Rental Application
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Appl. Fee
Address
Paid Date
Lease Dates
Check #
Rent
220 Professional Park Dr
Input
Blacksburg, VA 24060-6651
Pets Yes
No
(540) 552-4000 ● (540) 961-4275 (FAX)
Date App Rec’d
Email:
____________________
RENTAL APPLICATION
NAME (Please Print) ______________ _____________
__________________________ Date of Application ___________
RENTAL APPLICATION
Date Property Needed
(First)
(Middle)
(Last)
_____________
My, first second and third choices are:
Size:
Efficiency ______ 1BR ______ 2BR ______ 3BR ______ 4BR _______
Type:
House ________ Townhouse ________ Condo _______ Apt. ______ Duplex _____
Preferred Community ______________________________________________________________________________
Lease:
New _______ Roommate Change ___________ Sublease _______
Waterbed:
Yes ___________ No _______________ ( Copy of Insurance Required, If Allowed)
I understand that it is intended the property will be ready for occupancy close to requested move-in date, but I agree that Townside
shall not be under any obligation because of approval of this application or for any reason. I further agree that the full security
deposit is applied to damages upon cancellation of my property. Townside cannot assume responsibility for the inability to furnish
resident with any property on the specified date where construction delays, repairs, or the removal of a resident prevents us from
All lessees are required to have renter’s insurance.
obtaining occupancy of the said property.
PETS: Do you have a pet? YES ___ NO ___
BREED ________________ WEIGHT _________________
Sorry, no pets without prior written permission; some properties do not allow pets under any circumstances. No pets allowed at or
after move-in without prior arrangements and agreement to all pet regulations. Authorization varies with properties. Applicant
agrees to pay all applicable deposit and additional rent charges associated with the acceptance of a pet. Applicant further agrees to
comply with all regulations outlined in Lease Addendum C. Pet cannot be from the restricted breed list; verification may be required.
The property will be occupied by Myself, *My Spouse _______________________; My ____ Sons, Ages ____________________
Names ____________________________ : My _____ Daughters, Ages ___________, Names ______________________________
Complete names of roommates: ________________________________________________________________________________
* Although qualifying jointly, separate applications are required
Applicant’s Social Security Number ____-____-________ Spouse’s Social Security Number _____-______-________
Birth date: ________________________
Spouse’s Birth date: _________________________________________
Vehicle Information: Make __________ Model _________ Year _____ Color _____ License ___________________________
What year in college, presently? ____ Undergrad _____ Graduate ________ Department ________________________________
Current address ______________________ City _________________________ State ___________ Zip ___________________
Current phone number ____________ Current lease expiration __________ Current Rent ________________________________
How long at this address? _______ Present owner/Agent’s address __________________ Phone # _________________________
Give past two (2) residences 1. ______________________ 2. _______________________________________________________
Previous Address with Townside __________________________________ How Long? _________________________________
Permanent Address _____________________ City ___________________________ State _______ Zip ____________________
If I provide no forwarding address, Townside may contact me and send mail to me at my permanent address _____ (Initial)
Why are you moving? _______________________EMAIL ADDRESS ___________________________________
I understand I am authorizing Townside to complete any necessary credit check and employment verification needed to process my
application.
To be completed by applicant as applicable
Credit References: 1. ____________________________________________ 2. __________________________________________
Bank References: Name of Bank ______________________________________________________________________________
Bank Address ______________________________________________________________________________
Character References: 1. __________________________ Address ________________________________ Phone # _____________
(non-related)
2. __________________________ Address ________________________________ Phone # _____________
Do you have any unsatisfactory information in your rental/credit history? _____ Yes ____ No If yes, please explain, ____________
___________________________________________________________________________________________________________
Have you ever been convicted of a felony? ____ *Yes _____ No If yes, please explain, ___________________________________
____________________________________________*We reserve the right to do a criminal background check if deemed necessary.
My present employer or business ___________________________________________________ Position ____________________
Business Address ____________________________________ Phone Number ________________ Income/Month ______________
My employer in the area will be _____________________________________________________ Position ____________________
Business Address ___________________________________ Phone Number ________________ Income/Month _______________
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