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Rental Applicationadmin2017-06-27T10:45:49-05:00

Download Application

Rental Application Download

You can fill out the application below for immediate processing. However, if you'd like a printable application you may download a copy.

Download Application

Rental Application

Please fill out this application in its entirety. You have the option to "save and continue later" if you need to complete this application at a later time.

Step 1 of 11

9%

Application Fee
Price:
Rental applications require a non-refundable application fee of $45 per applicant.
Total
$0.00
Email (payment receipt sent to this address)*
Billing Address (exact billing address for credit card)*
Street Address Address Line 2 City State ZIP Code
This page is unsecured. Do not enter a real credit card number! Use this field only for testing purposes.
Credit Card

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name

Save and Continue Later

Where are you applying:
Property Name*
Name of person you spoke to about the property
First Last
Email of this person
Phone number of this person
Are you*
- Applying to live at the property
- Co-signing for another person and will not live at the property
Address where you are applying*
Street Address Address Line 2 City State ZIP Code
Desired Date of Occupancy*
MM slash DD slash YYYY
Monthly Rent*
Name of the person for whom you are co-signing*

Save and Continue Later

Parental/Sponsor Guaranty
As Parent(s), Guardian(s), or Trustee(s), I/We will be acting as surety for the above named person’s rental agreement with Property.

I/We will be responsible for any charges, damages, and for payment of the entire lease agreement, and any successive renewal leases that occur, including transfer leases.

I/We understand that the lease agreement, in which the above named is entered into, is held in severalty. That means that each person on the lease is responsible for the entire lease as well as the entire amount of the rent due on the first of each month and late fees that may occur. If an agreement exists between individuals on the lease as to the amount each person pays, this agreement is personal and not one the Management has made with individual tenants. If any one person on the lease does not pay or defaults, all of the remaining tenants are still responsible for seeing that the entire amount of rent is paid on or before the first of each month.

I/We unconditionally guarantee the prompt and complete payment of any rent due under the foregoing lease. I/We understand the I/We may be contacted for payment if the entire amount of rent is not paid as agreed in the lease.
Address where tenant will reside
Street Address Address Line 2 City State ZIP Code
By clicking "I Agree", I am giving my consent to have a credit report made of my credit history."
- I Agree
Name*
First Last
Email*
Social Security #*
Date of Birth*
MM slash DD slash YYYY
Name
First Last
Email
Social Security #
Home Phone
Cell Phone
Work Phone
Home Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Employment Status
Employer
Date Employed
MM slash DD slash YYYY
Title
Annual Income
Contact Name
First Last
Phone
Credit References
Name
Account #
Terms
THE EXECUTION OF THIS DOCUMENT IS A MATERIAL INDUCEMENT FOR LANDLORD TO ENTER INTO A LEASE CONTRACT, AND LANDLORD IS FULLY RELYING UPON THE DUE AND VALID EXECUTION BY THE PERSONS WHOSE NAMES ARE SHOWN ABOVE. LANDLORD RESERVES ALL RECOURSE, CIVIL OR CRIMINAL, IN THE EVENT OF A FALSE OR FORGED EXECUTION HEREOF. FURTHER, THIS AGREEMENT SHALL REMAIN IN EFFECT FOR THE ENTIRE TERM OF THE LEASE CONTRACT AND ANY RENEWAL OR TRANSFER CONTRACTS.
Applicant's Signature
Name
First Last
Date
MM slash DD slash YYYY
Spouse's Signature
Spouse's Name
First Last
Date
MM slash DD slash YYYY

Save and Continue Later

About You
Name*
First Middle Last
Former Last Names (maiden and married)
Your Street Address (as shown on your driver's license or government ID)*
Street Address Address Line 2 City State ZIP Code
Are you a US citizen?*
- Yes
- No
Martial Status*
Social Security Number*
Date of Birth*
MM slash DD slash YYYY
Home/Cell Phone*
Alternate Phone
Driver's License #
State
State / Province / Region
Upload a copy/picture of your driver's license or government ID.
Max. file size: 128 MB.
Sex*
- Female
- Male
Are you a student?*
- Yes
- No
Will you or any occupant have a pet or animal?*
- Yes
- No
Kind of Pet, Weight, Breed, Age*
About Your Spouse
Spouse's Name*
First Middle Last
Spouse's Former Last Names (maiden and married)
Spouse's Social Security Number*
Spouse's Date of Birth*
MM slash DD slash YYYY
Spouse's Driver's License #
State
State / Province / Region
Upload a copy/picture of spouse's driver's license or government ID.
Max. file size: 128 MB.

