Rental Credit Application

Please complete all sections. All information is kept strictly confidential.

Property of Interest

Property address you are applying for (optional — leave blank if unknown)

Applicant — Personal Information

First Name *

Last Name *

Email Address *

Phone Number *

Date of Birth

Social Security # *

Desired Move-in Date

Driver's License # *

DL State

DL Expiration Date

Current Home Address *

Years at Address

Months at Address

Own or Rent?

Reason for Moving

Employment & Income

Current Employer

Employer Name

Employer Address

Position / Title

Date Started

Monthly Gross Income

Supervisor Name

Supervisor Phone

Previous Employer

Employer Name

Position

Dates Employed

Monthly Income

Other Income Source(s)

Monthly Amount

Co-Applicant / Spouse (if applicable)

Full Name

Relationship

Date of Birth

SSN

Driver's License #

Employer

Monthly Income

Rental / Mortgage History

Present landlord or mortgage company

Name

Phone

Monthly Payment

Move-in / Move-out

Previous landlord or mortgage company

Name

Phone

Monthly Payment

Move-in / Move-out

Personal References & Emergency Contact

Reference 1 — Name

Phone

Relationship

Reference 2 — Name

Phone

Relationship

Emergency Contact — Name

Phone

Relationship

Household Information

All occupants (name, age, relationship)

Pets (type, breed, weight, age)

Vehicles (make, model, year, license plate)

Financial Information

Bank Name

Checking Account #

Savings Account #

Monthly Credit Obligations (list creditor + monthly payment)

Background & History

Have any occupants ever been:

Convicted of a felony Received deferred adjudication for a felony Evicted from a rental property Broken a lease agreement Declared bankruptcy

If yes to any above, please explain

Authorization & Consent

The undersigned applicant(s) declare that all statements made in this application are true, correct, and complete. The applicant(s) hereby authorize QHomez Property Management and its agents to verify all information provided in this application, including but not limited to: employment history, rental history, credit history, criminal background, and personal references. This authorization extends to obtaining consumer credit reports from any credit reporting agency. The applicant(s) understand that any misrepresentation or omission of facts may be cause for rejection of this application or termination of tenancy.

Signature — type your full legal name *

Date

I certify that all information provided in this application is true and accurate, and I authorize QHomez Property Management to run a credit and background check.