Please Read     RENTAL REQUIREMENTS BEFORE APPLYING
Rental Requirements apply to everyone in the household

We cannot rent to you if someone has been evicted
Must Have Good Rental References Within The Last 5 Years and Proof Of Income

Rent must be paid in full and on time, We cannot take payments on Deposit on Rent
We are a member of the Alleghany Landlord Association


Resident Application For Occupancy Date -


Property Located at -

Applicant –
Work Phone and Cell # -
Email Address
Drivers License #

Do you or anyone in your household currently use illegal drugs, or are you addicted to a controlled substance ?



Has anyone in your household been convicted for any felony offense ?

Number of people who will occupy ?
Please list full legal names, date of birth, and relationship to you.







In case of emergency, notify –

We do not always allow pets. Do you have pets ? Please list the type of pet
Dog Restrictions - We cannot rent to you if you have the following type of dog ....... Akita Alaskan Malamute, Chow Chow, Doberman Pinscher, German Shepherd, Pit Bull, Presa Canario, Rottweiler, Shar Pei, Siberian Husky, Staffordshire Bull Terrier, Wolf Hybrid, or any type of fighting breed

Residence History –
WHY ARE YOU MOVING ?




RENTAL HISTORY - We Require 5 Years of Rental References ( NOTE - Family cannot be used for a reference )
Current Address –
How Long – Start/End Dates
Landlord and landlord phone number -



Previous Address –
How Long – Start/End Dates
Landlord and landlord phone number -



Previous Address –
How Long – Start/End Dates
Landlord and landlord phone number -



Previous Address –
How Long – Start/End Dates
Landlord and landlord phone number -



NAME OF EMPLOYER for Applicant – Address - Start Date –
Income - Supervisor and phone number -



PREVIOUS EMPLOYER- Address - Start Date -
Income - Supervisor and phone number -



Transportation - List type of auto, tag #, county and state -

Roommate/Spouse
NAME OF EMPLOYER for Roommate/Spouse - Address -
Start Date –
Supervisor and phone number - Income –



Applicant’s Signature -
I give permission for landlord to verify this application with other Landlords and Background Checks