Save and Continue Later

Current Residence
Current Address (where you live now)*
Street Address Address Line 2 City State ZIP Code
Current Rent
Date Moved In*
MM slash DD slash YYYY
Do you
Name of Apartment Where You Live Now
Current Owner or Manager's Name
First Last
Phone
Why are you leaving your current residence?
Previous Residence
Previous Address
Street Address Address Line 2 City State ZIP Code
Rent
Date Moved in
MM slash DD slash YYYY
Date Moved Out
MM slash DD slash YYYY
Did You
Name of Apartment
Owner or Manager's Name
First Last
Phone
W/hy did you leave the residence?
Prior Residence
Prior Address
Street Address Address Line 2 City State ZIP Code
Number
Date
MM slash DD slash YYYY
Date
MM slash DD slash YYYY
Do You
Name of Apartment
Owner or Manager's Name
First Last
Phone
Why did you leave the residence?
Other Addresses: Three years of residential history is required.

Save and Continue Later

Employment
Current Employer
Employer's Address
Street Address Address Line 2 City State ZIP Code
Employer's Phone
Position
Gross Monthly Income
Date Began
MM slash DD slash YYYY
Supervisor's Name
First Last
Supervisor's Phone
Upload Most Recent Pay Stub
Max. file size: 128 MB.
Upload Most Previous Pay Stub
Max. file size: 128 MB.
Previous Employer
Employer's Address
Street Address Address Line 2 City State ZIP Code
Employer's Phone
Position
Gross Monthly Income
Date Began
MM slash DD slash YYYY
Date Ended
MM slash DD slash YYYY
Supervisor's Name
First Last
Supervisor's Phone
Other Current Income: provide details such as source, amount, and phone numbers for verification.
Upload Documents to Verify Other Income: bank statement, court order, etc.
Drop files here or

Max. file size: 128 MB.
Spouse's Employment Information
Current Employer
Employer's Address
Street Address Address Line 2 City State ZIP Code
Employer's Phone
Position
Gross Monthly Income
Date Began
MM slash DD slash YYYY
Supervisor's Name
First Last
Supervisor's Phone
Upload Most Recent Pay Stub
Max. file size: 128 MB.
Upload Most Previous Pay Stub
Max. file size: 128 MB.
Previous Employer
Employer's Address
Street Address Address Line 2 City State ZIP Code
Employer's Phone
Position
Gross Monthly Income
Date Began
MM slash DD slash YYYY
Date Ended
MM slash DD slash YYYY
Supervisor's Name
First Last
Supervisor's Phone

Save and Continue Later

Credit History
Name of Bank
City
State
List Major Credit Cards
Do you have a checking account?
- Yes
- No
Do you have a savings account?
- Yes
- No
Rental & Criminal History
Have you, your spouse or any occupant listed in this application ever:
willingly refused to pay rent?*
- Yes
- No
Provide Details*
been evicted or asked to move out?*
- Yes
- No
Provide Details*
moved out of a dwelling before the end of the lease term without the owner's consent?*
- Yes
- No
Provide Details*
declared bankruptcy?*
- Yes
- No
Provide Details*
been sued for rent?*
- Yes
- No
Provide Details*
been charged, detained, or arrested for a misdemeanor, felony or sex crime that was resolved by conviction, probation, deferred adjudication, court-ordered community supervision or pretrial diversion?*
- Yes
- No
Provide Details*
been charged, detained, or arrested for a misdemeanor, felony or sex crime that has not been resolved by any method?*
- Yes
- No
Provide Details*

Save and Continue Later

Other Occupants
How many occupants other than yourself will be residing at this property?
Name of Occupant #1
First Last
Relationship
Date of Birth
MM slash DD slash YYYY
Social Security #
Driver's License or Government ID #
State
Name of Occupant #2
First Last
Relationship
Sex
- Female
- Male
Date of Birth
MM slash DD slash YYYY
Social Security #
Driver's License or Government ID #
State
Name of Occupant #3
First Last
Relationship
Sex
- Female
- Male
Date of Birth
MM slash DD slash YYYY
Social Security #
Driver's License or Government ID #
State
Name of Occupant #4
First Last
Relationship
Sex
- Female
- Male
Date of Birth
MM slash DD slash YYYY
Social Security #
Driver's License or Government ID #
State

Save and Continue Later

Vehicles
List all vehicles to be parked by you, your spouse or any occupants (including cars, trucks, motorcycles, trailers, etc.)
How many vehicles will be at the property?*
Make and Color of Vehicle #1
Year
Please enter a number from 1950 to 2030.
License #
State
Make and Color of Vehicle #2
Year
Please enter a number from 1950 to 2030.
License #
State
Make and Color of Vehicle #3
Year
Please enter a number from 1950 to 2030.
License #
State
Make and Color of Vehicle #4
Year
Please enter a number from 1950 to 2030.
License #
State

Save and Continue Later

Emergency Contact Information
Emergency contact person over 18 who will not be living with you.
Name
First Last
Address
Street Address Address Line 2 City State ZIP Code
Relationship
Cell Phone
Alternate Phone
Email
Why You Applied Here
Were you referred?
- Yes
- No
Name of Locator or Agency
Name of Friend
Did you find the property on your own?
- Yes
- No
How did you find the property?
- On the Internet
- Drove By
- Craigslist
- Rental Publication
Additional Information
Desired Type of Residence
- 1 Bedroom
- 2 Bedroom
- 3 Bedroom
- House
- Other
Price Range
Do you smoke?
- Yes
- No

Save and Continue Later

Applicant declares that all of the statements in this application are true and complete. And Applicant authorizes Renters Screening Services to verify this information through any means, including any consumer or criminal record reporting agencies, employers and other rental housing owners. If Applicant fails to answer any question or give false information, the property may reject Applicant's application, retain all application fees and deposits as liquidated damages for its time and expense and terminate Applicant's right of occupancy. Giving false information is a serious criminal offense. In lawsuits relating to the application or Lease Contract, the prevailing party may recover all attorney's fees and litigation costs from the losing party. The property may at any time furnish information to consumer reporting agencies and other rental housing owners regarding Applicant's performance of Applicant's legal obligations, including both favorable and unfavorable information about Applicant's compliance with the Lease Contract, the rules and financial obligations. Applicant also acknowledges that the privacy policy is available to me.
I agree to and accept the terms of the application agreement. By agreeing to this agreement I authorize the release of my rental records, employment/income records and credit report. I agree to pay the application fee.*
- I agree
Signature
Name
First Last
Date
MM slash DD slash YYYY
Spouse's Signature*
Spouse's Name*
First Last
Date*
MM slash DD slash YYYY

Save and Continue Later

Rental Application

Please fill out this application in its entirety. You have the option to "save and continue later" if you need to complete this application at a later time.

Step 1 of 11

9%

Application Fee
Price:
Rental applications require a non-refundable application fee of $45 per applicant.
Total
$0.00
Email (payment receipt sent to this address)*
Billing Address (exact billing address for credit card)*
Street Address Address Line 2 City State ZIP Code
This page is unsecured. Do not enter a real credit card number! Use this field only for testing purposes.
Credit Card

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name

Save and Continue Later

Where are you applying:
Property Name*
Name of person you spoke to about the property
First Last
Email of this person
Phone number of this person
Are you*
- Applying to live at the property
- Co-signing for another person and will not live at the property
Address where you are applying*
Street Address Address Line 2 City State ZIP Code
Desired Date of Occupancy*
MM slash DD slash YYYY
Monthly Rent*
Name of the person for whom you are co-signing*

Save and Continue Later

Parental/Sponsor Guaranty
As Parent(s), Guardian(s), or Trustee(s), I/We will be acting as surety for the above named person’s rental agreement with Property.

I/We will be responsible for any charges, damages, and for payment of the entire lease agreement, and any successive renewal leases that occur, including transfer leases.

I/We understand that the lease agreement, in which the above named is entered into, is held in severalty. That means that each person on the lease is responsible for the entire lease as well as the entire amount of the rent due on the first of each month and late fees that may occur. If an agreement exists between individuals on the lease as to the amount each person pays, this agreement is personal and not one the Management has made with individual tenants. If any one person on the lease does not pay or defaults, all of the remaining tenants are still responsible for seeing that the entire amount of rent is paid on or before the first of each month.

I/We unconditionally guarantee the prompt and complete payment of any rent due under the foregoing lease. I/We understand the I/We may be contacted for payment if the entire amount of rent is not paid as agreed in the lease.
Address where tenant will reside
Street Address Address Line 2 City State ZIP Code
By clicking "I Agree", I am giving my consent to have a credit report made of my credit history."
- I Agree
Name*
First Last
Email*
Social Security #*
Date of Birth*
MM slash DD slash YYYY
Name
First Last
Email
Social Security #
Home Phone
Cell Phone
Work Phone
Home Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Employment Status
Employer
Date Employed
MM slash DD slash YYYY
Title
Annual Income
Contact Name
First Last
Phone
Credit References
Name
Account #
Terms
THE EXECUTION OF THIS DOCUMENT IS A MATERIAL INDUCEMENT FOR LANDLORD TO ENTER INTO A LEASE CONTRACT, AND LANDLORD IS FULLY RELYING UPON THE DUE AND VALID EXECUTION BY THE PERSONS WHOSE NAMES ARE SHOWN ABOVE. LANDLORD RESERVES ALL RECOURSE, CIVIL OR CRIMINAL, IN THE EVENT OF A FALSE OR FORGED EXECUTION HEREOF. FURTHER, THIS AGREEMENT SHALL REMAIN IN EFFECT FOR THE ENTIRE TERM OF THE LEASE CONTRACT AND ANY RENEWAL OR TRANSFER CONTRACTS.
Applicant's Signature
Name
First Last
Date
MM slash DD slash YYYY
Spouse's Signature
Spouse's Name
First Last
Date
MM slash DD slash YYYY

Save and Continue Later

About You
Name*
First Middle Last
Former Last Names (maiden and married)
Your Street Address (as shown on your driver's license or government ID)*
Street Address Address Line 2 City State ZIP Code
Are you a US citizen?*
- Yes
- No
Martial Status*
Social Security Number*
Date of Birth*
MM slash DD slash YYYY
Home/Cell Phone*
Alternate Phone
Driver's License #
State
State / Province / Region
Upload a copy/picture of your driver's license or government ID.
Max. file size: 128 MB.
Sex*
- Female
- Male
Are you a student?*
- Yes
- No
Will you or any occupant have a pet or animal?*
- Yes
- No
Kind of Pet, Weight, Breed, Age*
About Your Spouse
Spouse's Name*
First Middle Last
Spouse's Former Last Names (maiden and married)
Spouse's Social Security Number*
Spouse's Date of Birth*
MM slash DD slash YYYY
Spouse's Driver's License #
State
State / Province / Region
Upload a copy/picture of spouse's driver's license or government ID.
Max. file size: 128 MB.

Save and Continue Later

Current Residence
Current Address (where you live now)*
Street Address Address Line 2 City State ZIP Code
Current Rent
Date Moved In*
MM slash DD slash YYYY
Do you
Name of Apartment Where You Live Now
Current Owner or Manager's Name
First Last
Phone
Why are you leaving your current residence?
Previous Residence
Previous Address
Street Address Address Line 2 City State ZIP Code
Rent
Date Moved in
MM slash DD slash YYYY
Date Moved Out
MM slash DD slash YYYY
Did You
Name of Apartment
Owner or Manager's Name
First Last
Phone
W/hy did you leave the residence?
Prior Residence
Prior Address
Street Address Address Line 2 City State ZIP Code
Number
Date
MM slash DD slash YYYY
Date
MM slash DD slash YYYY
Do You
Name of Apartment
Owner or Manager's Name
First Last
Phone
Why did you leave the residence?
Other Addresses: Three years of residential history is required.

Save and Continue Later

Employment
Current Employer
Employer's Address
Street Address Address Line 2 City State ZIP Code
Employer's Phone
Position
Gross Monthly Income
Date Began
MM slash DD slash YYYY
Supervisor's Name
First Last
Supervisor's Phone
Upload Most Recent Pay Stub
Max. file size: 128 MB.
Upload Most Previous Pay Stub
Max. file size: 128 MB.
Previous Employer
Employer's Address
Street Address Address Line 2 City State ZIP Code
Employer's Phone
Position
Gross Monthly Income
Date Began
MM slash DD slash YYYY
Date Ended
MM slash DD slash YYYY
Supervisor's Name
First Last
Supervisor's Phone
Other Current Income: provide details such as source, amount, and phone numbers for verification.
Upload Documents to Verify Other Income: bank statement, court order, etc.
Drop files here or

Max. file size: 128 MB.
Spouse's Employment Information
Current Employer
Employer's Address
Street Address Address Line 2 City State ZIP Code
Employer's Phone
Position
Gross Monthly Income
Date Began
MM slash DD slash YYYY
Supervisor's Name
First Last
Supervisor's Phone
Upload Most Recent Pay Stub
Max. file size: 128 MB.
Upload Most Previous Pay Stub
Max. file size: 128 MB.
Previous Employer
Employer's Address
Street Address Address Line 2 City State ZIP Code
Employer's Phone
Position
Gross Monthly Income
Date Began
MM slash DD slash YYYY
Date Ended
MM slash DD slash YYYY
Supervisor's Name
First Last
Supervisor's Phone

