House Rental Form

Home Rental – Interest Form

Rent: $3,000/month (utilities included)
Submitting this form does not guarantee availability or approval. If selected to move forward, applicants will complete a background check and credit check.

Full Name*

Phone Number*

Email Address*

Current Address*

Preferred Method of Contact*
PhoneEmailText

Total Number of Occupants (Adults + Children)*

Desired Move-In Date*

How long do you plan to rent?*
—Please choose an option—6–12 months12+ monthsNot sure

Do you smoke?*
NoYes

Pets?*
NoYes

If yes, pet details (type/size/number)

Employment Status*
—Please choose an option—EmployedSelf-employedStudentRetiredOther

Employer / Job Title (or primary income source)*

Approx. Monthly Household Income*
—Please choose an option—Under $6,000$6,000–$8,000$8,000–$10,000$10,000+

Current Landlord / Property Manager Name

Current Landlord / Property Manager Phone or Email

Reason for Moving

Best days/times for a showing or call
Weekdays AMWeekdays PMWeekends AMWeekends PM

Any additional notes?

I understand that if selected to move forward, I will be asked to complete a background check and credit check. I confirm the information provided is accurate.

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