Rent To Own Homes - Online Application

Please fill out as completely as possible.

Rent2Own property at: Date Wanted: Full name of applicant: Phone: Present address: City: State: Zip: Email: Current landlord/manager: How long at present address: Reason for leaving: Date of birth: Driver's license no: State: Expires: Present employer: How long with this employer: Employer's address: City: Zip: Phone: Position or title: Gross income $ per Auto make: Model: Year: Color: License no.: State:

Co-applicant Name: Phone: Present address: City: State: Zip: Email: Current landlord/manager: How long at present address: Reason for leaving: Date of birth: Driver's license no: State: Expires: Present employer: How long with this employer: Employer's address: City: Zip: Phone: Position or title: Gross income $ per Auto make: Model: Year: Color: License no.: State:

This online application does not represent an offer to lease, but is an application only. Nothing will be binding on either party unless, and until a Lease is fully executed by both the Landlord and Tenant(s).

I hereby authorize the Landlord to do a Credit Check, and further authorize the persons listed above to release to the landlord verification of any information contained in this application, in order to process this rental application.

I hereby warrant that all my representations set forth above are true.