Date
Name
Phone
E-Mail
Current Address
Which property are you interested in?
How did you learn about the property?
Why are you moving?
How soon do you need to move in?
What is the latest date you can move in?
How long do you plan to rent from us?
Why?
What is your rental budget?
How many bedrooms are you interested in? 1 Bdrm: 2 Bdrm: 3 Bdrm:
How many people will be occupying the property?
List proposed occupants:
Where do you live now?
If we ask your current landlord for a reference what will, what will he/she say?
Have you ever been served a late notice? Yes No
Have you ever been evicted? Yes No
Would you be interested in an early payment discount? Yes No
Can you pay a holding deposit equal to the first month's rent at this time? Yes No
Can you provide proof of funds / income? Yes No
Do you currently have electric service in your name? Yes No
Do you currently carry Tenant's Insurance? Yes No
Do you intend to have anyone else move in with you in the future? Yes No
How often will they be visiting? Daily Weekly Bi-Weekly Monthly Annually Vacations Other
Please explain:
How often do you have guests? Daily Weekly Bi-Weekly Monthly Annually
How many?
How often do you have overnight guests?
Do you smoke tobacco? Yes No
Do you smoke marijuana? Yes No
Do you use recreational drugs? Yes No
Do you have or intend to obtain a pet? Yes No
Do you frequently have parties? Yes No
Have you ever been arrested? Yes No
If yes, explain:
Have you ever been convicted of a crime? Yes No
Are you a registered sex offender? Yes No
If yes, explain?
Have the police ever been called to your residence? Yes No
How is your credit? Excellent Good Fair Poor Terrible
Do you know your credit score?
Have you ever filed for bankruptcy? Yes No
Do you have a checking account? Yes No
Balance:
Do you have a savings account? Yes No
Do you have one or more major credit cards? Yes No
Do you support anyone not living with you? Yes No
If yes, how much per month?
Do you have student loans? Yes No
Do you make car payments? Yes No
If yes, how much?
What is you monthly take home (after tax) income?
What are your total monthly expenses, not counting rent?
Subtract your expenses from your income:
Do you feel you keep your current living space clean? Rate on a scale of 1-10: 1 2 3 4 5 6 7 8 9 10
Do you own a vacuum cleaner? Yes No
Do you own a carpet cleaner? Yes No
Do you currently have a landline phone? Yes No
If yes, how long the same number?
Will you be installing a landline phone? Yes No
Do you have a cell phone? Yes No
Do you use a pre-paid cell phone? Yes No
Do you own your own furniture? Yes No
Would you like to rent a furniture package? Yes No 1 Bdrm 2 Bdrm
Do you own a washer and/or dryer? Yes No
Do you own any major appliances? Yes No
Do you own a surround sound TV system? Yes No
Do you own a stereo system? Yes No
How big?
Do you currently have satellite service? Yes No
If yes, DishTV or DirectTV? DishTV DirectTV
Will you be installing cable or satellite? Cable Satellite
How many cars do you / occupants own?
Type:
Year:
Content: