» Application | Carbondale Area Rentals

Obtaining Your Credit Score
Our application fee is $25.00 per applicant. That is the cost that we pay the credit reporting service to run your credit. You can obtain a free credit score through creditkarma.com. If you would like, you can find out your credit score through them first to see where you are at before you spend the $25.00 on the application fee.

Application to Rent Form

Step 1 of 2

Date premises required
MM slash DD slash YYYY
Rental Rate
Security Deposit
Screening Fee
Name
First Middle Last
Date of Birth
YYYY slash MM slash DD
Social Security Number
Driver's License #
State
Valid
- Yes
- No
Driver's License Issued on
MM slash DD slash YYYY
Expiration Date
MM slash DD slash YYYY
Current Address
Street Address City State / Province / Region ZIP / Postal Code Country
Phone
Email Address
How long residing at this address:
Rent Amount:
Reason for Leaving
Landlord's Phone:
Current Employer (name)
Phone
Occupation
How Long
Salary or Annual Income
Previous Employer (name:)
Phone
Occupation
How Long
Spouse's Name
First Middle Last
Date of Birth
MM slash DD slash YYYY
Social Security Number
Current Employer
Occupation
How Long
Salary or Annual Income
Phone:
Vehicle Information (yr/make/model/color) 1:
Vehicle Information (yr/make/model/color) 1:
Vehicle License Plate Number 1:
Vehicle License Plate Number 2:

Credit References (List bak, credit union, charge accounts, or other credit references.)
Personal Refernces (list 2 personal references not related to you).
1. Name
Phone
Address
Street Address City State / Province / Region
2. Name
Phone
Address
Street Address City State / Province / Region
Have you ever been evicted as tenant?
- Yes
- No
Have you been convicted of a criminal offence?
- Yes
- NO
If Yes, What?
Number of Adults to occupy rental unit:
Number of children under 18 to occupy rental unit:
Please list all occupants
Number of Pets
Type of Pets
Incase of emergency please notify:
Phone
Complete Address
Street Address City State ZIP Code
TENANCY WILL BE DENIED if any information is misrepresented on this application. If misrepresentations are found after the rental agreement is signed, your rental agreement will be terminated.
This is to advise that I the undersigned hereby authorize
Name of Authorized Person / Firm
the person or firm to whom my application has been submitted, to obtain a consumer credit report, to conduct a criminal record search, an eviction search and to make any other inquiries as deemed necessary in determining eligibility for tenancy and assessing credit worthiness. I understand that the information set out in the rental application form may be used for purposes of responding to emergencies, ensuring the orderly management of tenancy, complying with legal requirements and for collection purposes should rent be left owing or rental property damaged at termination of lease or end of tenancy. I have also received a copy of the FCRA Summary of Rights and understand its contents.
Applicant's Signature
Co-Applicant's Signature:
Date
MM slash DD slash YYYY
Date
MM slash DD slash YYYY
CAPTCHA
This information is deemed to be private and confidential.
Number
Number
Number
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You may Download Application Form Here

Application

Application to Rent Form

Step 1 of 2

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