Please fill out this form in it entirety. Long Term Rental Application Address of property you are interested in leasingPreferred Lease LengthPreferred Move-In Date MM slash DD slash YYYY Name(Required) First Last Email(Required) Phone(Required)Identification(Required)Please provide a copy of your driver's license or other state issued identification. Max. file size: 50 MB. Address HistoryCurrent Address(Required)City(Required)State(Required)Monthly Rent or PaymentHow long have you lived here?Current Landlord / Management CompanyCurrent Landlord / Management Company Phone NumberPrevious AddressPrevious CityPrevious StatePrevious Landlord / Management CompanyPrevious Landlord / Management Company PhoneDo you have any previous evictions?(Required) Yes No If yes, explain:Criminal HistoryDo you have any criminal convictions, besides misdemeanor traffic violations?(Required) Yes No If yes, please explainEmploymentEmployerEmployer AddressEmployer CityEmployer StatePositionStart DatePay RateFrequency Hourly Annually ReferencesPlease provide 3 character references.Reference 1 First Name Last Name PhoneEmail Reference 2 First Name Last Name PhoneEmail Reference 3 First Name Last Name PhoneEmail Emergency ContactPlease provide an emergency contact that will not be residing in the home.Name First Last PhoneEmail PetsDo you have any dogs?(Required) Yes No If yes, please list breed, age, and weight.Note: Cats are not permitted in any of our rental properties. Additional TenantsWill additional people be living in the home?(Required) Yes No Will anyone else over 18 be living in the home and/or contributing financially?(Required)Please note, anyone over 18 living in the home and/or contributing financially, will be required to fill out a separate application. Yes No The above listed applicant declares that all statements made in this application are true and complete. Applicant hereby authorizes the PROACTIVE Rentals, LLC to verify all of the information in this application. If applicant or applicant’s spouse has given any false information Landlord is entitled to reject the application. Completing this information is Step 1 of the application process. Once the information is verified in this first Step, Step 2 will require a credit and background check to be completed through a secure third party service provider. Separate instructions will be provided via email once Step 1 has been completed. Please type your name, sign, and date below to confirm you agree with and understand the instructions and information as set forth above. Name First Last SignatureDate MM slash DD slash YYYY
