📝 Rental Application

PepperTree Townhomes - Quick & Easy

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👤 Personal

📱 Contact

🏠 Address

👥 Occupants

💼 Employment

📋 References

🐾 Pets

🚗 Vehicle

🚨 Emergency

📅 Additional

✅ Form saved successfully!

⚠️ Please fill in all required fields

👤 Personal Information

First Name *

Middle Name

Last Name *

Date of Birth *

Social Security # * Your SSN is required for background and credit checks

Driver's License # *

State *

📱 Contact Information

Cell Phone # * We'll use this to contact you about your application

Home Phone # (Optional)

Email Address * Application updates will be sent to this email

Gender

Male Female Other

Marital Status

Single Married Divorced Widowed

🏠 Current Address

Street Address *

City *

State

ZIP

Move-In Date

Move-Out Date

Monthly Rent/Mortgage Enter amount without $ sign

Rent or Own?

Rent Own

Landlord/Management Name

Landlord Phone

🏘️ Previous Address (if less than 2 years at current address) ▼

Street Address

City

State

ZIP

Move-In Date

Move-Out Date

Monthly Rent/Mortgage

Rent or Own?

Rent Own

Landlord/Management Name

Landlord Phone

👥 Other Occupants

Full Name:

D.O.B:

Relationship:

💼 Employment Information

Current Employer *

Job Title/Position *

Start Date

Monthly Income Enter your gross monthly income before taxes Gross monthly income

Supervisor Name

Employer Address

Employer Phone

📋 References

Please provide at least 2 personal or professional references (non-relatives)

Reference 1

Full Name *

Relationship *

Years Known

Phone Number *

Reference 2 (Optional)

Full Name *

Relationship *

Years Known

Phone Number *

Reference 3 (Optional)

Full Name

Relationship

Phone Number

🐾 Pets

Do you have any pets?

If yes, how many?

Pet 1

Type

Breed

Color

Weight

Age

Name

Pet 2

Type

Breed

Color

Weight

Age

Name

🚗 Vehicle Information

Please provide information for all vehicles that will be parked at the property

Primary Vehicle

Make *

Model *

Year *

Color *

License Plate Number *

State *

Second Vehicle (Optional)

Make

Model

Year

Color

License Plate Number

State

🚨 Emergency Contact

Full Name *

Relationship

Phone Number *

Address

� Other Information

Rental History Questions:

Have you ever been evicted from rental housing?

Has a landlord ever refused to renew a lease with you?

Do you currently have any outstanding debt to a landlord?

Background History Questions:

Have you been convicted of any criminal offense (misdemeanor or felony)?

Have you ever been part of a plea agreement relating to any criminal activity?

Have you been arrested, accused, detained, convicted or otherwise involved in any sex related crime?

Have you ever been listed on any sex offender registry?

Additional Questions:

Why are you vacating your current residence?

Have you given proper written notice to vacate to your current landlord?

How did you hear about us?

I certify that the above information is correct and complete and hereby authorize Golden Hills Real Estate to review credit check and make any inquiries necessary to evaluate my tenancy and credit standing. I understand that giving incomplete or false information is grounds for immediate rejection of this application and/or termination of my tenancy. I certify that I have received, read and understand the rental qualifications of Golden Hills Real Estate. I understand that a holding deposit of $300 (if approved), plus a non-refundable application fee of $25 is due at the time that I submit this application, and should I cancel within 48 hours of submitting this application or if my application is denied for any reason, my holding deposit of $300 is refundable. I understand and agree that if I cancel my application after 48 hours for any reason, my holding deposit is non-refundable.

Print Name:

Signature:

Date: