APPLICATION FORM (TENANT)

TENANT
APPLICATION FORM
Please complete one application form for each adult

Additional Documents Must Be Emailed
(please ask for list of documents)
Please Complete All Sections or It May Delay Your Application

Name - First/Last ( answer below)

Your Phone Number (answer below)

Your Email Address (answer below)

List Which Addresses/Homes You Applying for ? (If more than one,list all addresses) (answer below)

LEASE : State Length of Lease Required (3/6/12 month) (answer below)

UTILITIES : For Students/Singles ONLY. Please state if you would like utilities to be added to the rent (We can add up to $400 for 4 pple and $300 for 3 pple to the rent. Any overages will be charged to tenants) (answer below)

APPLIANCES : Which of these appliances do you wish to include in your rental for an extra fee ? Fridge,stove,washer, dryer, dehumidifier, dishwasher, window air conditioning units (where applicable)

Your Current Address (street,city,state)

Co-Applicant Names and Ages

List Any Other Adults/Children To Live in The House

LANDLORD 1 - Your current Landlord's Name/Phone number & Rent/month - $

LANDLORD 1 - Month/Year Moved In To Your Current House & Reason for Moving

LANDLORD 2 - Previous Second Landlord's Name/Phone Number & Rent/month - $

LANDLORD 2 - Month/Year Moved In & Reason for Moving

LANDLORD 2 - address you rented : street,city,state,zip

1. Have you ever had any credit problems? (We can work with bad credit so please be honest) Yes/No

2. Have you ever had an eviction filed against you or been to court? Yes/No (We do a background checks. We cannot show homes or rent to anyone with an eviction or who owes a landlord any money - no exceptions. Thank you)

3. Have you had two or more late rental payments in the past year? Yes/No

4. Have you ever had judgment for non-payment of rent or do you owe any landlord any money? Yes/No

5. Have you ever filed bankruptcy / foreclosure / short sale? Yes/No. Which year?

6. Have you ever been convicted for any crime? Yes/No

7. Have you ever been convicted for selling, possessing, distributing or manufacturing illegal drugs? Yes/No

8. Will you be using any water-filled furniture in your residence? Yes/No

9. Do you smoke? Yes/No. If yes , please describe (cigarette, pipe, medical marijuana) Describe:-

10. Do you have any pets? Yes/No If YES, how many? Describe Breeds

11. Do you have any musical instruments? List them.

12. What was the best feature you liked about your old home?

13. Please explain any YES answers

CURRENT EMPLOYER Company Name

CURRENT EMPLOYER : Your Supervisor's Name

CURRENT EMPLOYER : How long have you worked for your current company?

CURRENT EMPLOYER Company address

CURRENT EMPLOYER : How much is your monthly income? You must have income of at least 3 times the rent eg income from job, SSI, disability, HUD or financial student aid to be able to pay each semester up front?

CURRENT EMPLOYER :State Dates Employed & Your Job Title

CURRENT EMPLOYER : Phone number

PREVIOUS EMPLOYER Company Name/Address/Phone

PREVIOUS EMPLOYER - Supervisor Name Supervisor's Phone Number

PREVIOUS EMPLOYER - Dates Employed & Your Job Title

List any other sources of income e.g. financial aid, SSI, disability, grants, loans etc. that you would like us to consider, please list income, source, and person (banker, employer, etc.) who we may contact for confirmation. You do not have to reveal alimony, child support, or spouse's annual income unless you want us to consider it in this application.

Amount $ - Source/Contact Name/ph #

EMERGENCY CONTACT : Name/Relationship/Phone #

VEHICLE INFORMATION : Make / Model

ADDITIONAL INFORMATION : Please give any additional information that might help owner/management evaluate this application?

Date (or date range) You Wish To Move in

Why are you moving?

Application SENT! THANK YOU!
You will receive a confirmation email
with a list of additional documents needed

IMPORTANT : ADDITIONAL DOCUMENTS MUST BE EMAILED/FAXED

Your application cannot be processed without these being submitted.

Email EnglishRoseHomesWV@gmail.com or call 681-222-0122.

_________________

HOLDING DEPOSIT (VOLUNTARY)
Ask about the optional $150 "Holding Deposit" to 'hold' the house

for 4 days while we process your application.

TENANT APPLICATION FORM Please complete one application form for each adult Additional Documents Must Be Emailed (please ask for list of documents) Please Complete All Sections or It May Delay Your Application