SolidRentalHomes.com

HOUSING APPLICATION

Which Home are you applying for? ______________________________________
Why do you want this particular home? ____________________________________
When do you want to move in? _______________________________________
How much deposit do you have today? $________________________________
How did you find out about the house? __________________________________

(** Spouses & Roommates must complete & sign a separate application!
Incomplete applications will be disregarded!)

Name: _______________________________________________________
Social Security #: __________________________ Date of Birth: _______________
Driver's License - State & ID#: ______________________________________
Current Address: _____________________________________________________
City / State / Zip: _____________________________________________________
Home Phone: ______________________ Work Phone: ______________________
Cell Phone: ________________________ FAX number: ______________________

Other Adults who will live in the home: _____________________________________
Children Name & Ages:__________________________________________________
How many pets do you own? _________________
Types of pets owned: __________________________________________________
How much do your pets weigh each? ______________________________________

>> Residential History (List the last 3 places you lived)

Current Landlord's Name: ___________________________________________
Current Landlord's Phone #: ________________________
How long at this address? ______________ Monthly Rent: $________________
Move-in date:__________________ Expected move-out date:_______________
Reason for Moving: ________________________________________________
What Landlord will say about you: _____________________________________
Does current Landlord know your intentions to move? YES or NO (Circle one)
How much notice do you have to give to move? ___________________________

Prev. Address: ____________________________________________________
Prior Landlord's Name: ______________________________________________
Prior Landlord's Phone #: __________________________
How long at this address? ______________ Monthly Rent: $________________
Move-in date:______________________ Move-out Date: __________________
Reason for Moving: _________________________________________________
What Landlord will say about you: _____________________________________

Prev. Address: ____________________________________________________
Prior Landlord's Name: ______________________________________________
Prior Landlord's Phone #: __________________________
How long at this address? ______________ Monthly Rent: $________________
Move-in date:______________________ Move-out Date: __________________
Reason for Moving: _________________________________________________
What Landlord will say about you: ______________________________________

Have you ever been evicted or asked to leave? YES or NO (Circle one)
When & Why? ______________________________________________________

>> Employment History (List your last 3 consecutive employers)

Current Occupation: ________________________________________________
Current Employer: _________________________________________________
Current Employer Address:___________________________________________
Supervisor's Name: _____________________________________
Employer Phone #: _______________________
Monthly Take Home Pay: $__________________ Hourly Wage: $____________
How long at this job? _________________________________
Start Work Date: ________________
What will your supervisor say about you? ________________________________

Previous Occupation: _______________________________________________
Previous Employer: ________________________________________________
Previous Employer Address:___________________________________________
Supervisor's Name: ____________________________________
Phone #: ___________________
Monthly Take Home Pay: $__________________ Hourly Wage: $____________
How long at this job? _________________________________
Start Work Date: ________________ Last Work Date: ____________________
What will your supervisor say about you? ________________________________

Previous Occupation: _______________________________________________
Previous Employer: ________________________________________________
Previous Employer Address:___________________________________________
Supervisor's Name: ____________________________________
Phone #: ___________________
Monthly Take Home Pay: $__________________ Hourly Wage: $____________
How long at this job? ____________________
Start Work Date: ________________ Last Work Date: ____________________
What will your supervisor say about you? ________________________________

>> Financial Background & History

Other Income You Want Us to Consider Beyond Your Job Income
Alimony Income: $______________ Child Support Income: $_______________
Other Income: $_______________ Explain:____________________________________

Savings Account - Bank Name: _____________________________________
What is your average balance? $__________________
Checking Account - Bank Name: ____________________________________
What is your average balance? $__________________

How much do you owe on your car? $___________________
Monthly Car payment? $________________ Car insurance? $_________________

Monthly Alimony You Pay: $_______________ Child Support You Pay: $_____________
Monthly Personal Loans You Pay: $________________
Your Total Monthly Payments on All Financial Obligations (Except rent) $______________

Have you ever been evicted? YES or NO (Circle one)
When were you evicted? _________________________________________________
What were the circumstances and reasons for your eviction?
_____________________________________________________________________

Have you ever filed bankruptcy? YES or NO (Circle one)
When and where did you file bankruptcy? ____________________________________
What were the circumstances and reasons for your bankruptcy?
_____________________________________________________________________
What kind of bankruptcy did you file? Chapter 7 or 13 (Circle one)

Have you ever been foreclosured? YES or NO (Circle one)
When and where were you foreclosed? ______________________________________
What were the circumstances and reasons of your foreclosure?
_____________________________________________________________________

When was the last time you pulled your credit report? _________________
What do you think your average credit score is? _________________

>> Vehicle Information (List all vehicles you own.)

Car #1 - Year, Make & Model: ____________________________________________
Car #1 - Plate #: ______________________________

Car #2 - Year, Make & Model: ____________________________________________
Car #2 - Plate #: _____________________________

Boat - Year/Model/Type: ________________________________________________
Motorcycle - Year/Model/Type: ___________________________________________
Camper/RV - Year/Model/Type: __________________________________________

>> Criminal History

Have you ever been convicted of a Misdemeanor or Felony? YES or NO (Circle one)
They were: (Circle all that apply.)
Sexually-related / Violence-related / Drug-related / Theft-related / Bad checks

Please explain the circumstances/situation. We take special circumstances/situations into consideration.
What were you convicted of?_____________________________________________
____________________________________________________________________
____________________________________________________________________

When and Where did these convictions occur? _______________________________
____________________________________________________________________
____________________________________________________________________

>> Character References (List character references that are not related to you.)

Nearest Living Relative Name / Phone: _____________________________________
Attorney Name / Phone #: ______________________________________________
Name / Relation / Phone #: ______________________________________________
Name / Relation / Phone #: ______________________________________________
Name / Relation / Phone #: ______________________________________________

>> Personal Comments (Additional information and explanations you would like to offer.)
** Tell us why we should consider you for our program and this home:
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
.

I certify that I have answered these questions truthfully, completely, and to the best of my ability. I hereby authorize Landlord and/or his agents to verify the accuracy of all personal information, references, and background listed on this housing application including: Employment History, Landlord History, Credit history, Employment history, Criminal history, Eviction history, Utility Company Usage/Payment history, and Character references.

I authorize Landlord to obtain information from any information reporting service, database, or agency including but not limited to private investigators, credit bureaus, court records, driver license records, and police records. I also authorize current and previous Landlords, employers, and related parties to disclose to Landlord and/or his agents such information as they request.

I understand that any false statements made herein this application is immediate grounds for forfeiture of any deposits or monies paid in already. I also understand that the discovery of false or incomplete statements may result in the immediate disqualification of this application, tenancy, termination of lease, and could result in eviction action. I hereby release the Landlord and/or his agents from any and all liability or damages of any kind to me, my heirs, family, or associates because of compliance with this information verification process.

__________________________________________________________________________
Housing Applicant's Signature & Date

Along with this application, you should provide a photocopy of your:

  • Driver's License/Photo ID
  • Social Security card
  • Proof of Income (two recent check stubs or bank statements)

We prefer that you FAX the application to Toll Free number 1-888-696-3441 for consideration.
Visit your local Office Depot, Staples, or OfficeMax if you do not have access to your own FAX machine.
If you are unable to FAX, you may email the application to matt31908@gmail.com.