Property you are Applying for...

Personal Information ...

Name:

Current Address    City    State
Date of Birth           Drivers License # & State 
Home Phone#         Work Phone #    
Cell Phone #           Cell Phone Carrier
Email Address     

Do you rent or own your home? Rent Own Do you smoke? Yes No
 

Current Rental Information ...

Landlord Name    Phone #  
How long have you lived here?   Current rental amount
 

Previous Rental Information ...

Previous Landlord Name & Phone#  
When did you live there?
Previous Address   Rent Paid

Previous Landlord Name & Phone#  
When did you live there?
Previous Address   Rent Paid
 

Other Information ...

Have you ever been evicted? Yes No  
If yes, please explain the situation:


Have you ever filed bankruptcy? Yes No
Have you ever been arrested or convicted for a crime? Yes No
If yes, explain:

 

Current Employer Information ...

Current place of work
How long?
Contact name and phone #
Take home pay per month      Full time Part time

List any other income that we should know about:

Other Employment Information ...

Previous place of work
Contact name & phone number
Dates of employment

Banking Information...

Bank Name & Phone # Checking Acct# Saving Acct#
 

Personal Property Information ...

How many vehicles do you own? Do you own a boat? Yes No   RV? Yes No
Size of RV or boat
List the year, make & models of your vehicles:

Pet Information ...

Do you own any pets? Yes No Do you own a fish tank? Yes No
List the type, size and age of each pet:

 

Other Personal Information ...

Do you have renters insurance?   No Yes Proof of renters insurance required prior to move in!!!
Do you own a lawn mower?   No Yes   A lawn mower is required to rent any of our houses!!!
Do you own a vacuum? Yes No A vacuum cleaner must be owned to rent any of our houses!!!

Personal reference name, phone number & relationship to you:

Next of kin name & phone number, in case of emergency:

List all people that will occupy the home & their ages:

Have you had any troubles with the law? Yes No
If yes, please explain:

Other comments that you feel are necessary:

List all current payments:

 1. for     4. for
 2. for     5. for
 3. for     6. for

 Disclaimer:

It is the responsibility of the tenant to check if cable or high speed internet is available for the property.
Tenant is aware that it is against VPM, LLC policy to allow any trampolines, play structures, etc on the property.

Applicant screening charge disclosure:

1. Owner/Agent may obtain a tenant screening or credit report that generally consists of:
a. credit history including credit standing:
b. public records, including by not limited to judgments, liens, evictions, and status of collection accounts;
c. information verification;
d. current obligations and credit ratings; and
e. criminal records.

2. Owner/Agent is requiring payment of an application screening fee for each adult, none of which is refundable unless the Owner/Agent does not screen the applicant.

I understand I have the right to dispute the accuracy of any information provided to the Owner/Agent by a screening service or credit reporting agency. I am aware that an incomplete application may cause delays or result in denial of tenancy. I certify the above information is correct and hereby authorize Vernon Property Management, LLC to make any inquiries it deems necessary to evaluate my tenancy and credit standings (including, but not limited to credit checks). If Owner/Agent is requiring payment of an applicant screening charge, applicant acknowledges receiving a copy of or reading Vernon Property Management, LLC's  screening guidelines.

By accepting this electronically, I am giving my permission to obtain all the necessary information to verify my tenancy and have read and understand the Screening Criteria.

Vernon Property Management, LLC can verify my information Accept  Decline

Signature

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