Rental Application Form

Rental Application

Property Address *

Anticipated Move-in Date

Monthly Rent *

USD

Security Deposit

1. Applicant Information

Full legal name is required for background and credit screening.

First Name *

Last Name *

Phone Number: *

Email *

Date of Birth

Select *

Social Security Number (SSN) *0 / 9

ITIN *0 / 9

Government Issued ID

(State/Type):

Upload Driving License (Front)

No file chosen

Upload Driving License (Back)

No file chosen

Upload State ID (Front)

No file chosen

Upload State ID (Back)

No file chosen

Upload Passport

No file chosen

2. Residential History

Please provide information for the last two years.

Current Address *

City *

State *

ZIP *

Dates of Residency From *

Move out Date Or Current *

Monthly Rent/Mortgage: *

Reason for Leaving *

Landlord Name *

LandLord Contact Number *

3. Employment & Income

Proof of income (paystubs or tax returns) will be required.

Current Employer: *

Position/Title: *

Length of Employment: *

Monthly Gross Income *

USD

Supervisor Name *

Phone Number: *

Additional Source Of Income

Name of the employer

Phone Number

Monthly gross income

4. Occupants & Pets

Other Occupants

Name of Occupants

Age

Name of Occupants

Age

Name of Occupants

Age

Name of Occupants

Age

Name of Occupants

Age

Name of Occupants

Age

Name of Occupants

Age

Name of Occupants

Age

Name of Occupants

Age

Name of Occupants

Age

Name of Occupants

Age

Name of Occupants

Age

Name of Occupants

Age

Name of Occupants

Age

Name of Occupants

Age

Do you have pets?YesNo

If yes, breed/weight/age

5. Additional Information

Do you smoke? *YesNo

Have you ever been evicted? *YesNo

Have you ever filed for bankruptcy? *YesNo

Have you ever been convicted of a felony? *YesNo

If you answered "Yes" to any of the above, please explain:

6. Authorization & Signature

I hereby certify that the information provided is true and correct to the best of my knowledge. I authorize Jaxon Properties LLC to conduct a background check, including but not limited to credit reports, criminal history, eviction records, and employment verification. I understand that any false information provided may result in the denial of this application or termination of the lease agreement.

5. Submission Agreement

By submitting this application, the applicant acknowledges that this is a non-binding expression of interest until a formal Lease is executed by both parties. All properties are rented in "As-Is" condition unless otherwise specified in the contract.

Enter First Name *

Enter Last Name *

Date *