Save and Continue Later

Credit History
Name of Bank
City
State
List Major Credit Cards
Do you have a checking account?
- Yes
- No
Do you have a savings account?
- Yes
- No
Rental & Criminal History
Have you, your spouse or any occupant listed in this application ever:
willingly refused to pay rent?*
- Yes
- No
Provide Details*
been evicted or asked to move out?*
- Yes
- No
Provide Details*
moved out of a dwelling before the end of the lease term without the owner's consent?*
- Yes
- No
Provide Details*
declared bankruptcy?*
- Yes
- No
Provide Details*
been sued for rent?*
- Yes
- No
Provide Details*
been charged, detained, or arrested for a misdemeanor, felony or sex crime that was resolved by conviction, probation, deferred adjudication, court-ordered community supervision or pretrial diversion?*
- Yes
- No
Provide Details*
been charged, detained, or arrested for a misdemeanor, felony or sex crime that has not been resolved by any method?*
- Yes
- No
Provide Details*

Save and Continue Later

Other Occupants
How many occupants other than yourself will be residing at this property?
Name of Occupant #1
First Last
Relationship
Date of Birth
MM slash DD slash YYYY
Social Security #
Driver's License or Government ID #
State
Name of Occupant #2
First Last
Relationship
Sex
- Female
- Male
Date of Birth
MM slash DD slash YYYY
Social Security #
Driver's License or Government ID #
State
Name of Occupant #3
First Last
Relationship
Sex
- Female
- Male
Date of Birth
MM slash DD slash YYYY
Social Security #
Driver's License or Government ID #
State
Name of Occupant #4
First Last
Relationship
Sex
- Female
- Male
Date of Birth
MM slash DD slash YYYY
Social Security #
Driver's License or Government ID #
State

Save and Continue Later

Vehicles
List all vehicles to be parked by you, your spouse or any occupants (including cars, trucks, motorcycles, trailers, etc.)
How many vehicles will be at the property?*
Make and Color of Vehicle #1
Year
Please enter a number from 1950 to 2030.
License #
State
Make and Color of Vehicle #2
Year
Please enter a number from 1950 to 2030.
License #
State
Make and Color of Vehicle #3
Year
Please enter a number from 1950 to 2030.
License #
State
Make and Color of Vehicle #4
Year
Please enter a number from 1950 to 2030.
License #
State

Save and Continue Later

Emergency Contact Information
Emergency contact person over 18 who will not be living with you.
Name
First Last
Address
Street Address Address Line 2 City State ZIP Code
Relationship
Cell Phone
Alternate Phone
Email
Why You Applied Here
Were you referred?
- Yes
- No
Name of Locator or Agency
Name of Friend
Did you find the property on your own?
- Yes
- No
How did you find the property?
- On the Internet
- Drove By
- Craigslist
- Rental Publication
Additional Information
Desired Type of Residence
- 1 Bedroom
- 2 Bedroom
- 3 Bedroom
- House
- Other
Price Range
Do you smoke?
- Yes
- No

Save and Continue Later

Applicant declares that all of the statements in this application are true and complete. And Applicant authorizes Renters Screening Services to verify this information through any means, including any consumer or criminal record reporting agencies, employers and other rental housing owners. If Applicant fails to answer any question or give false information, the property may reject Applicant's application, retain all application fees and deposits as liquidated damages for its time and expense and terminate Applicant's right of occupancy. Giving false information is a serious criminal offense. In lawsuits relating to the application or Lease Contract, the prevailing party may recover all attorney's fees and litigation costs from the losing party. The property may at any time furnish information to consumer reporting agencies and other rental housing owners regarding Applicant's performance of Applicant's legal obligations, including both favorable and unfavorable information about Applicant's compliance with the Lease Contract, the rules and financial obligations. Applicant also acknowledges that the privacy policy is available to me.
I agree to and accept the terms of the application agreement. By agreeing to this agreement I authorize the release of my rental records, employment/income records and credit report. I agree to pay the application fee.*
- I agree
Signature
Name
First Last
Date
MM slash DD slash YYYY
Spouse's Signature*
Spouse's Name*
First Last
Date*
MM slash DD slash YYYY

Save and Continue Later

About Us
Rental Application
Services
Contact Us

Contact Info

900 NW Vesper St.
Blue Springs, MO 64015

Phone: (816) 229-7500

Fax: (816) 229-3220

Web: Renters Screening Services

Copyright 2015 Renters Screening Services