Rental Pre-Qual Application | Perennial Real Estate

Rental Property Address

Full Name of Applicant(s)

Rental History/Information

Present Address (House, City, State, Zip)

How Long at Current Address?

Name and Phone of Current Landlord

Previous Rental History/Information

Previous Address (House, City, State, Zip)

How Long at Previous Address?

Name and Phone of Previous Landlord

Supervisor Office Phone #

Income Sources. Please list your gross income during term of lease you are applying for.

Employment Gross Income

Other Adult Employment Gross Income

Other Income (Source and Amount)

Additional Rental Information

Do You Own Pets? Yes/No (If yes, name kind/breed and age. One-time $350 Non-refundable Pet Deposit Required)

Have you ever been evicted from your primary residence?

Yes No

Have you ever been convicted of a felony?

Yes No

Have you declared bankruptcy in the past seven years?

Yes No

Do you smoke?

Yes No

Do you have a bank checking account?

Yes No

Have you ever been delinquent on your monthly rent payment?

Yes No

What is your credit score?

What type of vehicle(s) do you drive?

What is your targeted move in date?

How many people will be living in the unit?

Any other information pertinent to your rental application?

I/We declare under penalty of perjury that the information listed in this application is true & correct.

The undersigned authorizes landlord, leasing agent, property management Company, and representatives of the owner/landlord to contact the undersigned’s current or previous landlord, and current employer, and further, by a copy of this application, authorizes any said landlord, or employer to release pertinent residential and employment history information to be used in evaluating my lease application. I further authorize owner/landlord, leasing agent, property management company or it representatives to apply for or obtain an investigation or credit report in connection with this application. I understand that said investigation or credit report may contain information obtained from various state governmental and private entities relative to the undersigned’s number of Children, employment, general health, financial and criminal history information.

By typing my name below, I am signing this document electronically. I agree that my electronic signature is the legal equivalent of my manual/handwritten signature on this document. By typing my name using any device, means, or action, I consent to the legally binding terms and conditions of this document. I further agree that my signature on this document is as valid as if I signed the document in writing.

Pre-Qualification Rental Application

Perennial Real Estate LLC

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