RENTAL APPLICATION
Separate application required from each applicant age 18 or older.

Applicant
Full Name *
Full Name
Birth Date *
Birth Date
Primary Phone Number *
Primary Phone Number
Additional Phone Number
Additional Phone Number
Vehicle Information
Additional Occupants
List everyone, including children, who will live with you.
Full Name
Full Name
Full Name
Full Name
Full Name
Full Name
If you will have more than three additional occupants, please provide their information and relationship here.
Rental History
First-time renters, please provide a description of your housing situation for the last 5 years below.
Landlord/Manager's Phone *
Landlord/Manager's Phone
$
$
Landlord/Manager's Phone
Landlord/Manager's Phone
$
$
First time renters, please provide a description of your housing situation for the last 5 years here.
Employment History
Self-employed applicants, please email tax returns for the last two years to wncinvestmentgroup@yahoo.com
Phone Number of Current Employer *
Phone Number of Current Employer
Phone Number of Supervisor
Phone Number of Supervisor
Phone Number of Previous Employer
Phone Number of Previous Employer
Phone Number of Previous Supervisor
Phone Number of Previous Supervisor
Please provide information of any other work experience or contacts you feel necessary.
Income
(before deductions)
$
$
(sum of previous categories)
$
Miscellaneous
Do you smoke? *
Have you ever been sued? *
Have you every filed for bankruptcy? *
Have you ever sued someone else? *
Have you every been evicted? *
Have you ever been convicted of a crime? *
References and Emergency Contact
Phone Number of 1st Reference *
Phone Number of 1st Reference
Phone Number of 2nd Reference *
Phone Number of 2nd Reference
Phone Number of Emergency Contact *
Phone Number of Emergency Contact
Source

By submitting the form above I certify that all information given above is true and correct and understand that my lease or rental agreement may be terminated if I have made any material false or incomplete statements in this application. I authorize verification of the information provided in this application from my credit sources, current and previous landlords and employers, and personal references. I give permission for the landlord or it’s agent to obtain a consumer report about me for the purpose of this application, to ensure that I may continue to meet the terms of tenancy, for the collection and recovery of any financial obligations relating to my tenancy, or for any other permissible purpose.