If you have visited one of our properties and wish to make an application to rent or rent-to-own, please fill out the form below Rental Application(2) House or Apartment I am Applying for:Address* Personal InformationName* First Last Birth Date Month Day Year Social Security #* Driver's License #* Phone*Email* All other proposed occupants: Name, age, relationship to applicant*Rental/Residency HistoryCurrent Address* Street Address City Owner/manager Name* Owner/manager Phone*Reason for wanting to move* Have you given notice yet?* Yes No Been at present location since* Month Day Year Previous Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Owner/manager Name & Phone # Dates of Residency* Employment HistoryCurrent Employer* Company Address Phone*Name of Supervisor* Occupation* Gross Monthly Pay*Employed since* Month Day Year Previous Employer Company Address City PhoneName of Supervisor Occupation Gross Monthly PayDates of Employment Credit HistoryChecking Account: Bank* Checking Account: Balance*Savings Account: Bank* Savings Account: Balance*Credit Card: Bank* Credit Card: Balance*Credit Card 2: Bank Credit Card 2: BalanceAuto Loan: Bank* Auto Loan: Balance*Auto Loan 2: Bank Auto Loan 2: BalanceIf you are applying for one of our rent to own homes, much do you have for a down payment?*VehiclesMake, Model, Year and License Plate Number* Vehicle 2: Make, Model, Year and License Plate Number References and Emergency ContactsBy signing this application you grant us permission to communicate with all the contacts listed in this section in the event we can not locate you. Furthermore, if you abandon the premises for any reason then you grant us permission to allow your relative listed below to remove all contents of the dwelling on your behalf. Doctor Name City PhoneLawyerName Address City PhoneRelativesRelative 1 and Relationship* Name City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Phone*Relative 2 and Relationship Name City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State PhoneGeneral InformationHow long do you think you would be renting from us?* When would you be able to move in?* How many pets do you have? List breeds and approx weight.*Do any of the people who would be living in the premises smoke?* Yes No Have you ever been Evicted?* Yes No Have you ever files for bankruptcy? If so, when.* Have you ever been convicted of a felony?* Yes No List any verifiable sources of income you would like us to consider (optional). If you were to run into financial difficulty in the future do and couldn't come up with the money to pay the rent, do you know someone who loan you the money? If so, provide their information so we can use them as a reference for you, Name and Relationship Address City State / Province / Region ZIP / Postal Code PhoneIs there anything else you would like us to know?Agreement and Authorization SignatureI believe the statements I have made are true and correct. I hereby authorize a credit check to be made, verification of information I provided and communication with any and all names listed on this application. I understand that this is a rental application only for an apartment/house and does not constitute a rental or lease agreement in part or whole. Any questions regarding rejected applications must be submitted in writing to Manager, 163 Mitchells Chance Rd, #141, Edgewater, MD 21037.* Type you name and initials as your signature.Date* MM slash DD slash YYYY PhoneThis field is for validation purposes and should be left unchanged. Δ We respect your privacy. See our privacy policy. Share Tweet