Residential Rental Application

Applicant Details

Applicant's Name

First Last

Applicant's Date of Birth

Applicant's Social Security Number

Applicant's Driver's License No.

Applicant's Phone Number

Applicant's Email Address

Current Residence

Current Type (Apt, Home, Condo)

Current Square Feet (SF)

Current Number of Bedrooms

Current Rent Amount

(Per Month)

Applicant's Current Address

Street Address Address Line 2 City State ZIP Code

How Long at this Address?

Current Lease Expiration Date

Reason for Moving?

Rental Information

Are you planning on having other occupants?

Yes

If Yes, Describe:

Pets?

Only one pet allowed per residence - Only if approved. $350 Non-Refundable Deposit + $50 Pet Surcharge added to your monthly base rent.

Yes

If Yes, Describe:

(Type of Animal (e.g., Dog, Cat, Bird, Fish, Hamster), Weight (e.g., "50 lbs" or "21-30 lbs"))

Number of Vehicles

Please enter a number from 0 to 3.

Vehicle 1:

Make, model, year

Vehicle 2:

Make, model, year

Vehicle 3:

Make, model, year

Ever Filed for Bankruptcy?

Yes

If Yes, Describe:

(Date, Reason)

Ever Been Evicted?

Yes

If Yes, Describe:

(Date, Reason, Landlord, Address)

Current Employment

Currrent Company

Current Occupation/Title:

How long have you been working there currently?

(e.g., "2 years" or "6 months")

Current Gross Income

(From Prior Year Tax Filing)

Current Company's Address

City

Previous Employment

Previous Company

Previous Occupation/Title

How long did you work there?

(e.g., "2 years" or "6 months")

Previous Gross Income

(From Prior Year Tax Filing)

Previous Company's Address

City

Current Landlord

Current Landlord's Name

First Last

Current Landlord's Phone Number

Current Landlord's Email Address

Previous Residence

Previous Type (Apt, Home, Condo)

Previous Square Feet (SF)

Previous Number of Bedrooms

(e.g., "2 bed, 2 bath")

Previous Rent Amount

(Per Month)

Previous Address

Street Address Address Line 2 City State ZIP Code

Start Date

End Date

Previous Landlord

Previous Landlord's Name

First Last

Previous Landlord's Phone Number

Previous Landlord's Email Address

Personal References

Please provide three (3) non-relative, professional references (e.g., current or former supervisors, colleagues, or educators). References should be able to attest to your employment history, financial stability, or reliability.

Primary Reference's Name

First Last

Primary Reference's Relationship to Applicant

Primary Reference's Email Number

Primary Reference's Phone Number

Secondary Reference's Name

First Last

Secondary Reference's Relationship to Applicant

Secondary Reference's Email Address

Secondary Reference's Phone Number

Tertiary Reference's Name

First Last

Tertiary Reference's Relationship to Applicant

Tertiary Reference's Email Address

Tertiary Reference's Phone Number

Additional Details (If Any)

Applicant Terms & Conditions

I have read and agree to the Terms of Certification, Verification Authorization, and Release of Liability detailed below.

I understand and agree to these terms and conditions

Applicant's Signature

By typing your legal name below, you are providing your electronic signature and consent to the following: CERTIFICATION AND AUTHORIZATION: 1. You certify that you are at least 18 years of age and that all information given in this application is true, accurate, and complete. 2. You authorize Yingling Builders to verify all references and facts, including but not limited to current/previous landlords, employers, and personal references. 3. You authorize us to obtain any and all Credit Reports, Criminal Background Reports, Unlawful Detainer Reports, and Telechecks. 4. You understand that incomplete or incorrect information may cause delay or denial of tenancy, and that false statements are grounds for immediate rejection or lease termination. 5. You waive any claim and release from liability any person or entity providing or obtaining this verification information.

Signature Date

Date of Electronic Signature

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