Rental Application

Complete the form below. Required fields are marked with *.

Thank you! Your application has been received. We'll be in touch shortly.

THIS APPLICATION IS AN APPLICATION FOR VIEWING THE PROPERTY AND DOES NOT CONSTITUTE A FULL APPLICATION FOR RENTING THE PROPERTY. We may have additional questions or requirements.

Tell the truth. We verify all information. We call all landlords and employers. We credit check, eviction check and criminal background check. We don't expect perfection, but we do expect honesty.

Property

Property Address *

Household

Will any other adults (18 or older) be living at the property? *

No Yes

Applicant 1 — Primary

I. Basic Information

Name *

Date of Birth *

Cell Phone # *

Email *

How did you hear about the Property?

II. Rental Information

Desired Move-in Date *

Earliest Date You Can Move-In *

Reason for Moving

Rent You Can Afford

Security Deposit You Can Afford

Length of Lease Requested

12-Month 24-Month 36-Month 48-Month

III. Current Residence

Address *

Date Moved-In *

Monthly Rent *

Security Deposit *

Landlord *

Landlord's Phone # *

Landlord's Email Address *

# of Days Notice Required to Terminate *

Date Notice was Given *

IV. Prior Residence

Address

Date Moved-In

Monthly Rent

Security Deposit

Landlord

Landlord's Phone #

Prior Landlord's Email Address

V. Additional Occupants

Name	Relationship	Date of Birth

VI. Current Employment

Employer *

Occupation / Title

Month/Year Started *

Monthly Gross Income (Before Withholding for Taxes) *

Monthly Net Income (After Withholding for Taxes) *

Other Monthly Income (welfare, social security, food stamps, SSI, child support, alimony, etc.)

Source	Amount

VII. Debts & Financial Obligations

List credit cards, car payments, mortgages, child support, alimony, student loans, loans, debts, etc.

Source	Monthly Payment	Balance

VIII. Vehicles

Make	Model	Year	License Plate #

Home Survey

Certification & Authorization

All answers are correct and true. I represent and warrant that all my information and answers on this application are true and correct. I understand that this application will be attached to and become part of my Lease. I will be considered in default of the Lease and subject to termination and eviction if any statements and answers I have made are found to be false or misleading. *

Authorization for verification of information. If my application is approved and the Landlord selects my application, I hereby authorize Landlord to verify all of the above information through credit check/verification, landlord check/verification, employment check/verification, referral, criminal and eviction check/verification and other sources of data in an effort to determine my qualifications as a tenant. *

Print Name *

Date *

Signature *

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Equal Housing Opportunity. SanSabaRock Real Estate does not discriminate on the basis of race, color, religion, national origin, sex, familial status, disability, or any other class protected by federal, state, or local law.

Privacy. The information you provide is used solely to evaluate your rental application and is not sold or shared with third parties except as needed to verify the information you submit (e.g., credit, background, landlord, and employment checks) or as required by law.

Submitting emails your application directly to our office. You can also use "Download / Print Copy" to save a completed PDF. Your progress is saved automatically in this browser until you submit.

Rental Application

Applicant 1 — Primary

Prior Employment — current employer is less than 3 years