Apply Online

STANDARD LEASE LENGTH IS 1 YEAR ~ LONGER TERMS MAY BE AVAILABLE UPON REQUEST

application fee: $40 | non refundable | payable ONLINE | paper application | commercial application

Rental Application Instructions:

1. Rental application must be completed and signed.

2. Provide proof of income for each applicant. This can include:

three (3) recent and concurrent pay stubs from current employer
a letter from employer with their contact information for verification
copies of court ordered income
disability and/or retirement income statements
bank statements
Note – Single or Combined (take home) income is required to be 3 times the property’s monthly rental amount.

3. Provide rental references for last 7 years: ~~ authorize us to contact your current Landlord by clicking HERE.

4. The following checks will be completed for your application:

Criminal Background
Credit
Previous Rental History

5. First Month’s Rent and Security Deposit, and the pet fee (if applicable), which are all due at time of lease signing, must be in SEPARATE MONEY ORDERS or CERTIFIED FUNDS and purchased from one of the following:

U.S. Postal Service
Wells Fargo Bank
Home Trust Bank
Sun Trust Bank
Hometown Bank
Valley Bank
First Citizens Bank
Union First Market Bank
Freedom First Credit Union
MemberOne Credit Union
Wal-Mart (Money Order)
Kroger (Money Order)

6. For faster application processing: pay online, complete the form in item 3 above, and email proof of income (single or combined) and other supporting documentation in item 2 to our Marketing Personnel. Or you may pay online and place above items 2 and 3 and other supporting documentation in a sealed envelope with:

the Property Address,
Your Full Name, and
Person who showed the property

on the front and deliver to Hometown Holdings, LLC – 925 1st ST., SW Roanoke, VA 24016.
A secured 24 hour drop box is conveniently located to the right of our front door.

PLEASE FILL FORM OUT COMPLETELY

Note: After submitting this application, you will be prompted to pay the $40 application fee + convenience fee ($2.95 when using checking/savings account information or $4.15 when using a credit card). We accept Visa | Master Card | Discover | Diners Club

Property applying for
Marketing Personnel who showed you the property

Applicant

First Name Middle Name Last Name SSN Phone number Email Facebook Drivers License # Issuing State DOB Number of Dependants

Current home address

Address Suite/Apt City State Zip

Co-Applicant

First Name Middle Name Last Name Relationship to Applicant SSN Phone number Email Facebook Drivers License # Issuing State DOB Number of Dependants

Current home address

Address Suite/Apt City State Zip

Additional Occupants

Other Occupants and Relationship to Applicant/Co-Applicant. Include ages of minor children.

(1) Name Relationship Age
(2) Name Relationship Age
(3) Name Relationship Age
(4) Name Relationship Age
(5) Name Relationship Age

Is either co-applicant, or any anticipated occupant a member of the armed services, reserves or National Guard?

Other Prior Addresses

(Beginning with current or most recent and for the last 7 years)

Current/Most Recent Address

Address City State Zip Landlord Landlord Phone Rent How Long? Reason for leaving

Previous Address 2

Address City State Zip Landlord Landlord Phone Rent How Long? Reason for leaving

Previous Address 3

Address City State Zip Landlord Landlord Phone Rent How Long? Reason for leaving

Previous Address 4

Address City State Zip Landlord Landlord Phone Rent How Long? Reason for leaving

Applicant's Employment History

(Beginning with current or most recent and for the last 7 years)

Current Employer

Employer Name Supervisor Start Date Address City State zip Employer phone Monthly income (take home pay) Hourly rate

Previous Employer 2

Employer Name Supervisor Start Date End Date Address City State zip Employer phone Monthly income (take home pay) Hourly rate

Previous Employer 3

Employer Name Supervisor Start Date End Date Address City State zip Employer phone Monthly income (take home pay) Hourly rate

Co-Applicant Employment History

(Beginning with current or most recent and for the last 7 years)

Current Employer

Employer Name Supervisor Start Date Employer phone Monthly income (take home pay) Hourly rate

Previous Employer 2

Employer Name Supervisor Start Date End Date Employer phone Monthly income (take home pay) Hourly rate

Previous Employer 3

Employer Name Supervisor Start Date End Date Employer phone Monthly income (take home pay) Hourly rate

Other income

Additional regular and current sources of income: SSI, Disability, child support, investments, etc.

