Rental Application

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Before you Begin

Before you begin, we recommend you call the office 360-494-2323 and verify that the rental is still available. If the rental is available, we will ask for your contact information and notify you once we begin scheduling showings.

To complete this rental application, you must be prepared to provide 3 years of residential history as well as contact information for your rental references. You will also be asked to provide information on your monthly income, and please note that most properties require that applicant combined gross income is at least three (3) times the monthly rent amount.

A co-signer must submit a separate rental application.

All sections of this application are required and must be completed before your application can be processed.

Property rental you are applying for

Desired Move-in Date

Applying as a tenant. (I will be living on the property.)

Applying as a co-signer/guarantor for another applicant. (I will not be living on the property.)

Applicant Information

Number of occupants to occupy home:

Adults

Children

Primary Applicant

First Name

Last Name

Home Phone

Cell Phone

Preferred method of contact:

Home

Cell

Date of Birth

Social Security No.

Driver's License No.

Co-Applicant

First Name

Last Name

Home Phone

Cell Phone

Preferred method of contact

Home

Cell

Date of Birth

Social Security No.

Driver's License No.

Additional Occupants Information

First Name

Last Name

Date of Birth

First Name

Last Name

Date of Birth

First Name

Last Name

Date of Birth

First Name

Last Name

Date of Birth

First Name

Last Name

Date of Birth

First Name

Last Name

Date of Birth

Current Address

Address

City

State

Zip

Resided from (month/year)

Resided to (month/year)

Landlord's Name

Phone No.

Current rent payment

Reason for moving

Does anyone in your household smoke?

Yes

Please List Pets

First Pet's Name

Type of animal

Weight

Age

Male

Female

Neutered/Spayed

Yes

Second Pet's Name

Type of animal

Weight

Age

Male

Female

Neutered/Spayed

Yes

Third Pet's Name

Type of animal

Weight

Age

Male

Female

Neutered/Spayed

Yes

Prior Addresses

Prior Address 1:

Address

City

State

Zip

Resided from (month/year)

Resided to (month/year)

Landlord's Name

Phone No.

Rent Payment

Reason for moving

Address

City

State

Zip

Resided from (month/year)

Resided to (month/year)

Landlord's Name

Phone No.

Rent Payment

Reason for moving

Address

City

State

Zip

Resided from (month/year)

Resided to (month/year)

Landlord's Name

Phone No.

Rent Payment

Reason for moving

Vehicle Information

Vehicle 1:

Make

Model

Color

Year

License Plate Number

Vehicle 2:

Make

Model

Color

Year

License Plate Number

Vehicle 3:

Make

Model

Color

Year

License Plate Number

Employment Information

Primary Applicant’s Employer:

Employer Name

Employer Address

City

State

Zip

Position Held

Years worked

Supervisor's Name

Business Phone

Monthly Income

Co-Applicant’s Employer:

Employer Name

Employer Address

City

State

Zip

Position Held

Years worked

Supervisor's Name

Business Phone

Monthly Income

Other Sources of Income (monthly totals)

Tips

Government Cash Assistance

Child Support/Alimony

Other

Emergency Contact

Name

Address

Phone No.

Relationship

Personal References

Name

Address

Phone No.

Relationship

Name

Address

Phone No.

Relationship

Name

Address

Phone No.

Relationship

Bank Information

Bank Name

Branch

Account Type

Have you ever been evicted from any rental premises?

Yes

If yes, please explain:

Have you ever willfully and intentionally refused to pay rent when due?

Yes

If yes, please explain:

Are there any circumstances which may interrupt your income or ability to pay rent?

Yes

If yes, please explain:

Have you ever been convicted of a felony?

Yes

If yes, please explain:

Are you required to be registered as a sex offender?

Yes

If yes, please explain:

ANY ADULT, OTHER THAN A CO-APPLICANT, LIVING AT THE PREMISES, WILL NEED TO COMPLETE A SEPARATE RENTAL APPLICATION FORM.

Comments / Inquiries

Terms of Agreement

The Applicant understands that the Landlord may perform a credit check to verify the Applicant's credit references, credit history and order a criminal background check on Applicant in connection with processing this Rental Application.

I certify that my answers are true and correct and complete to the best of my knowledge. I understand that false or misleading information in my Application or required interview may result in an automatic rejection of my Application.

Mountain Valley Real Estate requires picture ID and Social Security Cards on all adults signing Rental Application.

By checking the boxes and clicking send below, you declare that all your statements in this application are true and complete. By submitting this application, you are directing and authorizing Mountain Valley Real Estate to verify this information and obtain additional background information about you through any means, including personal and professional references, employers and other rental housing owners.

You further direct and authorize Mountain Valley Real Estate to obtain from any law enforcement agency, present or past employer or supervisor, landlord, finance bureau/office, credit bureau, collection agency, college, university or other institute of learning or certification, private business, military branch or the national personnel records center, personal reference and/or other persons, and authorize the same to give records or information that they may have concerning your criminal history, motor vehicle/driving history, earnings history, credit history, character, general reputation, personal characteristics, mode of living, employment records, record of attendance and earned degrees or certificates, or any other information requested, whether the said records are private or public, and including those which may be deemed to be privileged or confidential in nature and you irrevocably and unconditionally release all such persons, including any named or unnamed informant, from any liability resulting from the furnishing of this information.

You have the right, upon written request made within a reasonable time after receipt of this notice, to request disclosure of the nature and scope of any investigative consumer report. Please be advised that the nature and scope of the most common form of investigative consumer report obtained with regard to tenants is an investigation into your prior rental history, education, and employment. You also acknowledge that our privacy policy is available to you.

Download the Terms of Agreement Download the Fair Housing Guide for Renters and Home Buyers

By clicking send you are verifying that all information is complete and correct, and

You are authorizing Mountain Valley Real Estate to conduct the background check(s) described above.

You have received and read a copy of the Terms of Agreement and the Fair Housing Guide for Renters and Home Buyers shown above.

Thank you for your message. It has been sent.

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Whether you’re in the market to buy, sell or rent, we are committed to supporting your real estate needs through every step of the process.

Before you Begin

Applicant Information

Current Address

Please List Pets

Prior Addresses

Vehicle Information

Employment Information

Other Sources of Income (monthly totals)

Emergency Contact

Personal References

Bank Information

Terms of Agreement