Complete Pet Inquiry form, then click submit to go 2nd part of application.

Do You Have Pets?

I agree my application fee of $50 is non refundable whether accepted or denied.

5 + 9 =

VERIFICATION OF RENTAL HISTORY FORM

We are requesting verification of rental history for the individual named below, who states they are a
present or former tenant.

Please complete the information requested and enter the fax number for us to send your information to.
You will also be asked to AUTHORIZE YOUR RELEASE OF INFORMATION REGARDING MY TENANCY TO THE INQUIRING LANDLORD by typing in your name where authorization is requested.

Your application WILL NOT BE PROCESSED without completing this form.
Thank you for your cooperation.
Cordially,

 

VERIFICATION OF RENTAL HISTORY

I Authorize you to release my information for verification

1 + 5 =

PLEASE NOTE: We will not process your application if you DO NOT include your social security number.
*Please initial and agree that your application fee of $50 is non refundable whether accepted or denied.

Renter Information

Property Interested In:
Name: SSN#
Date of Birth: Home phone
Cell: Name and ages of children

Personal History

Present Address: City/State/Zip
Landlord Name: Phone:
Monthly Rent: Dates: From
To

Previous Address: City/State/Zip
Landlord Name: Phone:
Monthly Rent: Dates: From
To

Employment History

Present Employer: Position:
Address: City/State/Zip
Supervisor's Name: Phone:
Gross Salary: Dates: From
To

Previous Employer: Position:
Address: City/State/Zip
Supervisor's Name: Phone:
Gross Salary: Dates: From
To

Reference

Please list personal references: (Not Relatives)

Name: Phone:
Address: City/State/Zip
Years Acquainted:

Name: Phone:
Address: City/State/Zip
Years Acquainted:

Nearest Relative

Name: Phone:
Address: City/State/Zip
Relationship:

FAIR HOUSING POLICY Chances Are Realty WILL NOT DISCRIMINATE. Chances Are Realty firmly believes that choosing a home directly impacts the hopes, dreams, aspirations, and economic destiny of those involved. It is for this reason that Chances Are Realty, is committed to the letter and spirit of the Federal Fair Housing Act, and all other Federal and State laws enacted to guarantee a housing market free from discrimination.

Type your initials: Monday October 26th 2020
Please check all information before submitting.