Original Renter Form Backup - myrealtorabe.com

A non-refundable $30 application fee is required to process your rental application. Please ensure you have digital copies of your recent paystubs and a valid government-issued ID (e.g., driver’s license) ready to upload before submitting your application.

Property Interested In

Property Address

Personal Information

First Name

Last Name

Phone Number

Street Address

City

State

Zip Code

Emergency Contact First Name

Emergency Contact Last Name

Emergency Contact Relationship

Emergency Contact Email

Emergency Contact Phone Number

Rental History 1

Previous Street Address

City

State

Zip Code

Rental Date(Start)

Rental Date(End)

Monthly Rent Amount

Landlord’s Name

Landlord’s Email

Landlord’s Phone Number

Reason for leaving

Rental History 2

Previous Street Address

City

State

Zip Code

Rental Date(Start)

Rental Date(End)

Monthly Rent Amount

Landlord’s Name

Landlord’s Email

Landlord’s Phone Number

Reason for leaving

Have you ever been evicted?

Yes No

Current Employment Information

Current Employer

Job Title

Length of Employment

Employer’s Address

City

State

Zip Code

Employer’s Phone Number

Monthly Income (before taxes)

Upload Pay Stub

Previous Employment Information

Previous Employer

Job Title

Length of Employment

Employer’s Address

City

State

Zip Code

Employer’s Phone Number

Monthly Income (before taxes)

Financial Information

Bank Name

Account Type

Checking Savings

Credit Score: (if known)

Do you have any outstanding debts?

Yes No

Additional Information

Do you have pets?

Yes No

Do you have renters insurance?

Yes No

Vehicle Information

Make

Model

Year

License Plate Number

Upload License

Today's Date

Acceptance

I understand that this is a routine application to establish credit, character, employment, and rental history. I also understand that this is NOT an agreement to rent and that all applications must be approved. I authorize verification of references given. I declare that the statements above are true and correct, and I agree that the landlord may terminate my agreement entered into in reliance on any misstatement made above.

Application Fee $35.00

Acceptance

By submitting this application, I am: (1) giving Exclusive Property Holdings LLC permission to run a background check on me, which mayinclude obtaining my credit report from a consumer reporting agency; and (2) agreeing to the Buildium Privacy Policy , Terms of Service , and Arbitration Agreement and Class Action Waiver.