WELCOME
ABOUT
AVAILABLE PROPERTIES
CONTACT
APPLY NOW
Jarrah Sells Houses
WELCOME
ABOUT
AVAILABLE PROPERTIES
CONTACT
APPLY NOW
APPLY NOW
PERSONAL INFORMATION
Which Property?
*
Move-in Date
*
MM
DD
YYYY
How did you hear about us?
*
Online
Facebook
Craigslist
Advertisement
Newspaper
Yard Sign
Referral
Agency
Other
If Other, please explain
How many total occupants?
*
APPLICANT INFORMATION
Name
*
First Name
Last Name
Date of Birth
*
MM
DD
YYYY
Driver's Licence / ID Number
*
Driver's License / ID State:
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Email Address
*
Home Phone
*
(###)
###
####
Cell Phone
*
(###)
###
####
Spouses/Partner/Second appliacant's Name
First Name
Last Name
Spouses/Partner/Second applicant's date of birth
MM
DD
YYYY
Spouses/Partner/Second appliacant's Phone number
Spouse/Partner/Second Applicant's Date of Birth
MM
DD
YYYY
Please list ALL occupants names (All people who will be living in the house) First name, Last Name
*
EMPLOYMENT INFO
Are you currently employed?
*
YES
NO
If "other" please explain:
Current Employer
*
Employment Phone Number
*
What is your monthly income (must be verifiable)?
*
Spouses/Partner/Second Applicant's Employer?
Spouses/Partner/Second Applicant's employers Phone number
Spouses/Partner/Second Applicant's Total monthly income?
Total combined Income (include child support/ Spouses Income)?
*
How much do you currently have to put towards the Lease Purchase fee?
*
Similar to a down payment. The amount you currently have to put towards this house. The minimum amount we require will be found in the ad for this house.
$
PETS
How many Dogs?
*
Dog Breed/Breeds? If mixed breed, please describe.
*
How many Cats?
*
Are any of your pets under 2 years old?
Yes
No
GENERAL
Do you have current Renters Insurance?
*
Do you have a working lawn mower?
*
Have you ever broken a Rental lease? EVER?
*
Have you ever been Evicted?
*
Do you have any Rent and/Or Possession charges on file?
*
Yes
No
Do any occupants have Felony Convictions? If so, please describe.
*
Are any occupants on probation? If so, please describe.
*
Do any occupants have to register as a sex offender?
*
YES
NO
Do you currently have utilities in your name?
*
Yes
No
Is anyone a smoker?
*
Is anyone who will be living in the house, currently smoke?
Yes
No
Is there anything that would prevent you from paying rent? (on time, each month?)
*
CURRENT RESIDENCE INFO
Current Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
How long have you been living at currant residence?
Occupancy type?
*
Rental
Own
Rent-To-Own/ Lease Purchase
Contract for Deed
Owner Finance
Are you current on all rent payments?
*
YES
NO
N/A
Landlords name? (Our company calls previous landlords)
*
First Name
Last Name
Landlord's Phone Number?
*
Previous Landlord's name?
First Name
Last Name
Previous Landlord's phone number?
(###)
###
####
Previous address?
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
How many years/Months at this residence?
REFERENCES
Reference (no relatives, spouses)
*
First Name
Last Name
Phone number.
*
(###)
###
####
Is there anything else you would like us to know?
Thank you!
Thank You!
