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Who is filling this out? *

I'm the Client
I'm the Agent

How do you want the e-signature application processed?

I will complete the application form myself and send to my client for signature.
I want the Transaction Coordinator to fill out the application and send to my client for signature.

STOP. DO NOT CONTINUE.

There's no need to fill out this form if you're going to be filling this information out on the e-signature form yourself. Please login to your e-signature platform (e.g. ZipForms, Dotloop, etc) to complete the application form to send for e-signature to your client.

AGENT INFORMATION

AGENT First Name *

AGENT Last Name *

AGENT Email *

PROPERTY INFORMATION

Property Address *

Address Line 1

Address Line 2

City

State

Zip Code

Move in Date *

This is an anticipated date. The actual move in date will be determined by a lease agreement if your application is accepted.

Monthly Rent Amount *

This is how much you are offering to pay each month. Typically it is the rent amount being asked, but can be a negotiated number.

Security Deposit *

This is how much you are offering to pay as a security deposit. Typically it is the amount being asked by the landlord, but can be a negotiated number. The most common amount is one month's rent. Please check with your agent to determine this number if you're unsure.

APPLICANT INFORMATION

Applicant's Name *

First

Middle

Last

Maiden Name (if any)

Email *

265-bit encryption

Phone *

SSN *

265-bit encryption

Birthday *

Drivers License or State ID Number *

265-bit encryption

Drivers License or State ID State *

Height *

Weight *

Eye Color *

Hair Color *

Marital Status *

Citizenship *

Country of Citizenship

EMERGENCY CONTACT

Emergency Contact Name *

First

Last

Emergency Contact Address

Address Line 1

Address Line 2

City

State

Zip Code

Emergency Contact Phone *

Emergency Contact Email

OCCUPANTS

Will any other persons occupy the property? *

How many other persons?

Do NOT include yourself.

Other Person 1 Name *

First

Last

Other Person 1 Relationship to Applicant *

Other Person 1 Age *

NOTE: Because this person is 18+, they will need to fill out their own application as well. Please also send them this link to complete.

Other Person 2 Name *

First

Last

Other Person 2 Relationship to Applicant *

Other Person 2 Age *

NOTE: Because this person is 18+, they will need to fill out their own application as well. Please also send them this link to complete.

Other Person 3 Name *

First

Last

Other Person 3 Relationship to Applicant *

Other Person 3 Age *

NOTE: Because this person is 18+, they will need to fill out their own application as well. Please also send them this link to complete.

Other Person 4 Name *

First

Last

Other Person 4 Relationship to Applicant *

Other Person 4 Age *

NOTE: Because this person is 18+, they will need to fill out their own application as well. Please also send them this link to complete.

Other Person 5 Name *

First

Last

Other Person 5 Relationship to Applicant *

Other Person 5 Age *

NOTE: Because this person is 18+, they will need to fill out their own application as well.

RENTAL HISTORY

Applicant's Current Address *

Address Line 1

Address Line 2

City

State

Zip Code

Landlord / Property Manager's Name *

Landlord / Property Manager's Email

Landlord / Property Manager Phone

Date Moved In *

Move Out Date

Rent Amount *

Reason for Moving *

RENTAL HISTORY (continued)

Applicant's PREVIOUS Address

Address Line 1

Address Line 2

City

State

Zip Code

Landlord / Property Manager Name

Landlord / Property Manager Email

Landlord / Property Manager Phone

Date Moved In

Date Moved out

Rent Amount

Reason for Moving

EMPLOYMENT INFORMATION

Current Employer

Current Employer Address

Address Line 1

Address Line 2

City

State

Zip Code

Current Supervisor Name

Current Supervisor Email

Current Supervisor Phone

Current Employer Start Date

Current Gross MONTHLY Income

Current Position / Title

EMPLOYER INFORMATION (continued)

Previous Employer

Previous Employer Address

Address Line 1

Address Line 2

City

State

Zip Code

Previous Supervisor Name

Previous Supervisor Email

Previous Supervisor Phone

Previous Employer Start Date

Previous Employer End Date

Previous Employer Monthly Income

Previous Position / Title

ADDITIONAL INCOME

Is there any other income the applicant wants considered?

VEHICLE INFORMATION

How many cars will you keep on the property?

Car 1 Type *

Car 1 Year *

Car 1 Make *

Car 1 Model *

Car 1 License Plate *

Car 1 Monthly Payment *

Car 2 Type *

Car 2 Year *

Car 2 Make *

Car 2 Model *

Car 2 License Plate *

Car 2 Monthly Payment *

Car 3 Type *

Car 3 Year *

Car 3 Make *

Car 3 Model *

Car 3 License Plate *

Car 3 Monthly Payment *

PET INFORMATION

Do you have any pets? *

How many pets? *

Maximum 3

Pet 1 Type or Breed *

If you don't know type in unknown.

Pet 1 Name *

If there's no name, type in none

Pet 1 Color *

Pet 1 Weight *

If you don't know, put in your best guess.

Pet 1 Age *

If you don't know, put in your best guess.

Pet 1 Gender *

If you don't know type in unknown.

Is Pet 1 Neutered? *

If not applicable, choose No.

Is Pet 1 Declawed? *

If not applicable, choose No.

Is Pet 1 Current on Rabies Shot? *

If not applicable, choose No.

Does Pet 1 Have a History of Biting People? *

If not applicable, choose No.

Pet 2 Type or Breed *

If you don't know type in unknown.

Pet 2 Name *

If there's no name, type in none

Pet 2 Color *

Pet 2 Age *

If you don't know, put in your best guess.

Pet 2 Weight *

If you don't know, put in your best guess.

Pet 2 Gender *

If you don't know type in unknown.

Is Pet 2 Declawed? *

If not applicable, choose No.

Is Pet 2 Current on Rabies Shot? *

If not applicable, choose No.

Does Pet 2 Have a History of Biting People? *

If not applicable, choose No.

Is Pet 2 Neutered? *

If not applicable, choose No.

Pet 3 Type or Breed *

If you don't know type in unknown.

Pet 3 Name *

If there's no name, type in none

Pet 3 Color *

Pet 3 Weight *

If you don't know, put in your best guess.

Pet 3 Age *

If you don't know, put in your best guess.

Pet 3 Gender *

If you don't know type in unknown.

Is Pet 3 Neutered? *

If not applicable, choose No.

Is Pet 3 Declawed? *

If not applicable, choose No.

Is Pet 3 Current on Rabies Shot? *

If not applicable, choose No.

Does Pet 3 Have a History of Biting People? *

If not applicable, choose No.

APPLICANT VERIFICATION

Upload Drivers License or State ID (Front & Back)

Click or drag files to this area to upload. You can upload up to 2 files.

Upload Paycheck Stubs and/or Proof of Income

Click or drag files to this area to upload. You can upload up to 30 files.

At least 3 months worth of proof of income is usually required.