Rental Application – Waller Property Management

Please fill out and submit our Rental Application below.

PLEASE NOTE: Applications are processed in the order they are received. Property viewing has no bearing on application acceptance.

Name *

First

Middle

Last

DOB *

SSN: *

Driver's License # *

Email *

Cell Phone: *

All Other Occupants

DOB

Relation to Occupant

OTHER OCCUPANT 1

OTHER OCCUPANT #1 DOB

OTHER OCCUPANT #1 Relation to Applicant

OTHER OCCUPANT #2

OCCUPANT #2 DOB

OCCUPANT #2 Relation to Applicant

OTHER OCCUPANT #3

OCCUPANT #3 DOB

OCCUPANT #3 Relation to Applicant

RENTAL HISTORY

Current Residence Address *

Address Line 1

Address Line 2

City

State

Zip Code

Monthly Rent: *

Date Residency Began: *

Reason for Moving: *

Current Landlord's Phone Number *

Previous Residence: *

Address Line 1

Address Line 2

City

State

Zip Code

Owner/Manager Contact Information *

Monthly Rent: *

Date Residency Began: *

Date Residency Ended: *

Reason for Moving: *

Owner/Manager Contact Information *

EMPLOYMENT HISTORY

Current Employer *

Name of Supervisor: *

Contact: *

Date Employment Began: *

PREVIOUS EMPLOYER *

Date Employment Began: *

Date Employment Ended: *

Name of Supervisor: *

Contact: *

REFERENCES

Name: *

Contact: *

Relation *

Name: *

Contact: *

Relation *

Is there anything negative in your credit or background check you want to comment on?

Application Fee: $50.00 - This is non-refundable

Method of Payment *

Cash
Check
PayPal*

*NOTE: After you submit this application, you will be shown an option to pay the fee by PayPal. Checks/Cash can be dropped off at 1141 Commercial Drive Side B. Application will not be considered until payment is received. Application fee is NOT refundable.

Date of Payment:

Agreement & Authorization:

By submitting this application, I verify that the statements in this application are true and correct. I authorize the use of the information and contacts provided to complete a credit, reference, and/or background check. I understand that false or lack of information may result in the rejection of this application.

Signature of Applicant *

Date: *

Form Security Question: *

What is the third letter of the alphabet?

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