Rental App New

PLEASE READ THIS CAREFULLY. APPLICATION FEES ARE NON-REFUNDABLE. PLEASE READ ENTIRE APPLICATION COVER PAGE FOR QUALIFACATIONS. All showings are by appointment only. We meet all potential tenants at our office. We never meet at the properties. We do not provide transportation to view rentals.

One application for each applicant, 18 years or older.
Application fees are $40.00 per application, this fee is non-refundable.
The $40.00 application fee is non-refundable and to be paid in cash or money order only, prior to processing your application. We will not process your application until we have proof of income and all other required forms.
Proof of income is required. Applicant is required to make 3 times the monthly rent. (Separate applicant will be required for the same.)
3 years of rental history is required. If you owned your home, please provide verification of ownership. We need to verify your rental history.
All listed availability dates are tentative, and rentals are not guaranteed to be ready by date listed on rental list. Please be sure to ask the status of any unit you are interested in renting. We do our best to finish cleaning and maintenance in a timely manner. We cannot be held responsible if a property is not ready by any listed and/or spoken availability dates given.
Upon approval of your application, a holding fee is required within 24 hours to hold the property. Properties will not be held without a holding fee!! Holding fees are to be paid in cashiers check or money order. No exceptions. We can only hold a property for someone for 2 weeks, after two weeks rent will be collected regardless of occupancy.
The holding fee is non-refundable should the applicant fail to take occupancy. NO EXCEPTIONS.
Once the property is occupied by the tenant and the lease is signed, the holding fee is applied to the security deposit.
The application fee, holding fee and first month’s rent is to be paid in money order or cashier’s check only. No personal checks will be accepted for any move-in monies. Any money orders or cashier’s checks for rent and deposit must be made out separately.
All lease signings are by appointment only and must be signed in person with a property manager. All remaining balances of rent and deposit are due when lease is signed to receive keys.
All utilities must be switched on in tenant’s name by day and time of lease signing. Please provide the property manager with new utility account number when you arrive to sign your lease.
All units are listed at year-lease prices. Anything less than a year lease must be negotiated with the property manager.
Proof of renter’s insurance will be required before lease signing takes place.

I have read and understood the above policies.*

Date

ALL DEPOSITS/ HOLDING FEES MUST BE PAID IN CASH OR CASHIERS CHECK

Application will not be accepted if received without being initialed and signed by applicant. Please use additional applications if more than two persons are applying.

Applicant hereby makes this request to rent the following property under the following terms and conditions:

Requested Move-In Date

Property Address

Address

Street Address City State ZIP Code

Applicant Name

Birth Date

Social Security Number

Driver's License

State Issued

Home Phone

Cell Phone

Work Phone

Email

Current Address

Address

Street Address City State ZIP Code

Owned or Rent

Owned

Rent

Payment

How long?

From

To

Landlord Name / Mortgage Holder

Reason for leaving

Prior Address

Address

Street Address City State ZIP Code

Own or Rent

Yes

No

Payment

How long?

From

To

Landlord Name / Mortgage Holder

Reason for leaving

Autofill rental history with the same as main applicant?

Current Employer

Employer

Employed as

How long?

Address

Street Address City State ZIP Code

Phone

Email

Fax

Salary

Per Month

Supervisor

Prior Employer (If less than 3 years)

Employer

Employed as

How long?

Address

Street Address City State ZIP Code

Phone

Email

Fax

Salary

Per Month

Supervisor

Monthly Obligations

Auto Loan

Auto Insurance

Health Insurance

Child Support

Credit Card

Other

Total

Applicant Emergency Contact Name

Relationship

Cell Phone

Work Phone

Other Phone

Address

Street Address City State ZIP Code

Other Occupants

Please list any other persons that will be living at the premises.

