Apply Online

Rental Application – (540) 777-3711

STANDARD LEASE LENGTH IS 2 YEARS, OTHER TERMS MAY BE AVAILABLE UPON REQUEST

Application Fee: $30.00 for one applicant, $40.00 for two or more (non refundable)

Sorry we DO NOT accept cash.

 Rental Application Process

1. Rental application must be completed and signed.

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

3. Provide written rental references for last seven years with phone numbers for verification.

4. Application fee is $3o for one applicant and $40 for more than one applicant.

5. The following checks may be completed for your application:

6. Application fee and last month’s rent must be in two separate money orders or certified funds and purchased from one of the following:

PLEASE FILL OUT COMPLETELY

Additional Forms:

Rental Reference          Receipt of Deposit

(Print, fill out, and fax/email back to 540-266-3114/ phonegrh@gmail.com )



Applicant


Current home address


Co-Applicant


Current home address


Additional Occupants

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






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


Previous Address 2


Previous Address 3


Previous Address 4


Applicant's Employment History

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

Current Employer


Previous Employer 2


Previous Employer 3


Co-Applicant Employment History

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

Current Employer


Previous Employer 2


Previous Employer 3


Other income

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




Banking/Credit Union Accounts/Available Credit/Other





Vehicles in Possession of Applicant/Co-Applicant



Pets


Personal References



Other

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


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


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


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


Has the Applicant or Co-Applicant ever declared bankruptcy?


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


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?


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



Next of Kin

Next of kin/nearest relative not living with you


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.


Co-Applicant

I have read and accept the terms above.