Application Form – New Again Homes

New Again Homes Rental Application

Description about the New Again Homes Rental Application.

Applicant #1

Applicant's First Name (required)

Middle Name

Last Name (required)

Birthdate (required)

Your Email (required)

Property You're Interested In (required)

Present Address (required)

City (required)

State (required)

Zip (required)

Current Rent (required)

How long have you lived at this address? (required)

Phone Number (required)

Applicant #2 (if applicable)

First Name (if applicable)

Middle Name

Last Name

Birthdate

Applicant #2 Email

Present Address

City

State

Zip

Current Rent

How long have you lived at this address?

Phone Number

Number of people that will live in this residence (required)

Adults

Children

Child #1

Date of Birth

Child #2

Date of Birth

Child #3

Date of Birth

Child #4

Date of Birth

Present Landlord’s Name

Phone

Why moving?

Was notice given?
yesno

Employment Information For Applicant 1

What do you do for a living? (required)

Company with whom you are employed? (required)

Person to contact

Phone

How long have you been at this job?

Employment Information For Applicant 2

What do you do for a living?

Company with whom you are employed?

Person to contact

Phone

How long have you been at this job?

Total Monthly Household Income Combined For Adults After Taxes (required)

Amount available for security deposit/ 1.5 month's rent security deposit is required (required)

List 2 Personal References

Personal Reference 1

Name

Address

Phone

Relation

Personal Reference 2

Name

Address

Phone

Relation

How Did You Hear About Our Website? (required)

If you were referred to our site, who referred you? (required)

Additional Questions

Do you possess a valid credit card to make rent payments on? (required)

Have you ever filed bankruptcy? (required)
yesno

Have you ever been served an eviction notice or been asked to vacate a property you were renting? (required)
yesno

Have you ever willfully and intentionally refused to pay rent when due? (required)
yesno

Have you ever been convicted of a crime other than a minor traffic offense? (required)
yesno

Have you ever had a judgement entered against you? (required)
yesno

Are you presently an illegal abuser of a controlled substance? (required)
yesno

Have you ever been convicted of illegal manufacture or distribution of any controlled substance? (required)
yesno

Are you willing to purchase a renters insurance policy? (required)
yesno

Any Pets? (required)
yesno

New Again Homes Rental Application

Applicant #1

Applicant #2 (if applicable)

Employment Information For Applicant 1

Employment Information For Applicant 2

List 2 Personal References

Personal Reference 1

Personal Reference 2

Additional Questions

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