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Rental Approval Form
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:*

How Soon Do You Need To Move?*
Within 7 days
Within 14 days
Within 1 month
Within 2 month
Within 3 month
3-6 months

Is there a specific property you are interested in? (If so, please list an address.)

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:*

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

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:*

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

Vehicle & Emergency Contact Info
Vehicle Make & Model*

License Plate #

Vehicle Make & Model

License Plate #

Emergency Contact Name*

Emergency Contact Home Phone

Emergency Contact Cell Phone

Ever Filed for Bankruptcy?*
Yes No 

Have You Ever Been Evicted?*
Yes No 

Do you plan to buy a home in the next 2 years?*
Yes No 

How Did you FIRST get our Website address?*
Referral
Internet Search Engine
Craigslist
Facebook
Zillow
Trulia
I`m a current or previous resident
For Rent Sign at Property
Small Roadside Sign
Apartment Flyers
Journal
Staff member/Phone Call
Open House
Van/Truck

Processing Authorization
The information above is true and correct and I authorize StCharlesRent.com to verify same and obtain my consumer credit report and verify my rental history with the landlord provided. I also authorize StCharlesRent.com to verify and research my employment, job history, public record, sex offender lists inclusion and income/job history with my employer. I acknowledge that StCharlesRent.com or its affiliated entities may terminate any agreement entered into in reliance of any misstatement of material information submitted.

IF YOU ARE MARRIED/LIVING TOGETHER, YOU MUST SUBMIT INFO FOR YOU AND SPOUSE/SIGNIFICANT OTHER OR ANYONE 21 YEARS OR OLDER. ALL OCCUPANTS OF THE PROPOSED PROPERTY 21 YEARS AND OLDER MUST SUBMIT AN APPLICATION FOR APPROVAL AND WLL BE REQUIRED TO SIGN THE LEASE. ALL OCCUPANTS UNDER 21 MUST BE APPROVED OCCUPANTS AND BE LISTED ON THE LEASE.

By entering my first & last below, I stipulate that I agree to all of the terms and conditions stipulated on this application.
Dated:*

Signature: First and Last*


Signature: Applicant #2


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