Rental Application Form

Application Instructions

Everyone 18 years old AND OVER must fill out an application. ALL REQUIRED FIELDS must be filled out in order for the application to be approved.

Name of Agent *

New Property Address *

City *

State/Province *

Monthly Rent ($) *

Desired Lease Start Date * Select or enter date in 'mm/dd/yyyy' format

Desired Lease End Date * Select or enter date in 'mm/dd/yyyy' format

Applicant Information

Applicant Name *

Social Security Number *

Applicant Birthday * Select or enter date in 'mm/dd/yyyy' format

Email Address *

Cell Phone Number *

Have you ever been convicted of a felony or gross misdemeanor? *

Have you ever been evicted from a rental property? *

Upload a copy of your Driver's License or ID *

No scanner? Take a photo of the document in good lighting using your smartphone.

Current Address Information

Current Address *

City *

State/Province *

Zip Code *

Country *

How many months at current address? *

Monthly rent at current address *

Current Landlord *

Landlord Telephone Number/email *

Current Employment Information

Are you currently employed? *

Current Employer name *

Current Employer's Address/Number *

City *

State/Province *

Zip Code *

Country *

Start date * Select or enter date in 'mm/dd/yyyy' format

Position *

Monthly Salary *

How often do you get paid

Supervisor's Phone Number *

Images of pay stubs, tax returns, or other statements can be uploaded here *

No scanner? Take a photo of the document in good lighting using your smartphone.

Additional sources of income

Pet and Additional Information

Do you have pets? *

Please describe the breed and weight of each pet

List all occupants who will be living in the property *

Please use this field to submit any additional information...

Terms and Conditions *

I agree to the Terms and Conditions -

I / We give Homes and Rentals Realty authorization to run my/our credit reports, including Criminal background and Eviction history for the purposes of this rental application.

I / We agree to pay $50.00 per person, non-refundable processing fee.

I / We also authorize Homes and Rentals Realty to provide a copy of my/our Credit reports to the landlord if requested by said landlord.

I / We hereby certify that the above information given to evaluate my/our application is true and correct.

I / We authorize Homes and Rentals Realty to make any and all inquiries to evaluate my/our application for housing including any previous Employers, Landlords, Rental Agents, Credit Grantors, Banks, Local State and Federal agencies to release any requested information for the evaluation of my rental application.

How will you pay the $50.00 application fee? *

Pay online by card

Pay offline

I understand that my application will not be processed until my application fee is paid either offline or online at a later time.

New Rental Application

Applicant Information

Current Address Information

Current Employment Information

Pet and Additional Information

Terms and Conditions *

How will you pay the $50.00 application fee? *