(1) Income source Amount
(2) Income source Amount
(3) Income source Amount

Banking/Credit Union Accounts/Available Credit/Other

Bank Name City and State
(1) Current Monthly Payments Monthly payment amount Balance
(2) Current Monthly Payments Monthly payment amount Balance
(3) Current Monthly Payments Monthly payment amount Balance

Vehicles in Possession of Applicant/Co-Applicant

(1) Make/Model Year License Number State
(2) Make/Model Year License Number State

Pets

[$150 pet fee (non-refundable; due at lease signing), $25 monthly per pet (non-refundable); maximum of 2 pets]

Do you have any pets?

Personal References

(1) Name Address Phone Relationship
(2) Name Address Phone Relationship

Other

Has the Applicant or Co-Applicant ever been evicted or asked to move out?

Applicant Co-Applicant

Has the Applicant or Co-Applicant ever broken a rental agreement or lease contract?

Applicant Co-Applicant

Has the Applicant or Co-Applicant ever been late with rent payments or sued for non-payment of rents?

Applicant Co-Applicant

Has the Applicant or Co-Applicant ever been sued for damages to a rental property?

Applicant Co-Applicant

Has the Applicant or Co-Applicant ever declared bankruptcy?

Applicant Co-Applicant

Has the Applicant or Co-Applicant ever had any judgments against you?

Applicant Co-Applicant

Has the Applicant or Co-Applicant ever been convicted of a misdemeanor or a felony, Ex: assault, traffic convictions, offenses related to your pet, or any offense involving the use or abuse of drugs, including alcohol?

Applicant Co-Applicant

If yes to any of the above questions, please give the details below including offense charged, offense convicted of, jurisdiction/court in which conviction occurred, date of conviction, and the circumstances upon which conviction was based.

Emergency Contacts

(1) Name Address Phone Relationship
(2) Name Address Phone Relationship

Next of Kin

Next of kin/nearest relative not living with you

Name Address Phone Relationship

I HEREBY CERTIFY THAT THE ABOVE INFORMATION IS TRUE, CORRECT AND COMPLETE; I HEREBY AUTHORIZE LANDLORD OR HIS/HER AGENT TO MAKE, NOW AND DURING ANY TENANCY THAT MAY ENSUE, ANY INQUIRIES/CONTACTS NECESSARY TO EVALUATE/VERIFY THE INFORMATION I HAVE PROVIDED HEREIN, TO INCLUDE INQUIRING WITH THE APPROPRIATE CREDIT CHECKING AUTHORITIES AND/OR JUDICIAL JURISDICTIONS, AND CONTACTING THE REFERENCES WHICH I HAVE LISTED HEREIN. IF I RENT THE IDENTIFIED PREMISES, I UNDERSTAND THAT THE INFORMATION CONTAINED ON THIS FORM AND ON ANY RENTAL AGREEMENT MAY BE MAINTAINED BY LANDLORD FOR UP TO SIX YEARS AFTER I VACATE THE PREMISES, OR AS NEEDED BY LANDLORD TO RECOVER ANY LOSSES ARISING OUT OF SUCH TENANCY. I UNDERSTAND THAT THE LANDLORD MAY AT ANY TIME TERMINATE MY RENTAL AGREEMENT FOR ANY MISREPRESENTATIONS MADE HEREIN.

Applicant

I have read and accept the terms above.

Name Date

Co-Applicant

I have read and accept the terms above.

Name Date

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