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Rental Application
NOTE - PLEASE READ
A
pply Only if you have 1st Month's Rent + Deposit
Now.
We will contact you Only if we have something available.
Let us
know your price range. I
mportant.
REQUIREMENTS - No Evictions - No Late Rent
Must Have CURRENT Rental References
,
Need
landlord's number to be considered.
Application must be accurate + complete
We will contact you Only if we have something available.
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to save your progress.
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* Indicates required question
We Have Houses In Alleghany, Independence, and Galax
Where do you want to Rent ?
*
Your answer
APPLICANT
Full Legal Name –
*
Your answer
Why Are You Moving ?
IF Evicted or Homeless, provide details why this happened.
Must provide info to be considered.
*
Your answer
What price range -
Very Important
A
pply Only if you have 1st Month's Rent + Deposit
Now.
*
Your answer
Your Phone Number -
We will Text You if we have something available
List Your Email -
*
Your answer
Anyone in household
use illegal drugs ?
*
Yes
No
Do you or the people staying
have a criminal background ?
If so, list details
*
Your answer
Full name and age of every person who will reside in the home.
*
Your answer
Full Legal Names of anyone
who may stay with you at some point,
and their age and r
elationship to you.
*
Your answer
In case of emergency, notify –
*
Your answer
LIST YOUR PETS -
If the dog is a mixed breed, list the mix.
We still need to know what type of Service Dog.
*
Your answer
Current Address – Need all the info here
Landlord Name + Phone Number -
How Long – Start/End Dates
*
Your answer
Previous Address –
Landlord Name + Number -
How Long – Start/End Dates
*
Your answer
Previous Address –
Landlord Name + Number -
How Long – Start/End Dates
Your answer
Previous Address –
Landlord Name + Number -
How Long – Start/End Dates
Your answer
NAME OF EMPLOYER for Applicant –
Address - Start Date –
Income - Supervisor and phone number -
*
Your answer
PREVIOUS EMPLOYER-
Address - Start Date -
Income - Supervisor and phone number -
*
Your answer
SPOUSE or ROOMMATE -
Full Legal Name
*
Your answer
NAME OF EMPLOYER for
Roommate/Spouse - Address -
Start Date –
Supervisor and phone number - Income –
*
Your answer
Applicant’s Signature -
I give permission
To verify this application +
Contact previous Landlords +
Check background of anyone listed on this application
*
Yes
No
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