Rental application · Lakeshore Rentals

Address of rental premises

Which home are you applying for?

Apt. # (if any)

Desired move-in date

How did you learn about this rental?

Applicant

First name

Middle name

Last name

Social Security # Used only for the credit and background check. Stored encrypted.

Birthdate

Driver's license #

Phone #

Work phone #

Email

Present address

Present street address

Apt. #

City

State

Zip code

Lived here from

ToLeave blank if you still live here

Are you being evicted?

Yes No

Landlord's name

Landlord's phone #

Reason for moving from current address

Previous address

Previous street address

Apt. #

City

State

Zip code

How long did you live there?

Were you evicted?

Yes No

Landlord's name at this address

Landlord's phone #

Employment & income

Current employer

How long employed?

Name of supervisor

Supervisor's phone #

Address of where you work

Do you operate a home-based business?

Yes No

List the businesses you operate

Total monthly income from all sources

List each income source and amount e.g. Job $2,800; Child support $400

Co-signer & assistance

Will someone co-sign this lease with you?

Yes No

Will you be receiving any form of income assistance or a rental voucher?

Yes No

Agency

Case worker

Phone #

Background

Pets

Pets?

Yes No

Type

Number of

Breed(s)

Weight

Everyone who will live with you

List ALL persons that will be living with you at this address.

First nameMid intLast nameSoc Sec #Relationship to you

Documents

PDF, JPG, PNG, or HEIC, up to 10 MB each. Only the landlord can see these.

Photo ID * Driver's license or state ID — a phone photo is fine. Up to 2 files.

Proof of income Recent pay stubs, offer letter, or benefits letter (PDF or photos). Up to 4 files.

Authorization & signature

Authorization to Verify Information and Credit: I hereby authorize the rental property owner or their designee to verify any and all information on this application, on a criminal report and/or on a credit report or decision report. I, the undersigned, authorize the rental property owner, manager and/or the Rental Property Owners Association of Kent County (RPOA) to obtain resident screening information from Merchants Service Bureau/CBC Companies, www.tenanthistorywebsite.org, or other credit bureaus or online sources, which MAY include credit history, rental history, employment history, criminal history, sexual offender history and terrorist information. This information may also be used for collection and garnishment purposes.

Truthful and Correct: The undersigned hereby makes this application to rent a property and certifies the information and answers provided on this application are truthful and correct.

Unit Upgrades: Please note that the premises will be turned over to the applicant in the same condition it was during the showing. Any agreements beyond this made with the leasing agent, management or the owner must be in writing and approved by the property manager or owner.

Delay: The property manager or owner shall not be liable for the failure to have the rental unit available on the anticipated commencement date.

I have read and agree to the statement above *

Type your full legal name to sign *

Date