Please Read RENTAL REQUIREMENTS BEFORE APPLYING

Rental Requirements apply to everyone in the household

We cannot rent to you if someone has a Criminal Background, 
or Been Evicted 

We cannot rent to you if you have Drug Charges,
and we require ID on everyone

Good Rental References Within The Last 5 Years 
and Proof Of Income

Rent must be paid in full and on time, No 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 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