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Approval Form-Home Lease
Applicant E-Mail
THIS SUBMISSION FORM IS 100% SECURE utilizing SSL 128 bit encryption.

Important: Enter a valid e-mail address. Correspondence will be sent to this address.
E-Mail:*

There is NO APPLICATION FEE of any kind charged.

WE OFFER HOMES ONLY IN MISSOURI. Do not apply if you are looking for a home outside of Missouri. The homes we offer are located in the MISSOURI COUNTIES of St. Charles, Lincoln and Warren(Wright city only). Cities where we are particularly active include St. Charles, St. Peters, O`Fallon, Dardenne Prairie, Cottleville, Wentzville, Troy, Winfield, and Wright City.
Applicant #1 Information: IF YOU ARE MARRIED/LIVING TOGETHER, YOU MUST SUBMIT INFO FOR YOU AND SPOUSE/Significant Other.
First Name:*

Middle Initial:*

Last Name:*

Address Line 1:*

City:*

State:*

Zip Code:*

Home Phone:*

Social Security Number*

Work Phone:*

Cell Phone:

Years at Current Address:*

Date of Birth-(xx/xx/xxxx)*

Employer*

Employer Address*

Employer City*

Employer State:*

Employer Zip*

Position*

Work Phone*

Work Fax

Length of Employment*

Length of Employment*

Gross MONTHLY Income*

Monthly Overtime

Bonuses

Commissions

Type of Other Income

Monthly Amount-Other Income

Applicant #2 Information: IF YOU ARE MARRIED/LIVING TOGETHER, YOU MUST SUBMIT INFO FOR YOU AND SPOUSE/Significant Other.
First Name:

Middle Initial:

Last Name:

Address Line 1:

City:

State:

Zip Code:

Home Phone:

Work Phone:

Cell Phone:

Years at Current Address:

Social Security Number

Date of Birth-(xx/xx/xxxx)

Employer

Employer Address

Employer City

Employer State:

Employer Zip

Position

Work Phone

Work Fax

Length of Employment

Length of Employment

Gross MONTHLY Income

Monthly Overtime

Bonuses

Commissions

Type of Other Income

Monthly Amount-Other Income

Current Residence Info
Rent or Own?*

Landlord or Mortgage Company Name:*

Landlord Phone:*

Landlord Fax:

Current Monthly Rent:*

Are you in good standing with your current landlord?*

Current Banking and Financial Info
Bank Account Type

Name of Bank

Balance

Bank Account Type

Name of Bank

Balance

Credit Card, Auto and Other Loans Owed
Type of Debt

Credit Card Type

Lender

Monthly Payment

Current Balance

Type of Debt

Credit Card Type

Lender

Monthly Payment

Current Balance

Type of Debt

Credit Card Type

Lender

Monthly Payment

Current Balance

Type of Debt

Credit Card Type

Lender

Monthly Payment

Current Balance

How Did You FIRST FIND our WEB SITE?
How Did You FIRST Learn of our Website?*
Craigslist
Google Search
Facebook
Real Estate Agent
Small Roadside Sign
Sign or Flyer in Front Yard
Open House
Internet Search Engine
Lincoln County Journal
Zillow
Staff member/Phone Call
For Rent Sign
Current or Previous Customer

What Home or Homes are you interested in?*


Processing Authorization
IF YOU ARE MARRIED/LIVING TOGETHER YOU MUST SUBMIT INFO FOR BOTH YOU AND YOUR SPOUSE/PARTNER/SIGNIFICANT OTHER.
I hereby authorize you to release to StCharlesrent.com and its related companies, or agents and/or assigns of any entity that is affiliated, any and all information that they may require about my rental or employment history. Authorization is hereby granted to obtain a standard factual data credit report from any credit-reporting agency it chooses. Please opt my email address into any mailings. ** If your employer requires a fee to verify employment, this fee will be added to the required deposit. If you are required to obtain an access code to retrieve verification information, please provide upon submission of this application. Any complications with verifying employment will result in a delay with processing. By entering my first & last below, I stipulate that I agree to all of the terms and conditions stipulated on this application.

REMINDER--VERY IMPORTANT--READ BEFORE SUBMITTING THIS APPLICATION!!!!!:

IF YOU ARE MARRIED, ENGAGED OR HAVE A SIGNIFICANT OTHER THEN YOU MUST SUBMIT INFO FOR BOTH INDIVIDUALS. All occupants 21 years of age or older must be on the lease and must apply. All occupants under 21 must be approved occupants.
Dated:*

Signature: First and Last*


Signature: Applicant #2


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