employer covering the past six month’s employment.

THIS APPLICATION SHALL BE GOVERNED BY THE LAWS OF THE COMMONWEALTH OF VIRGINIA AND DOES NOT

CONSTITUTE A LEASE, NOR DOES IT OBLIGATE APPLICANT TO RENT.

THIS INFORMATION MAY BE USED AGAINST THE APPLICANT.

Applicant hereby authorizes any financial institution to provide owner/landlord with a credit report. Applicant

further grants the owner/landlord, its legal counsel, managers, etc. full rights to the use of all information contained

herein or associated with this application. Applicant should perform any interior air quality tests the applicant

deems necessary prior to occupancy. Applicant affirms the fact that the applicant and any potential residents are

citizens of the United States of America, and are not currently under indictment or charged with a crime. If not a

United States citizen, please provide legal status and applicable paperwork. Applicant affirms the fact that all

information has been provided freely and voluntarily.

NO PETS ALLOWED

Signed:

_______________________________________Applicant ____________Date

_______________________________________Print name

_______________________________________Co-applicant __________Date

_______________________________________Print name

Return to:

H. Lee Self, Jr., LLC, Owner/Landlord

P.O. Box 362

Callao, VA 22435

Fax # 804-529-9505

Rental Application Form - Idaho

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