First Occupant

Name

Age

Relationship

Occupation

Second Occupant

Name

Age

Relationship

Occupation

Third Occupant

Name

Age

Relationship

Occupation

Fourth Occupant

Name

Age

Relationship

Occupation

Personal References

Name

Relationship

Phone

Name

Relationship

Phone

Name

Relationship

Phone

Employer Contact Information

Applicant Name

Company Name

Address

Supervisor

Email

Phone Number

Fax Number

Applicant authorizes verification of employment.*

Date

Rental History Contact Information

Applicant Name

Name of Landlord/Property Manager

Previous/Current Rental Address

Street Address City State ZIP Code

Phone Number

Fax Number

Applicant authorizes verification of rental history.*

Date

Applicant Agreement and Authorization

Applicant declares that the information provided is true and accurate. Applicant authorizes verification of employment, criminal records, credit, verification of references and current and previous landlords.
Applicant understands and acknowledges, that a false statement made on this application are grounds for denial of rental to Applicant. Any statement on this application may be construed as a condition precedent to any binding rental agreement or contract between Applicant and landlord.
The Applicant and Managing Brokerage understand and agree the Managing Broker is required to implement and maintain reasonable security measures to protect the personal information of the Applicant from unauthorized access, acquisition, destruction, use, modification, or disclosure.
Landlord or Licensee unless contained in the Rental Agreement signed by landlord or landlord’s Licensee.
Applicant understands that Applicant acquires no rights to premises until execution of a Rental Agreement and deposit of rent and security deposit.
Applicant understands that Century 21 Green Valley Realty is the leasing agency working directly for the owner.

I understand that any discrepancy or lack of information may result in the rejection of this application and that this is an application for an apartment/home and does not constitute a rental or lease agreement in whole or part.*

Date

Proceed to Co-Applicant Information

Co-Applicant Name

Birth Date

Social Security Number

Driver's License

State Issued

Home Phone

Cell Phone

Work Phone

Email

Current Address

Address

Street Address City State ZIP Code

Owned or Rent

Owned

Rent

Payment

How long?

From

To

Landlord Name / Mortgage Holder

Reason for leaving

Prior Address

Address

Street Address City State ZIP Code

Own or Rent

Yes

No

Payment

How long?

From

To

Landlord Name / Mortgage Holder

Reason for leaving

Co-Applicant – Current Employer

Employer

Employed as

How long?

Address

Street Address City State ZIP Code

Phone

Email

Fax

Salary

Per Month

Supervisor

Prior Employer (If less than 3 years)

Employer

Employed as

How long?

Address

Street Address City State ZIP Code

Phone

Email

Fax

Salary

Per Month

Supervisor

Co-Applicant Monthly Obligations

Auto Loan

Auto Insurance

Health Insurance

Child Support

Credit Card

Other

Total

Applicant Emergency Contact Name

Relationship

Cell Phone

Work Phone

Other Phone

Address

Street Address City State ZIP Code

Co-Applicant Personal References

Name

Relationship

Phone

Name

Relationship

Phone

Name

Relationship

Phone

Co-Applicant Employer Contact Information

Co-Applicant Name

Company Name

Address

Supervisor

Email

Phone Number

Fax Number

Co-Applicant authorizes verification of employment.*

Date

Co-Applicant Rental History Contact Information

Co-Applicant Name

Name of Landlord/Property Manager

Previous/Current Rental Address

Street Address City State ZIP Code

Phone Number

Fax Number

Co-Applicant authorizes verification of rental history.*

Date

Co-Applicant Agreement and Authorization

Applicant declares that the information provided is true and accurate. Applicant authorizes verification of employment, criminal records, credit, verification of references and current and previous landlords.
Applicant understands and acknowledges, that a false statement made on this application are grounds for denial of rental to Applicant. Any statement on this application may be construed as a condition precedent to any binding rental agreement or contract between Applicant and landlord.
The Applicant and Managing Brokerage understand and agree the Managing Broker is required to implement and maintain reasonable security measures to protect the personal information of the Applicant from unauthorized access, acquisition, destruction, use, modification, or disclosure.
Landlord or Licensee unless contained in the Rental Agreement signed by landlord or landlord’s Licensee.
Applicant understands that Applicant acquires no rights to premises until execution of a Rental Agreement and deposit of rent and security deposit.
Applicant understands that Century 21 Green Valley Realty is the leasing agency working directly for the owner.

I understand that any discrepancy or lack of information may result in the rejection of this application and that this is an application for an apartment/home and does not constitute a rental or lease agreement in whole or part.*

Date

Name

This field is for validation purposes and should be left unchanged.

Rental Application – New

ALL DEPOSITS/ HOLDING FEES MUST BE PAID IN CASH OR CASHIERS CHECK

Property Address

Current Address

Prior Address

Current Employer

Prior Employer (If less than 3 years)

Monthly Obligations

Pets

First Pet

Second Pet

Third Pet

Other Occupants

First Occupant

Second Occupant

Third Occupant

Fourth Occupant

Personal References

Employer Contact Information

Rental History Contact Information

Applicant Agreement and Authorization

Current Address

Prior Address

Co-Applicant – Current Employer

Prior Employer (If less than 3 years)

Co-Applicant Monthly Obligations

Co-Applicant Personal References

Co-Applicant Employer Contact Information

Co-Applicant Rental History Contact Information

Co-Applicant Agreement and Authorization