Application Information – Jackson Rental Houses

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Address of the property you desire: *

Have you driven by the property? *

Do you want to? *

Full Name (Applicant #1) *

Phone Number *

Phone Type *

Email *

Email Type *

Social Security # *

Full Name (Applicant/Co-signer #2) *

If no co-signer, please put N/A - If there is a co-signer have them fill out all information in the section.

Phone Number

Phone Type

Email Type

Social Security #

Current Address *

Type of Residence *

How long have you been at your current residence? *

Current rent (monthly) *

Was your rent up to date? *

Current landlord's name and contact info *

Previous landlords in the past 3 years (name and contact info) *

When would you like to move-in? *

How long do you plan on living here? *

Do you have a HUD voucher? *

List your debts and monthly payments *

Including car loans, personal loans, furniture loans, credit cards, etc.

Have you ever been involved in a lawsuit? *

Have you filed for banruptcy in the last 7 years? *

Place of Employment & Phone (Applicant #1) *

How long have you been with this employer? *

Name of Supervisor *

Applicant's Position *

Total GROSS monthly income from employment *

Place of Employment & Phone (Applicant/Co-signer #2) *

If no co-signer, please put N/A - If there is a co-signer complete the entire section.

How long have you been with this employer?

If no co-signer, please put N/A

Name of Supervisor

If no co-signer, please put N/A

Applicant's Position

If no co-signer, please put N/A

Total GROSS monthly income for co-signer

If buying or lease to own, list the amount of money you can provide for a down payment *

If this does not apply, please put N/A

Number of occupants that will live in home *

Describe their relationship to you. *

Have you ever broken a lease? If so, why? *

How many felonies do you have? *

Do you have any liens or judgements against you? *

Do you have any pets? *

If you have pets, please describe breed and size.

Does anyone in the household smoke? *

Are you able to perform repairs? *

Do you have the full amount for the money down and first months rent? *

Do you have a checking account? *

Checking Balance *

Do you have a savings account? *

Savings Balance *

Why should we rent to you? *

Other Income (e.g., disability, SSI, child support, other)

(Applicant #1) Type Your Full Name Here *

Please read carefully and type your full name if you agree to the following: Applicant certifies that the information contained in this application is true and correct and you authorize the release of information from all present and past landlords, employers, banks, and credit & personal references regarding my credit, rental and employment histories. You also authorize the release of information from this application for the purposes of obtaining a background/credit check and reviewing credit history. I release all who run or review my credit from any and all liability therewith and waive my right for any explanation that might result in rejection of my application. The Applicant has a right to obtain a free copy of the consumer report, and dispute the accuracy of the information it contains. The Applicant understands that false or misleading information is grounds for immediate disqualification.

(Applicant/Co-signer #2) Type Your Full Name Here or type N/A *

Please read carefully and type your full name if you agree to the following: co-signer certifies that the information contained in this application is true and correct and you authorize the release of information from all present and past landlords, employers, banks, and credit & personal references regarding my credit, rental and employment histories. You also authorize the release of information from this application for the purposes of obtaining a background/credit check and reviewing credit history. I release all who run or review my credit from any and all liability therewith and waive my right for any explanation that might result in rejection of my application. The co-signer has a right to obtain a free copy of the consumer report, and dispute the accuracy of the information it contains. The co-signer understands that false or misleading information is grounds for immediate disqualification.

Phone