Fillable Printable North Carolina Rental Application Form
Fillable Printable North Carolina Rental Application Form
North Carolina Rental Application Form
NORTH CAROLINA RENTAL APPLICATION
Application*Fee*$____*per *married*couple /$____*per*adult*roommate.**Please*fill*all*blanks;*unanswered*blanks*may*
result*in*application*being*denied.**The*attached *Rental*Verification*and*Employ ment*Verification*are*to*be*signed*by*the*
applicant*so*that*we*may*contact*t he*applicant's*cur rent*landlord*and*employer*to*verify*rental*and*employ ment*status.*
*
The*undersigned*hereby*makes*the*applicatio n *to*rent*the*property*located*at:** *
*
at*a*monthly*rental*amou nt*of*$** * Mo ve*in*date*requested:*** *
*
Who*Showed*you*the*house:*** *
*
*
Contact/Identifying/Information*
Full*Nam e:********************************************************** **Date*of*Birth:************************************** **S.S.*Number:***********************************************
Home*Phone:*******************************************************Cell:*******************************************************Work: **********************************************************
EOMail:****************************************************************************** * Drive*License*#*and*State:****************************************************************************
Spouse*Name:******************************************************** *Date*of*Birth:************************************** **S.S.*Number:*******************************************
Home*Phone:*******************************************************Cell:*******************************************************Work: **********************************************************
EOMail:*** Drive*License*#*and*State:*** * *
Vehicle*(make/model):*** * *Year:*** Tag#:*** State:*** * *
2nd*Vehicle:**************************************************************************Year:***************************Tag#:***********************************************State:**************
*
Other*Vehicles*(Boats,*etc):*
*
*
Do*you*or*any*member*of*your*applicant*hou sehold *smoke?*Yes*******No*******O*Name(s):*** *
Do*you*or*any*member*of*your*applicant*hou sehold *have*or *plan*to*acquire*a *gun*or*other*licensed *or*restricted*weapon?*
Yes*******No*******Name(s):*** * *
Do*you*or*any*member*of*your*applicant*hou sehold *now*h ave* or*have*you*ever*had*a*substance*abuse*problem*including*
abuse*of*Alcohol,*use*of*illegal*drugs,*etc.?**Yes*******No*******Name(s):*** *
*
Residence/History*
(For/past/3/years,/beginning/with/most/current)*
*
Current*Hom e*Address:*** * * * * Own?*Yes*******No*******Mort gage*$*** * *
Cit y:*** * *State:*** Zip:*** Length*of*stay*at*this*address:*** *
Rental?*Yes*******No*******Rent*$:*** * *Landlord*Em ail:*** * * *Landlord*Phone:*** *
*
*
Reason*for*moving:*** Have*you*given*proper*notice* to*vacate?*Yes******* No********
*
If*no,*please*explain:*
*
*
*
*
Previous*Home*Address:*** Own?*Yes*******No*******Mortgage*$****************************
*
*
Cit y:*** * State:*** Zip:*** * Length*of*stay*at*this*address:*** *
Rental?*Yes*******No*******Rent*$:*** * Landlord*Email:*** * * Landlord*Phone:*** * *
Reason*for*moving:*** * * * Have*you*given*proper*notice* to*vacate?*Yes******* No********
If*no,*please*explain:*
*
*
*
*
Employment/Information/(Head/of /Household/and/Spouse)*
Current'work'information'for'head'of'household*
Employer:*** Full/Part*Time:*** Title:*** Gross*Salary:*
*
*
Mana ger*a nd*Phone*#:*** Company*address:*** Employment*Le ngth*
*
*
Previous'work'information'for'head'of'household*
Employer:*** *Full/Part*Time:*** *Title:*** *Gross*Salary:*** *
*
Mana ger*a nd*Phone*#:*** Company*address:*** Em ployment*Length*
*
*
Current'work'information'for'spouse'(if'app licable)*
Employer:****************************************************** * Full/Part*Time:********************* * Title:*************************** **Gross*Salary:***************************
Mana ger*a nd*Phone*#:************************************** **Company*address:********************************** * Employment*L ength*****************************
Previous'work'information'for'spouse'(if'applicable )*
Employer:****************************************************** * Full/Part*Time:********************* * Title:*************************** **Gross*Salary:
*
*
*
Mana ger*a nd*Phone*#:*** Company*address:*** Employment*Le ngth*
*
*
*
Additional/Information*
Dependants'or'names'of'othe r'people'who'will'live'at'this'property:*
Name:*** Age:*** Relationship:*
*
*
Name:*** Age:*** Relationship:*
*
*
Name:*** Age:*** Relationship:*
References*
Name:*** Phone:*
*
*
Name:*** Phone:*
*
*
Pets*(#,*Kind,*Breed,*Weight*&*Age)*
*
*
Alimony*you*receive*$** Ch ild*Support*you*receive*
$** *
