Fillable Printable Virginia Rental Application Form
Fillable Printable Virginia Rental Application Form
Virginia Rental Application Form
NVAR – K1008 – rev. 05/08 Page 1 of 4
RENTAL APPLICATION
This Rental Application is an offer to rent. The Deed of Lease is a legally binding contract.
It is unlawful to discriminate on the basis of race, color, religion, national origin, sex, elderliness, familial status or
handicap. This application will be processed in accordance with all Fair Housing and occupancy laws.
BROKERAGE DISCLOSURE
The applicants acknowledge by their initials that in this real estate leasing transaction the Listing Broker,
, represents the Landlord and that the Leasing broker, ,
represents the Landlord OR the Tenant. (If the Broker is acting as a dual representative of both the Landlord
and Tenant, then the appropriate disclosure form is attached to and made a part of this Application.
Applicant/s Initials / Leasing Agent must attach a business card.
Applicant/s Identification Type & Expiration Date: .
OFFER TO RENT
(Applicant 1) and (Applicant 2) offer
to lease the property known as
,
, Virginia (“Premises”), for years/months
beginning
, 20 , for the monthly rent of $ payable in advance on
the first day of each month.
CONDITIONS
A NON-REFUNDABLE PROCESSING FEE OF $
per Applicant is
included with this application. Processing may take up to 5 business days to complete. AN EARNEST MONEY
DEPOSIT OF $
(“Deposit”) is included and will be held by
. If this Application is accepted, the Deposit will be credited to amounts owed to the Landlord. If this
Application is not accepted, the Deposit will be refunded to the Applicant(s) less any additional documented
processing charges.
Occupancy is subject to possession being delivered by the present occupant. The property is accepted “As Is”
unless otherwise noted below or by attachment.
CONTACT NUMBERS: APPLICANT 1 APPLICANT 2
C:
C:
H:
H:
W:
W:
Email:
Email:
OFFICE USE ONLY
Application Received Date Time
Application Reviewed By
Accepted Rejected Withdrawn Applicant of Agent notified Date Time
NVAR – K1008 – rev. 05/08 Page 2 of 4
APPLICANTS AGREE AND UNDERSTAND THAT:
1. This Application, each occupant and each pet are subject to acceptance and approval by the Landlord.
2. The Listing Company is obligated to present all Applications to the Landlord until the Lease is signed.
3. Landlord and Landlord’s Agent may rescind acceptance and resume marketing the Premises at any time until
the Lease is signed.
4. Proof of current income is required. For example:
Latest Pay Statements/Stubs
Last 2 years’ Form W-2 for hourly or weekly pay persons
Last 2 years’ Form 1040 and Schedule C (if applicable) of self-employed or persons with tip income
Copy of LES and orders for military
5. This Application consists of four pages which must be completed in full. Incomplete or missing information
will result in delay of a decision. Willful misrepresentation may be grounds for invalidating a Lease.
6. A draft of the proposed Lease may be reviewed through the Listing Broker. If Landlord and Applicant cannot
agree on terms, the deposit will be refunded.
7. Applicant must present valid photo identification or 2 forms of ID before signing the Lease.
8. The Applicant is responsible for obtaining property and liability insurance (Renter’s Insurance) and assuming
utility accounts where requ ired before occupying the Premises.
9. Any move-in fees and utility deposits are the responsibility of the Applicant.
10. Only those persons listed in the Application are to live in the premises.
11. The Premises are not to be used for business except with full knowledge and consent of the Landlord and in
conformity with all applicable laws and regulations.
12. Applicant has no Leasehold interest until the Lease is signed.
I/we agree to the above conditions and authorize the firm processing this Application to verify any
information contained herein and to perform any credit or investigative inquiries necessary in
properly evaluating this Application, and any renewal. If any information is found to be false or
misleading, the Application may be summarily rejected.
Signed Applicant 1 Date Signed Applicant 2 Date
APPLICANT 1
Name
Date of Birth Social Security Number
Current Street Address
City State Zip
From: To: $
Dates of Occupancy Rent Mortgage
Landlord/Management/Mortgage Co. Name
Phone # Fax #
Reason for Moving
APPLICANT 2
Name
Date of Birth Social Security Number
Current Street Address
City State Zip
From: To: $
Dates of Occupancy Rent Mortgage
Landlord/Management/Mortgage Co. Name
Phone # Fax #
Reason for Moving
NVAR – K1008 – rev. 05/08 Page 3 of 4
APPLICANT 1
Previous Street Address
City State Zip
From: To: $
Dates of Occupancy Rent Mortgage
Landlord/Management/Mortgage Co. Name
Phone # Fax #
Reason for Moving
EMPLOYMENT
1.
Current Company Name
From: To:
Location Dates of Employment
$ /year
Position/Rank Income
Supervisor Name Phone
2.
Previous Company Name
From: To:
Location Dates of Employment
$ /year
Position/Rank Income
Supervisor Name Phone
ADDITIONAL INCOME
$ /year
Source Amount
APPLICANT 2
Previous Street Address
City State Zip
From: To: $
Dates of Occupancy Rent Mortgage
Landlord/Management/Mortgage Co. Name
Phone # Fax #
Reason for Moving
EMPLOYMENT
1.
Current Company Name
From: To:
Location Dates of Employment
$ /year
Position/Rank Income
Supervisor Name Phone
2.
Previous Company Name
From: To:
Location Dates of Employment
$ /year
Position/Rank Income
Supervisor Name Phone
ADDITIONAL INCOME
$ /year
Source Amount
Do you have any animals? LIABILITY COVERAGE IS REQUIRED FOR DOGS.
TYPE BREED AGE WEIGHT M/F NEUTURED/DECLAWED
/
/
/
VEHICLE 1 TYPE, MAKE, MODEL STATE VEHICLE 2 TYPE, MAKE, MODEL STATE
NVAR – K1008 – rev. 05/08 Page 4 of 4
ADDITIONAL INFORMATION
Do you plan to bring a waterbed or large aquarium into the Premises? YES NO
Do you intend to smoke or permit smoking in the Premises? YES NO
PLEASE ANSWER
Applicant 1 Applicant 2
1. Have you ever filed for bankruptcy? Yes No Yes No
2. Have you ever been evicted? Yes No Yes No
3. Do you have any judgments? Yes No Yes No
4. Have you had a foreclosure? Yes No Yes No
5. Are you party to a lawsuit? Yes No Yes No
6. Do you pay alimony or child support? Yes No Yes No
7. Are you a co-signer for a loan or another lease? Yes No Yes No
8. Have you ever had a rental application rejected? Yes No Yes No
9. How would you rate your credit?
DEBTS (List major loans or cred it card debt)
Type of Loan Creditor Balance Monthly Payment
1.
2.
ASSETS (Submit supporting documentation if necessary for qualification)
Type of Asset Amount
1.
2.
OTHER OCCUPANTS OF THE PREMISES
(Occupants over 18 must submit separate applications)
LAST NAME FIRST NAME AND M.I. M/F D.O.B. RELATIONSHIP
DESIGNATED CONTACTS (Someone who knows how to reach you) OR NEXT-OF-KIN
1.
Name Relationship
Telephone Address City State Zip
2.
Name Relationship
Telephone Address City State Zip
