Rental Application

Applicant Information

How did you hear about us?

Contact Information

Your Full Name

Your Email Address (required)

Main Phone Number with Area Code

Alternate Phone Number with Area Code

Current Street Address (Where do you live right now?)

Current City, St ZIP

Identification Information

Date of Birth

Mother's Maiden Name

Social Security #

Drivers License # and State

Parking Requirements

Vehicle Year, Make & Model

State, County & Tag #

Other vehicles (Please describe. Include any boats and trailers.)

Income Information

Credit Score (If you know it.)

Primary Income Source / Place of Employment

Work Phone Number with Area Code

Income Amount per Pay Period

Pay Period Frequency (weekly, every two weeks, etc.)

How long have you had this source of income?

Secondary Income Source / Place of Employment

Work Phone Number with Area Code (if not self)

Income Amount per Pay Period

Pay Period Frequency (weekly, every two weeks, etc.)

How long have you had this source of income?

Additional Income Source / Place of Employment

Work Phone Number with Area Code (if not self)

Income Amount per Pay Period

Pay Period Frequency (weekly, every two weeks, etc.)

How long have you had this source of income?

Accommodations Requirements

Are you married, or in a committed relationship?

Do you have any children?

Do you have any pets?

Will anyone (or any animal) seek accommodations besides yourself?

In Case of Emergency Notify

Name

Relation

Street Address

City, St ZIP

Phone Number

I hereby attest that by typing my name below, I am inscribing my electronic signature on this document. I have read the Rules and Regulations. I will comply with the rules. I authorize McGarvey Properties to check my credit and criminal reports.

Electronic Signature

Date