Have*you*ever*been*evicted?*Yes*** ****No*******Filed*for*Bankruptcy?*Yes*******No*******
How*did*you*hear* about*us?*
*
Instructions'for'This'Offer'to'be'Considered'by'Landlord*
Pl ease 'read'carefully!*
This *application*hereby *constitu tes*my*offer*to*the*owner*of*the *aboveOdescribed*premises*(hereinafter*"premises");*
through *the*owner's*agent,*_____________________________'to*lease*the*premises*for*the* term*a nd*conditions*set*
forth*in*this*offer.*Included*with*this*offer*is*the*nonOrefundable*application*fee*of*$_____*dollars*for*each*individu al*or*
married*couple*made*payable*to*_______________________*and*pa id*at*the*t ime*this*offer*is*submitted.*Should*this*
offer*be*submitted*by*fax*or*email,*deliver*this*fee*to:*
*
________________
________________
________________
________________*
*
Your'offer'will'not'be'processed'unle ss'the'paperwork'is 'filled'out'completely'and'application'fee'is'received.*
*
I*hereby*au thorize*_____________________*and/or*owner,*to*whom*this *offer*is*made,*and*credit*bureau*or*other*
investigative*agency*employed*by*________________,*to*investigate *the*reference*herein*listed,*statements,*or*other*
data*obtained*from*me*or*from*any*other*person*p ertaining*to*my*credit,*financial*responsibility*and*qualifications*as*
a*lessee . *I*hereby*release*all*parties*from*all*liability*for*any*damage*that*may*result*from*furnishing*this*information*
to*_____________________.*I*hereby*acknowledge*that*th
e*above*information *is*correct*to*the* best*of*my*
know le dge.*
*
I*un derstand*that*in*the*process*of*verifying*information*on*my*rental*application,*
____________________________*and/or*owner*may*be*contacting*my*current*landlord*or*mortgage*holder*for*
verification*purposes.*
*
Once*your*application*information*is*processed,*we*will*conta ct*the *owner*of*the*property*to*present*your*rental*offer.*
The*owner*is *authorized*to*receive*copies*of*the*information.*Please*allow*sufficient*time*(u sually*2*business*days)*for*
the*owner*to*address*your*application.*If*your*
application*is *denied,*we*will*notif y*you.*Upon*approval*of*your*
application,*a*lease*will*be*drafted*an d*arrangement s*for*obtaining*signatures*will*be *made.*
*
The*property*is*available *for*the*advertised*lease*term.*If*you*request*a*lease*term *other*th an*that*advertised,*the*
landlord*may*request*additional*rent*or*may*deny*your*application.*
*
Pl ease 'note'that'if'you'do'not'make'your'request'in'the'space'indicated'below 'that'you'must'request'addi tional'
items'in 'writing'from'the'owner'or'his/her 'agent,'and'such'i
tems 'may'possibly'be'denie d.*
Pl ease 'i ndicate'to'the'showing'agent,'AND'on'this'form,'ANY'items'that'you'need'to 'be'addressed'with'your'
application'(such'as'cleaning'of'the'home'before'you'm ove'in,'painting'you'want'to'do'or'have'done,'ability'to'add'a'
basketball'goal'etc.)'ANY'item'that'you /cons ider'"important":*
*
1.*
*
*
*
2.*
*
*
*
3.*
*
*
*
All /utilities/are/the/responsibil ity /of/ the/tenant/unless/otherwise/specified./Utility /service/in/your/name/for/the/rental/
unit/must/commence/no/later/than/your/lease/start/date.*
*
Pets*may*be*permitted*on*a*conditional*basis.*Pets*may*be*considered*case*by*case*with*the*owner's*approval.*There*
may*be*a*nonOrefundable *pet*fee*and/or*de
posit*required*for*any*pet(s)*permitted*and* the*carpets*are*to*b e*
professionally*cleaned*and*deod orized*at*the*end*of*the*lease*term*or*upon*move*out.*
*
All*rental*monies,*including*pet*deposits/fees*must*b e*paid*on*or*before*the*start*d ate*of*the*lea se ,*regardless*of*
whether*you*take*possession*at*that*time.*
*
All*oth er*terms*of*the*North*Carolina*Rental*Agreement*apply,*including*that*the*tenant*is*liable*for*the*full*rental*term*
spe cified*in*the*lease.*If*the*tenant*breaches*the*contract,*the*tenant*is*liable*for:*
1)*Any*unpaid*rents*an d*any*future*
lost*rental*monies*due*to*vacancy;*2)*Any*fees*incurred*by*the*owner*to*reOlet*the*property,*including*any*fees*to*
agencies*used*for*assistance*in*reOletting*the*propert y;*and*3)*Any*costs*necessary*to*clean/repair*the*property*to*it's*
original*condition.*
*
The*N orth*Carolina*Rental*Agreement*requires*that*tenants*maintain*renter's*insurance.*Proof*of*insuranc e*may*be*
required*by*the*owner.*
The*tenant*is*not*permitted*to*assign*the*lease*to*another*part y*o r*sublet*the
*property*in*whole*or*in*part.*
______________________*abides*by*t he*Fair*Hous ing*Laws*of*the*S tate*of*N orth*Carolina.**
*
It*is*unde rstood*that*___________________________*is*the*agent*of*the*owner.*If*you*would*like*additio nal*
information*about*this*representation;*plea se *contact*our*o ffice.*
*
I/have/read/and/understand/the/provisions/stated/above.*
*
*
Applicant's'Signature' Date*
*
*
CoNApplicant's'Signature' Date*
