Rent-to-Own Application

Primary Applicant
First Name:
Phone Number:
Date of Birth:
Social Security Number:
Drivers License Number:
Present Employer:
Current Position:
How Long at this Job:
Employer Phone Number:
Current Address:
Name of Current Landlord:
Phone Number for Current Lanlord:
How Long at this Address:
Previous Mailing Address:
Name of Previous Landlord:
Phone Number for Previous Landlord:
How Long at this Address:
Co-Applicant
First Name:
Social Security Number:
Drivers License Number:
Phone Number:
Present Employer:
Current Employer Phone Number:
How Long at this Job:
Family Information:
Others who will live in home:
Others who will live in home:
Others who will live in home:
Others who will live in home:
Any Pets:
Does anyone Smoke:
Has Anyone Listed on this Application Ever: Been party to an eviction: Been sued for nonpayment of rent, or breached a lease? Been convicted of a felony? Filed for bankruptcy?		Yes No Yes No Yes No Yes No
Please Explain any YES Answers:
What else should we know before performing a credit/background check?:
Financial Information:
Other sources/amounts of Family Income:
Source of Up-Front Money:	Savings, Checking account, 401K, Gift, Cash, Paycheck, Credit Card, Personal Loan, borrow, Other
Amount of Up-Front Money Available:
Highest monthly payment you can afford?:
Is Your Credit:		Excellent Very Good Good Fair Bad Very Bad
Best way to contact you:	Email address Mailing address Phone number
I/WE CERTIFY that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for tenet screening as may be necessary in arriving at a tenant decision. I understand that the landlord may terminate any rental agreement entered into for any misrepresentation made above. I authorize Property Solvers, LLC to obtain my consumer credit report and public records and to investigate any personal information on me necessary to arrive at an applicant decision.
Yes No Primary Applicant		Yes No Co-Applicant

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