Renter Information Form

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

Property Interested In:

Pet Inquiry

Cat Dog Other NA

Verification of Rental History

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.


Renter Information

Current Residenial Address

Previous Residence if applicable

Employment History

Reference 1

Reference 2


By typing your initials in the box below, you authorize Chances Are Realty to process your application and the information you placed in this application is true and correct.

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.